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NPTE > other PTFE > Flashcards

other PTFE Flashcards

1
Q

dermis sensory

A
  • free nerve endings: pain/itch
  • merkel’s disc: touch/pressure
  • ruffini/krause: temperature
  • meissner/pacinian: vibration
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2
Q

how do partial thickness wounds heal

A
  • epithelization - restores epidermis
  • epithelial tissue proliferates from wound edges and restores surface
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3
Q

full-thickness wounds heal via?

A
  • granulatino tissue - beefy, red, vascularized fibroblasts
  • gradually fills in with a collagen matrix (aka scar tissue)
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4
Q

what are the 4 types of burns

A
  • superficial: red, hot to touch, no blisters (like sunburn)
  • superficial partial thickness: skin mostly intact, blisters, redness, very painful
  • deep partial thickness: extends > 50% through dermis, yellow, white, some blistering - open
  • full thickness: white/brown/black, painless, dry
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5
Q

typical presentation of arterial wounds

A
  • punched out, even edges
  • loss of hair, cyanotic, pale, ashen
  • painful
  • minimal drainage
  • low ABI < 0.8
  • rubor of dependency
  • linked to atheroscleorsis, claudication, DM, HTN, hyperlipidemia, smoking
  • decreased blood supply
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6
Q

typical presentation venous wounds

A
  • large, irregular edges
  • shallow w/ inflamed skin around
  • edema, indurated, hyperpigmented, hemosiderin staining, red
  • above malleoli
  • minimal pain - decreases with elevation
  • mod to max drainage
  • high ABI > 0.8
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7
Q

hydrofiber wound dressing

A
  • most absorptive
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8
Q

milroy’s disease

A
  • autosomal disorder
  • causes bilat LE lymphedema
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9
Q

edema pitting w/ lymphedema

A
  • pitting edema in early stages
  • nonpitting in later stages
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10
Q

long stretch bandage

A

ACE wrap

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11
Q

lymphedema banadages

A
  • short stretch bandages
  • low resting pressure - create semi-rigid shell
  • high working pressure - increase muscle pump action
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12
Q

lymphedema decongestive therapy

A
  • work proximal to distal
  • gental, fingertip pressure
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13
Q

ADA minimum door width

A

32 inches

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14
Q

ADA ramp landings

A
  • straight - 60 inches
  • turn - 60x60 inches
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15
Q

ADA minimum bathroom sink height

A

29 inches from floor

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16
Q

ADA toilet seat height

A

17-19 inches from floor

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17
Q

ADA hallway width

A

36 inches

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18
Q

ADA grade of ramp

A

8.3%

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19
Q

null vs alternate hypothesis

A
  • null: no relationship between groups, any relationship is due to chance
  • alternate: there IS a relationship among groups
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20
Q

nominal measures

A
  • attributes are named
  • like number on a soccer jersey
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21
Q

ordinal measures

A
  • attributes are ordered
  • like Borg RPE scale
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22
Q

interval

A
  • like temperature scale
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23
Q

normal bell curve

A
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24
Q

sensitivity

A
  • proportion of people with a disease who have a positive
  • correctly identifies positives
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25
Q

specificity

A
  • proportion of people without disease who have a negative test
  • correctly identify negatives
26
Q

type I error

A
  • false positive
27
Q

type II error

A

false negative

28
Q

pulmonary artery catheter

A
  • diagnostic
  • directly measures heart BP (R atriam, ventricle, pulmonary artery)

swan ganz catheter

29
Q

central IV

A
  • delivers meds that could irritate BV lining
  • administer meds, chemo, parenteral nutrition
30
Q

peripherally inserted central catheter (PICC)

A
  • central IV line inserted at peripheral site and used for prolonged period (>2 weeks)
  • chemo, antibiotics, parenteral nutrition
31
Q

arterial line (A-line)

A
  • diagnostic catheter into artery (typically radial, femoral, or brachial)
  • monitors BP in real-time
  • obtain blood samples for arterial blood gas analysis
32
Q

chest tubes

A
  • tubes in pleural space around lungs
  • remove air and fluid from pleural space
  • keep chest drainage below level of lungs
33
Q

