Hygiene, Activity and Labs Flashcards
What are contractures?
permanently contracted state of a muscle
- What is a Foot Drop?
- How can it be avoided in patients on bedrest?
- A general term for difficulty lifting the front part of the foot, resulting from extended plantar flexion.
- Place the patients foot in dorsiflexion position
What direction should you clean the eye?
Inner to outer canthus
How often should you use an artificial tear solution or normal saline for the eyes?
What reason would you do this for?
- Q4H
- If blink reflex if absent
What type of muscle contraction would this be?
- Muscle shortening and active movement.
- ADLs, bathing, dressing, feeding yourself, jogging, riding bicycles
Isokinetic
What type of muscle contraction would this be?
- Muscle contraction (not much movement), holding
- Yoga (holding positions), sitting in a chair (for some patients w/ difficulties), planks
Isometric
What type of muscle contraction would this be?
- Muscle contraction w/ resistance
- Push-ups, pull-ups, dumbbell curls, squats
Isotonic exercise
What are the effects of exercise on the neurological system?
Think: illness, functioning
- ↓anxiety/depression
- ↓ dementia
- ↓ risk of stroke
- ↑ cognitive function
What are the effects of exercise on the Endocrine system?
Hint: Triglycerides, disease
- ↓ Weight
- ↓ Diabetes
- ↓ LDL
- ↑ HDL
What are the effects of exercise on the musculoskeletal system?
Hint: bones, balance
- ↓ Osteoporosis
- ↓ Falls
- ↓ Disability
What are the effects of exercise on the Cardiovascular system?
Hint: disease, BP
- ↓ mortality
- ↓ coronary artery disease
- ↓ blood pressure
What are the effects of exercise on the oncological system?
- ↓ Prostate cancer
- ↓ Breast cancer
- ↓ Bowel cancer
During specimen collection where is the sample labeled to avoid errors?
At the bedside
What is normal WBC values?
Wanna Buy a Car: 5k-10k
5,000-10,000/mcL
What does a Basic Metabolic Panel (BMP) test for?
Tests 8 different substances in your body for the following function:
- Kidney function (BUN, creatinine)
- Fluid and electrolyte balance (Na+, K+, CO2, Cl-)
- Blood sugar levels (glucose)
- Acid and base balance
- Metabolism
- Calcium
What is normal sodium value?
sodium: Remember first three odd numbers: 1,3,5 = 135
135-145 mEq/L
What is normal potassium levels?
3-5 Bananas in a bunch. (want to buy them 1/2 off)
3.5-5 mEq/L
What is normal Creatinine range?
Creatinine: 0.9 is right in the middle of a normal range
0.6-1.2 mg/dl
Glucose range
Energy starts to decline b/w ages of 70-100 y.o
70-100 mg/d
Calcium range
Milk: Weighs 8.5 pounds + 2% milk
8.5-10.5 mg/dl
normal Chloride range
Hot Tub temperature = 95-105oF
95-105 mEq/L
Bicarbonate (CO2) range
Carbonation of soda: (2) 12 sodas = 24
23-29 mEq/L
Which electrolyte regulates extracellular fluid volume.
Affects serum osmolality
Role in muscle contraction and transmission of nerve impulses
Sodium (Na+)
Which electrolyte controls intracellular osmolality
Regulator of cellular enzyme activity
Role in the transmission of electrical impulses in nerve, heart, skeletal, intestinal, and lung tissue.
Regulation of acid-base balance
Potassium (K+)
Which electrolyte plays a role in blood coagulation and transmission of nerve impulses
Helps regulate muscle contraction and relaxation
Major component of bones and teeth.
Calcium (Ca2+)
Which electrolyte plays a role in metabolism of carbohydrates and proteins
Role in neuromuscular function
Acts on cardiovascular system, producing vasodilation.
Magnesium (Mg2+)
Which electrolyte is a major component of interstitial and lymph fluid; gastric and pancreatic juice, sweat, bile, and saliva.
Assists with maintain osmotic pressure
Chloride (Cl-)
Red Blood Cell (RBC) range?
Adult human has 4.5-5.5 L of blood in the body
4.5-5.5 million/mcL
Hemoglobin (HgB) range
Hemoglobin carries oxygen to tissues : avg adult takes 12-18 breaths/min
12-18 g/dL
Hematocrit (Hct) range
Hematocrisis: Midlife crisis occurs at 40-50
37-50%
Platelet range
Fine China Plates $150-400
150K-400K/mcL
BUN range
BUNion: 5 digits per limb. 20 digits total.
5-20 mg/dl
Albumin range?
Albumin is a protein made by the liver.
Protein shakes contain 3-5 ingredients
3.5-5.5 g/dL
Magnesium range?
Using a magnifier class makes thing 1.5-2.5
1.3 to 2.3 mEq/L
Bilirubin range
Eat only 1 BiliReuben Sandwich
< 1 mg/dl
AST/SGOT range
AST: School: 8am-4pm
8-40 U/L
ALT/SGPT
ALT: Labor: 7am-6pm
7-60 U/L
Alkaline Phosphate (ALP)
Phosphate: (Eight-y) 80 (middle of range)
40-120 U/L
International Normalized Ratio (INR) range?
I (One): < 1
< 1 sec
Prothrombin Time (PT) range
Ten (T): 10
10-12 seconds
Partial Thromboplastin Time (PTT)
Ten (T) + Twenty/Thirty (T): 30-40
30-40 seconds
Which color tube cap would this be for blood collection?
- Additive (what is added): 3.2% sodium citrate
- Function of Additive: prevents blood from clotting by binding calcium
- Common laboratory tests: coagulation
Light-blue
Which color tube cap would this be for blood collection?
- Additive (what is added): serum tube with or w/o clot activator or gel.
- Function of Additive: clot activator promotes blood clotting w/ glass or silica particles. Gel separates serum from cells.
- Common laboratory tests: chemistry, serology, immunology
Red or Gold
Which color tube cap would this be for blood collection?
- Additive (what is added): sodium or lithium heparin with or w/o gel.
- Function of Additive: prevents clotting by inhibiting thrombin and thromboplastin.
- Common laboratory tests: stat and routine chemistry
Green
Which color tube cap would this be for blood collection?
- Additive (what is added): Potassium EDTA
- Function of Additive: prevents clotting by binding calcium
- Common laboratory tests: hematology and blood bank
Lavender or pink
Which color tube cap would this be for blood collection?
- Additive (what is added): Sodium fluoride, and sodium or potassium oxalate
- Function of Additive: Fluoride inhibits glycolysis an oxalate prevents clotting by precipitating calcium
- Common laboratory tests: Glucose (especially when testing will be delayed) blood alcohol, lactic acid.
Gray
Which Radiography is described?
- Obstructions, strictures, fractures, etc.
- No contrast used.
- Emits radiation
- Normal = negative
X-rays
Which Radiography is described?
- Cross-sectional images of bone and tissue
- May use oral or IV contrast to illuminate images
- Emits radiation
- Normal = negative
CT Scans
Which Radiography is described?
- Detailed anatomic views
- No radiation emitted
- May use IV contrast to illuminate images
- Normal = negative
MRIs
Which Radiography is described?
- Visualizes organs, soft tissue, blood flow through vessels, etc.
- No contrast used
- no radiation
- Normal = negative