Home Health Care

Question 1

What is sleep apnea?

Answer 1

sleep disorder in which breathing repeatedly stops and starts
soft tissue at back of throat starts to flap and fold over trachea

Question 2

What are symptoms of sleep apnea?

Answer 2

loud snoring
episodes in which you stop breathing during sleep
gasping for air during sleep
awakening with dry mouth

Question 3

True or false: everyone who has sleep apnea snores

Answer 3

false

Question 4

What is a device used for sleep apnea?

Answer 4

CPAP (continuous positive airway pressure)

Question 5

Are there any good OTC products for sleep apnea?

Answer 5

none are good

Question 6

Describe the graduated compression of support hosiery.

Answer 6

greatest compression at ankle
lower compression at top of sleeve
its a gradient to push blood up towards the heart

Question 7

What is a major use for compression socks?

Answer 7

varicose veins or DVT prevention

Question 8

What pressure of compression socks need a prescription?

Answer 8

> 20mmHg

Question 9

What time of day should you take leg measurements for compression socks?

Answer 9

in the morning

Question 10

What are uses of the following strengths of compression socks?
20-30mmHg
30-40mmHg
40-50mmHg

Answer 10

20-30mmHg:
-MD involvement
-tired, aching legs
-mild varicose veins
30-40mmHg:
-edema
-severe varicose
40-50mmHg:
-more serious situations

Question 11

Will hamamelis water astringe a varicose vein?

Answer 11

no chance

Question 12

Is Venixxa good for varicose veins?

Answer 12

nope

Question 13

Are flight socks needed for a plane ride?

Answer 13

its likely enough to just move your legs during flight

Question 14

When are flight socks maybe of value?

Answer 14

flights > 6hr + patient has at least 1 CV risk factor

Question 15

True or false: institutional care is relatively affordable

Answer 15

false
very expensive

Question 16

What are some locations in Saskatchewan that sell home medical equipment?

Answer 16

Schaan Health Products
Nordon Drugs

Question 17

How do you pick out a proper height for a cane?

Answer 17

height of cane handle should align with your wrist while standing erect with your arm at your side

Question 18

How far should the underarm supports of crutches be from the your armpit?

Answer 18

2 inches (5cm)

Question 19

How common is urinary incontinence in Canada?

Answer 19

3.3 million Canadians affected

Question 20

True or false: urinary incontinence is a normal part of aging

Answer 20

false

Question 21

What are the most common types of urinary incontinence in women?

Answer 21

stress
urge
mixed

Question 22

What proportion of incontinence cases are stress incontinence?

Answer 22

50%

Question 23

True or false: stress incontinence is more common in women

Answer 23

true

Question 24

What causes stress incontinence?

Answer 24

bladder weakness or sudden increase in abdominal pressure
-coughing, laughing, sneezing, lifting

Question 25

What are the factors that affect stress incontinence in women?

Answer 25

pregnancy menopause

Question 26

What are the approaches to stress incontinence in women?

Answer 26

pelvic floor muscle exercises (Kegel) biofeedback intra-vaginal devices surgical options

Question 27

Describe the surgical option for stress incontinence in women.

Answer 27

sling providing support to the weakened urethral muscles to try lessen incontinence

Question 28

How do Poise Bladder Supports work?

Answer 28

non-absorbable piece of plastic material that supports the urethra helps prevent leaks while using bathroom normally *used for stress incontinence*

Question 29

Are Poise Bladder Supports used for urge urinary incontinence?

Answer 29

no they are for stress incontinence Not for mixed incontinence either

Question 30

How does the sizing kit work for Poise Bladder Supports?

Answer 30

use size 1 first, if no urinary leakage then use this size try size 2 or 3 if there is leakage

Question 31

How long can Poise Bladder Supports be used per day?

Answer 31

12 hours (day or night)

Question 32

When should Poise Bladder Supports not be worn?

Answer 32

while on your period

Question 33

What is a cause of stress incontinence in men?

Answer 33

post-prostate surgery

Question 34

What is urge incontinence?

Answer 34

overactive bladder detrusor muscle contracts before it should

Question 35

What are the factors that contribute to urge incontinence?

Answer 35

no cause found in most cases UTIs stroke, Parkinsons, diabetes

Question 36

What are the approaches to urge incontinence?

Answer 36

anti-spasmodics bladder training/Kegel

Question 37

What is overflow retention?

Answer 37

urinary retention bladder is always full leakage seen without urge to urinate

Question 38

True or false: women are affected by urinary retention more than men

Answer 38

false men>women

Question 39

Why are men affected by urinary retention more than women?

Answer 39

prostate enlargement diabetic neuropathy

Question 40

What are the approaches to urinary retention?

Answer 40

smooth muscle stimulants tamsulosin finasteride surgery

Question 41

What is the MOA of finasteride?

Answer 41

inhibits 5a reductase -reduces conversion of testosterone to DHT =taking pressure off the prostate

Question 42

What is the MOA of tamsulosin?

Answer 42

a1 adregeneric antagonist -taking pressure off the prostate

Question 43

Why is it important to know the pharmacology of finasteride and tamsulosin on an OTC level?

Answer 43

oral decongestants can worsen urinary retention -they are a1 agonists

Question 44

True or false: diphenhydramine and amitriptyline are anti-cholinergic

Answer 44

true

Question 45

On a urinary level, what is the use of anti-cholinergics?

Answer 45

helps overactive bladder (urge incontinence)

Question 46

On a urinary level, what can anti-cholinergics worsen?

Answer 46

overflow retention (urinary retention) -decreased bladder contractions

Question 47

What is the use of oxybutynin?

Answer 47

urge incontinence (overactive bladder)

Question 48

What is a CI of oxybutynin?

Answer 48

urinary retention

Question 49

What is a colostomy?

Answer 49

portion of colon removed -more distal (descending colon)

Question 50

What is a ileostomy?

Answer 50

entire colon removed -leaky fluids comes with this

Question 51

True or false: there is saline in nasal aspirators

Answer 51

false just air

Question 52

Would a nasal aspirator be better for a runny nose or booger nose?

Answer 52

runny nose can maybe try loosen booger nose with saline and then use aspirator

Question 53

What are nasal lubricants for?

Answer 53

soothing nasal tissue (saline + lubricant) not for rinsing out nose

Question 54

Is warm or cold air better for vaporizers/humidifiers?

Answer 54

doesnt matter

Question 55

True or false: heat is applied to acute injury

Answer 55

false ice for acute injury, heat for chronic injury

Question 56

What is the RICE model shifting towards?

Answer 56

rest moving towards movement -gentle range of motion ice likely not great -need inflammation for joint-remodeling -also puts NSAIDs into question

Question 57

How long can one Oxytrol patch be worn? What is the use of this product?

Answer 57

4 days overactive bladder, used to be OTC in the USA