CPR

A
  • check for responsiveness
  • summon advanced medical personnel
  • open airway
  • check for bleeding
  • 30 compressions:2 breaths
  • AED ASAP
34
Q

standard precautions

A
  • gloves
  • disinfect
35
Q

contact precautions

A
  • gloves and gown in room
  • limit pt in hallway or other rooms
  • MRSA, VRE, GNB, c-diff
36
Q

droplet precautions

A
  • for flu, RSV, adenovirus
  • facemask&goggles, gloves, gown
37
Q

airborne precautions

A
  • TB, measles, chickenpox, herpes
  • negative pressure
  • gloves, gown, goggles, N-95, hand hygeine
38
Q

positive pressure environment rooms

A
  • for severely immunocompromised patients
  • neutropenia - HIV, cancer, solid-organ transplant
  • visitors use precations
  • force air out of room to prevent infectious diseases from drifting in
39
Q

paroxysmal cold hemoglobinuria

A
  • blood in urine d/t cold pack
40
Q

cryoglobulinemia

A
  • gel like blood
41
Q

sensory TENS vs motor TENS

A
  • sensory - pain relief: decr duration, higher frequency (30-150 Hz)
  • motor: lower frequency (2-4 Hz)
42
Q

IFC TENS shaped like

A
  • clover shape
43
Q

NMES

A
  • preferentially hits Type 2 fibers
  • 1:3-5 duty cycle
  • 30-85 Hz
44
Q

hi volt (HVPC)

A
  • stim for wound healing
  • double-peaked pulses
  • assist w/ polarity of various phases of healing
45
Q

cervical traction parameters

A
  • C1-2: 0-5 deg flexion
  • C2-5: 10-20 deg flexion
  • C5-7: 25-35 deg flexion
  • 20-30 lbs to overcome soft-tissue resistance
46
Q

lumbar traction

A
  • 30-50% body weight to overcome soft tissue and improve vertebral separation
  • 25-50# for soft tissue relaxation
47
Q

ultrasound parameters

A
48
Q

reactive arthritis (reither’s syndrome)

A
  • can’t see - conjunctivitis
  • can’t pee - urethritis
  • can’t bend the knee - arthritis

recovery in 6 months

49
Q

plantarflexion promotes knee _ , and dorsiflexion promotes knee _

A
  • PF - extension
  • DF - flexion
50
Q

AFO stops and assists

A
  • stops limit excessive motion
  • assists promote a weak motion
51
Q

scoliosis curve to R

A
52
Q

coupled motions of spine w/ scoliosis

A
53
Q

PTB prosthesis

A
54
Q

PPP rule

elbow motion

A
  • at proximal radioulnar joint, use posterior glide to promote pronation
55
Q

BPPV basics

A
  • epley’s for posterior canalithiasis (short s/s)
  • liberatory maneuver for posterior cupulolithiasis (long s/s)
  • down beating = anterior canal involvement
  • up beating = post canal involvement
56
Q

pericarditis s/s

A
  • inflammation of pericardial sac
  • chest pain, cough, difficulty swallowing, positional pain relieved with sitting, leaning forward, breath holding
57
Q

contraindications for OP cardiac rehab

A
58
Q

obstructive lung vs restrictive lung conditions

A
  • obstructive: lower FEV1/FVC, difficulty exhaling, air trapping
  • restrictive: higher FEV1/FVC, difficulty with inhalation
59
Q

karvonven formula

A
  • target HR = RHR + (% x HRR)
  • HRR = HRM - RHR
60
Q

heart block poem

A
    1. if the R is far from P, then you have first degree
  • 2.1 longer longer longer & drop, then you have a Wenkeback
  • 2.2 if some P’s don’t get through, then you have mobitz 2
  • 3 if p’s and qs don’t agree, then you have a third degree
61
Q

S3 vs S4

A
  • S3: increased volume of blood causes blood to rush in quickly, ventricular gallop - CHF, athletes, prenancy
  • S4: blood hitting stiff ventricular wall, atrial gallop - MI, HTN
62
Q

why is A fib concerning

A
  • can throw clots

NPTE (32 decks)

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