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Pulmonary PT > Integ > Flashcards

Integ Flashcards

1
Q

mgmt of cellulitis includes:

A

antibiotics, elevation, & cool wet dressings

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2
Q

herpes zoster p/w ..

A

pain and tingling along a dermatome; progression to red papules along distrib of infected nerve
-postherpetic neuralgia pain

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3
Q

what modalities are contraindicated with herpes zoster?

A

heat or US (can incr severity of sx)

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4
Q

PT intervention for psoriasis?

A

UV light

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5
Q

psoriasis p/w

A

itching and pain from cracked, dry lesions (chonic AUTOIMMUNE disease)

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6
Q

the LONG TERM side efx of corticosteroid use include:

A

osteoporosis, immunosuppression, tendon ruptures, DM, GI irritation, myopathy, low K+

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7
Q

sclerodema is..

A

an autoimmune chronic diffuse disease of CT causing fibrosis; can be lmtd or diffuse systemic

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8
Q

tx for scleroderma

A

corticosteroids, immunosuppressive agents, vasodilators, analgesics

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9
Q

PT precautions when dealing w scleroderma?

A

pt will be sensitive to pressure; acute HTN may occur so monitor BP closely

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10
Q

polymyositis is..

A

CT disease causing degen of ms
-affects proximal ms mostly
rapid onset, may even req MV ; cardiac involvement

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11
Q

PT for polymyositis

A

fatigue mgmt, conservation of nrg principles, exercise at LOW levels of resistance/intensity, AVOID OVERWORK/FATIGUE

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12
Q

benign skin cancer includes:

A

seborrheic keratosis, actinic keratosis, and benign nevus

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13
Q

of the carcinomas of the skin, which has a higher risk of metastasizing?

A

squamous cell (poorly defined margins) &raquo_space; basal cell (raised patch)

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14
Q

what are the steps to clinical exam of malignant melanoma?

A 
ABCDE: 
asymmetry
border
color (black/blue/red esp)
diameter (> 6mm)
elevation/evolving
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15
Q

what are petechiae?

A

tiny red/purple hemorrhagic spots on the skin

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16
Q

pruritus =

A

itching

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17
Q

urticaria =

A

hives

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18
Q

xeroderma =

A

excessive dryness of skin with shedding of epithelium

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19
Q

brown skin is indicative of..

A

venous insufficiency

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20
Q

burns which require removal of eschar and skin grafting to heal are..

A

3rd degree and above (full-thickness)

21
Q

what is the rule of nines?

A 
head & neck = 9%
ant trunk = 18%
post trunk = 18%
arms = 9% each
legs = 18% each
perineum = 1%
22
Q

3 zones of burn wounds:

A
  1. zone of coagulation: cells irreversibly injured
  2. zone of STASIS : cells partially damaged, still may die (usually within 1-2 days)
  3. zone of hyperemia: cells very minimally injured
23
Q

critical burn involves:

A

10% of body with 3rd deg burns & >30% w 2nd deg

24
Q

leading cause of death after a burn:

A

infection

25
Q

phases of healing after a burn:

A
  1. inflammatory phase (3-5 days)
  2. proliferative/granulation/fibroblastic phase
  3. maturation phase : tissue remodeling lasts up to 2 YEARS
    - -scar immature at 6-12 weeks (bright pink)
26
Q

emergency care for a burn:

A

immersion in cold water, cover burn with sterile bandage or clean cloth NO OINTMENTS

27
Q

what are the common topical medications (antibacterial agents) used in burn management?

A
  1. Ointments : bacitracin, polymyxin B, Neomycin
  2. Silver sulfadiazine: AVOID at term pregnancy
  3. Sulfamylon : penetrates thru eschar
28
Q

dressings for burns include:

A

silver impregnated, hydrogels (min to mod exudate), petroleum-impregnated and gauze

29
Q

hydrotherapy immersion is contraindicated for..

A

pts w severe cardio renal or pulmonary restrictions

30
Q

after a graft, how long should you hold PT?

A

3-5 days

31
Q

to reduce scar formation after a burn, manual techniques include..

A

deep friction massage

32
Q

compression is contraindicated if..

A

ABI

33
Q

if a pressure ulcer has penetrated bone, it is considered..

A

stage IV

34
Q

negative pressure wound therapy (open-cell foam dressing) helps to ..

A

maintain a moist wound environment, control edema, increase localized blood flow, and reduce infectious materaial

35
Q

hyperbaric oxygen therapy is contraindicated when?

A

untreated pneumothorax & some antineoplastic meds

36
Q

for most ulcers, you should clean with..

A

Normal saline (0.9% NaCl)

37
Q

irrigation pressure to clean a wound should be..

A

4-15 psi

38
Q

hydrotherapy is indicated for pressure ulcers with..

A

large amt of exudate, slough and necrotic tissue

39
Q

if using e-stim to encourage wound healing, you should..

A

use CONTINUOUS waveform application with DIRECT current; place cathode in wound

40
Q

hydration for a pt with a wound =

A

3L/day

41
Q

types of selective debridement:

A
  • autolytic (natural)
  • enzymatic (chemical)
  • sharp
  • surgical
42
Q

if a pt p/w a wound w moist, necrotic tissue , the best form of debridement would be..

A

mechanical, sharp OR enzymatic

43
Q

after eschar has been cross hatched, how should you debride the wound?

A

via enzymatic debridement

44
Q

what type of wounds are contraindicated to use autolytic debridement?

A

infected, dry gangrene, if pt is immunosuppressed

45
Q

for stage I & II pressure ulcers withOUT exudate, the best dressing would be..

A

transparent film

46
Q

if a wound has a moderate to large amount of exudate and is infected, the best dressing would be..

A

alginate OR continuous dry gauze (heavily exudating wound)

47
Q

if a wound has only minimal/mild exudate , what type of dressing should be used?

A

hydrocolloids ; possibly foams

48
Q

hydrogels should be used..

A

in partial and full thickness wounds with necrosis and slough; also BURNS and tissue damaged by radiation but NOT for heavily exudating wounds

49
Q

to prevent pressure ulcers in a w/c, pushups should be performed how often?

A

every 15 min

Pulmonary PT (4 decks)

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