Mmobility week 7

Question 1

what three effects can immobility and deconditioning have on the urinary system?

Answer 1

renal calculi, urinary stasis, and infection

Question 2

what is ACES and what is it used for?

Answer 2

A-alert
C-cooperative
E-extremities
S-sits unsupported

used to determine if client can safely stand

Question 3

what is very important to monitor in fractures?

Answer 3

neurovascular status (6 Ps)

Question 4

what options are available to treat/manage bone fractures? (3)

Answer 4

Buck’s traction,
open reduction internal fixation,
or open reduction external fixation

Question 5

what are 4 bone fracture complications?

Answer 5

infection (wound site), compartment syndrome, venous thromboembolism, fat embolism

Question 6

what are four interventions for compartment syndrome?

Answer 6

prevention
good assessments
cast removal
fasciotomy

Question 7

if a venous thromboembolism can’t be prevented, what four interventions would be indicated?

Answer 7

anticoag/thrombolytics,
O2 if indicated
bedrest
surgery

Question 8

what 5 interventions are indicated with fat embolism

Answer 8

good assessments to catch it!
02
hydration (IV)
steroid therapy
fracture immobilization

Question 9

what position should a patient be in after an above knee amputation every 3 to 4 hours?
why?
what about for a BKA?

Answer 9

prone. to prevent contractures. same for BKA

Question 10

what type of therapy can be used to help patients after an amputation?

Answer 10

mirror therapy

Question 11

determine if the following spinal cord injuries are quadriplegia or paraplegia
T2
C8
C5
T5
C4

Answer 11

para
quad
quad
para
quad and ventilator needed

Question 12

what are two special assessments to perform in someone with a spinal cord injury?

Answer 12

GCS and dermatomes/myotomes (testing sensation/pain)

Question 13

two surgeries taht can be used for spinal cord injuries

Answer 13

laminectomy and fusion

Question 14

what is happeneing in neurogenic shock?

Answer 14

a loss of sympathetic innervation of the heart

Question 15

which spinal cord injuries are most at risk for neurogenic shock?

Answer 15

injuries above T6

Question 16

what are the findings that point to neurogenic shock?

Answer 16

hypotension (SBP<90), bradycardia

Question 17

how do we treat neurogenic shock?

Answer 17

fluids, dextran IV (plasma expander), vasopressors and atropine to treat bradycardia

Question 18

a patient with a spinal cord injury has a sudden rise in BP with tachycardia, sweating and a headache. What should my first interventions be? what is the likely cause?

Answer 18

place pt in sitting position, assess and address cause: urinary retention or catheter blockage, fecal impaction or colorectal irritation
monitor BP Q15 min
lower bp with IV nifedipine or nitrate

Cause: autonomic dysreflexia

Question 20

what three ways can we manage airway and improve breathing in spinal cord injuries?

Answer 20

manage secretions w/ suctioning
incentive spirometry
assisted coughing/quad cough

Question 21

what is poikilothermia?

Answer 21

when the body of someone with a spinal cord injury takes on the temperature of the environment

Question 22

what will i see with guillain-barre syndrome?

Answer 22

ascending paralysis and eventual respiratory depression

Question 23

what blood-related therapies are used for guillain-barre syndrome?

Answer 23

IVIG and plasmapheresis

Question 24

what disease is treated with pallidotomy and deep brain stimulation?

Answer 24

parkinson’s

Question 25

who is a great resource for referral for a parkinson’s pt?

Answer 25

SLP for speech and issues with swallowing

Question 26

6 types of drugs used for MS

Answer 26

steroids, immunomodulators, immunosuppresant, anticholinergic, stimulents, antispasmodic, medical marijuana

Question 27

3 teaching points for MS

Answer 27

avoid extreme temps, exercise regularely not but vigorously, keep home frree from clutter

Question 28

5 general considerations r/t mobility diseases per body system

Answer 28

respiratory: aspiration and pneumonia
GI: nutrition, dysphagia
Gu: UTI’s
Integ: pressure sores
Ms/Sk: falls

Question 29

at what age does loss of independant ambulation usually occur in Duchenne muscular dystrophy?

Answer 29

12

Question 30

what is the goal of care in DMD?

Answer 30

maintain optimal muscle function for as long as possible