OSCE practical revision Flashcards
What is the clinical procedure for room set up and instrument management?
- Area cleaned, free of clutter before arrival
- bluey on treatment chair
- trolley for instruments for Tx and Ax
- table for non clinical equipment’s
- during treatment instruments to placed on kimguard
- after treatment, blade removal instruments placed in container
- Pt left, clean floor and all clinical contact areas to be cleaned
- instruments transferred to sterile room
What is the correct sequence for DONNING?
- perform hand hygiene
- put gown on
- put on mask
- put on eye protection
- put on gloves
- PPE check
What is the correct sequence for DOFFING?
- Remove gloves
- Perform hand hygiene
- Remove Gown
- Perform hand hygiene
- remove eye protection
- Perform hand hygiene
- remove mask
- Perform hand hygiene
What is the ABI?
- ABI = Ankle brachial index ratio = Ankle/Brachial
- It is a ratio of blood pressure of ankle and upper arm
- Check for PAD
How interpret the results of an ABI?
<0.5 = severe occlusion of the vessel 0.6-0.8 = mild to moderate occlusion (PAD suspected) 0.9-1.3 = normal >1.3 = incompressible (arteries calcified)
what are some precautions to take for an ABI?
- Do they have claudication?
- Are they a diabetic patient?
- Do they have cellulitis/untreated wounds or DVT?
- Is there edema in the area?
How frequent should perform and ABI?
- 6 months during a lower leg assessment
- assess wound healing and compression therapy
- perform when, increasing signs of arterial insufficiency or increased lower leg/foot pain without signs of infection
what are some indicators to perform and ABI?
- Risk factors for PAD, elderly, smoking, diabetes, high cholesterol, high blood pression etc
- signs and symptoms of PAD
- assess wound healing ability
- before compression therapy
- monitor client after revascularization
Diabetes education of foot care?
- Diabetes can lead to neuropathy
- nerve damage and loss of arterial supply can increase chances of infection
- Pt should practice daily foot care
- washing their feet
- checking for wounds
- looking interdigital
- if you have sores on feet contact health care provider immediately
- Prevention of amputation
- 85% amputation preventable
Importance of foot wear in diabetes?
- when appropriate footwear protects and accommodates the foot
- prevents lesions and wounds
- increasing blood circulation
- increase stability to prevent falls and improve gait
Why is exercise so important?
benefits -control blood pressure -improve physical and mental health -improve body use of insulin -improves cardiovascular health Risks -can cause damage to feet if too much or improper footwear -hyper and hypoglycemia
Where does tibialis anterior and posterior insert and how to test the muscle?
TA
-medial cuneiform and base of first met
-Dorsiflex and invert the foot (resist)
TP
-navicular, base of met 2-4, cuboid and all cunieforms
-Plantarflex and invert the foot (resist)
what is the styloid process?
- Base of the 5th
- avulsion, small piece of bone pulled off
- jones, fracture where less vascular
- stress, base of 5th met
- inflammation
where does the fibularis longus insert and how to test the muscle?
Fib long
- medial cuneiform and base of first met
- plantarflex and evert the foot (resist)
- supports the long and transverse arch
*runs behind the lateral malleolus groove of cuboid then inserts
Find the sustenaculum tali?
- inferior to the medial malleolus
- groove for flexor hallucis longus
- spring ligament which supports the medial longitudinal arch of the foot
