Non-Systems Flashcards
Hickman catheter
Central line tunneled under the skin
Provides antibiotics, nutrients, blood samples
Swanz Ganz Catheter
Balloon flotation
Inserted through internal jugular or femoral vein into pulmonary artery to monitor blood flow and function of the heart
Femoral line: Avoid repetitive hip flexion and hip flexion >45
degrees
Central venous pressure catheter
Measures blood pressure directly from right atrium and superior vena cava
Arterial line
Monitors arterial blood gases
If dislodged, apply firm pressure and alert nursing immediately
Chest drainage tube
Used to remove air, blood, purulent matter from chest or pleural cavity
Inserted through incision in chest and may be connected to mechanical or gravity-based suction system
If dislodged, have the patient exhale, place gauze or a gloved hand over the area and call nursing staff
Urinary catheter
Hang below level of bladder, do not empty bag if output is being monitored, empty or alert staff if overfilled
IV lines
Arm should not be held above head for extended periods, alert staff if fluid is low due to air bubbles
Wheelchair measurement: seat height
avg 19.5-20.5 in
Heel to popliteal fold + 2 in
Wheelchair measurement: seat depth
avg 16 in
posterior buttock along lateral thigh to popliteal fold MINUS 2 in
Wheelchair measurement: seat width
avg 18 in
widest aspect of buttocks or thighs + 1.5-2 in
Wheelchair measurement: back height
avg 16 in
Chair seat to axilla MINUS 4 in (consider height of seat cushions and add thickness to final value)
Wheelchair measurement: armrest height
avg 9 in
seat of chair to olecranon + 1 in (consider cushions)
Standard/axillary crutches
Axilla space of approx. 2”
Crutch is approx. 2” lateral and 4-6” anterior to the patient’s toe of the shoe
Elbow flexion approx. 20-25 degrees when grasping handpiece
Forearm/lofstrand crutches
Top of forearm cuff is just distal to elbow, approx. 1-1.5” below olecranon process
Crutch is approx. 2” lateral and 4-6” anterior to the patient’s toe of the shoe
Elbow flexion approx. 20-25 degrees
Cane
Always goes on the opposite side
Cane is approx. 2” lateral and 4-6” anterior to the patient’s toe of the shoe
Elbow flexion approx. 20-25 degrees
Ascending = Good foot goes up first, followed by bad foot and cane
Descending = Bad foot and cane first, followed by good foot
Longitudinal arch foot orthosis
Scaphoid pad
For pes planus/flat feet
Props up arch
UCBL foot orthosis
“university of california berkeley lab”
controls hindfoot valgus, calcaneal eversion, forefoot abduction
reduces subtalar motion
DF assist AFOs
DF weakness
Posterior leaf spring - recoils during swing phase to produce DF
Klenzak joint - DF spring assist incorporated into stirrup
PF stop/resistance AFO
PF tightness
plastic hinged AFO w/ posterior stop
PT core values
Altruism, autonomy, professional judgement, nonmaleficence
Joint commission on accreditation of healthcare organization
JACHO
accredits hospitals, SNF, home health agencies, PPO, HMO, mental health institutions
Commissions of accreditation rehabilitation facilities
CARF
accredits free standing rehab programs/facilities (aka OP)
Center for medicare and medicaid services
CMS
determines what and how much will be reimbursed by medicare for patient care
Occupational safety and health administration
OSHA
responsible for determining the safety of the work environment
