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Pulmonary PT > Modalities > Flashcards

Modalities Flashcards

1
Q

efx of heat on BP..

A

decr BP

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2
Q

hot pack should be immersed in what temp water?

A

165 - 170 deg F

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3
Q

how many layers of towels between pt & hot pack? how many layers is a terry cloth cover?

A

-6-8 layers; terry cloth is 4-6 layers

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4
Q

when does a hot pack reach peak heat?

A

5 minutes

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5
Q

2 methods of applying paraffin = ?

A
  1. dip & wrap - dip 6-12 layers of paraffin then wrapped in plastic wrap or wax paper and elevate for 15-20 min
  2. dip and immersion: same steps except leave in bath at end
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6
Q

treatment temp for paraffin:

A

125-127 deg F

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7
Q

IF putting a pt into a whirlpool with open wounds, what precaution should you take?

A
  1. add disinfectant : ie sodium hypochlorite (dilution of 200 ppm) or chloramine-T (100-200 ppm)
  2. utilize standard precautions : gown, goggles, gloves, masks
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8
Q

temperature of whirlpool or Hubbard for treatment?

incl for open wounds & PVD

A

whirlpool : 103-110 deg
Hubbard: 100
PVD: 95-100
open wounds: 92-96

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9
Q

water temp for aquatic therapy =

A

92-98 deg

LOWER for MS /temp sensitivity/PVD

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10
Q

what are 2 adverse effects that can occur 2/2 cold?

A 
cold urticaria (severe itching) & facial flush/puffiness of eyelids/respiratory problems 
-BOTH 2/2 histamine release
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11
Q

contraindications for use of CRYOtherapy:

A
  1. PVD
  2. Raynaud’s
  3. temperature insensitivity
  4. urticaria
  5. cryoglobulinemia
  6. paroxysmal cold hemoglobinuria
  7. over regenerating peripheral nerves
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12
Q

ice pack temp should be..

A

0-10 deg

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13
Q

ice massage: stages pt will go thru:

A

cold -> burning -> aching -> numbness

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14
Q

ice massage treatment time?

A

5-10 minutes

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15
Q

after spraying vapocoolant , you should..

A

have pt perform active exercise (also PROM before and during tx)

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16
Q

to achieve thermal effects via US, use which mode?

A

CONTINUOUS

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17
Q

pulsed US is used when?

A

nonthermal efx desired ie acute soft tissue injury

18
Q

to access the superficial layers during US, what depth of penetration should be used?

A

3 MHz

19
Q

IF during US a pt expresses periosteal pain, what should you do?

A

either decrease the intensity OR increase the SA of tx

20
Q

typical US pulsed duty cycle is..

A

20-50 %

21
Q

US treatment intensity ranges:

A
  1. 5-3 w/cm2

- LOWER intensity for acute conditions/thin tissue

22
Q

for phonophoresis, what mode of US should be used?

A

pulsed 20% , 1-3 w/cm2,

23
Q

what modality is recommended to aid in healing diabetic ulcers and wounds?

A

PULSED DIATHERMY

24
Q

To produce disc distraction in the C-spine, what % of BWT should be used for traction? How about for disc protrusion?

A

approx 7 % (20-30 lbs)

disc protrusion: 12-15 lbs

25
Q

for C-spine traction, what is the positioning?

A

20-30 deg flexion

26
Q

what % of BWT should be used for lumbar traction for jt distractin?

A

50% (60-120 lbs )

  • same for reduction of disc protrusion
  • 5-10 min for herniated disc, 10-30 min for other conditions
27
Q

when applying intermittent mechanical compression, after you check the pt’s BP what should you do next?

A

elevate the limb approx 45 deg and abducted 20-70 deg

28
Q

what should the inflation : deflation ratio be for intermittent mechanical compression?

A

3 : 1

29
Q

what should be the max setting for intermittent mechanical compression?

A

the pt’s diastolic BP

30
Q

treatment time for intermittent mechanical compression for lymphedema?

A

2 hours (ideal : two 3-hour sessions daily)

31
Q

rate of motion for CPM = ?

A

1 to 4 minute cycles

32
Q

CPM initial ROM setting?

A

20-40 deg knee flexion (increase by 5-10 deg )

33
Q

how long can you maintain positioning in a tilt table?

A

30-60 min

34
Q

to assist in wound healing, what type of e-stim would you use?

A

either low voltage continuous OR pulsed high voltage

35
Q

when treating a would via ES, in the early phases of healing which of the electrodes should be placed over the wound?

A

CATHODE for bactericidal effect ; once wound is culture free, use the anode for positive effects

36
Q

conventional TENS parameters:

-pulse rate, pulse duration, mode, duration of treatment

A

pulse rate: 50-80 pps
pulse duration : 50-100 millisec
mode: continuous
Duration : 20-60 min

37
Q

when applying IONTOPHORESIS, the active electrode should be —- in comparison to the medicinal ion polarity?

A

the SAME ie ANODE (+) w lidocaine (+)

38
Q

3 examples of negative medicinal ions used in iontophoresis =

A
  1. acetate
  2. salicylate
  3. dexamethosone
    USE A CATHODE WITH THESE
39
Q

during iontophoresis, zinc is used for .. and its polarity is..

A

used for DERMAL ULCERS; (+) so use an ANODE

40
Q

Russian current (medium frequency) is used for..

A

muscle strengthening and decreasing ms spasm

41
Q

when applying biofeedback for very weak muscles, you should place the electrodes HOW?

A

very widely spaced, also increase the sensitivity to increase ms contraction detection

Pulmonary PT (4 decks)

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