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PCM 2 > PCM Midterm Basics > Flashcards

PCM Midterm Basics Flashcards

1
Q

What is the AMPAC 6 clicks used to measure?

A

-Functional activity (Basic mobility, Daily Activity, Applied cognition)

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2
Q

Where should you discharge a patient who scores a 20.1 on the AMPAC 6 Clicks?

A

-Home

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3
Q

Where should you discharge a patient that scores a 17,9 on the AMPAC 6 Clicks

A
  • Home with home care
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4
Q

Where should you discharge a patient that scores a 14 on the AMPAC 6 Clicks

A

-SNF

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5
Q

Where should you discharge a patient that scores a 13.6 on the AMPAC 6 Clicks

A

-inpatient rehab

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6
Q

Where should you discharge a patient that scores a 11.5 on the AMPAC 6 Clicks

A

-LTAC

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7
Q

What is a code red?

A

-Fire

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8
Q

What is a code blue?

A

-cardio/pulm emergency

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9
Q

What is a code orange?

A

-biohazard waste spill

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10
Q

What is a code grey?

A

-combative person

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11
Q

What is a code silver?

A

-weapon/hostage

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12
Q

What is an aber aler?

A

-missing child

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13
Q

What are considered coommon identifiers under HIPPA?

A

-Name, DOB, Address, SSN

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14
Q

What else can be considered an identifier under HIPAA?

A

-data that relates to physical or mental health, healthcare provided, payments or demographic

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15
Q

What does HIPPA allow the patient to control with their health information?

A

-view it and control what providers do with it

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16
Q

What are the 3 deminsions of cultural competense?

A

-self awareness, respectful communications, collaborative partnerships

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17
Q

What type of language accounts for the most communication?

A

-non-verbal

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18
Q

What are the 3 ways to build rapport?

A

-active listening, empowerment, empathy

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19
Q

What are the indications for restraints?

A

-if the patient may cause harm to themselves or other, or if they are needed for treatment

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20
Q

How often does the MD order for restraints need to be updated?

A

-every 24 hours

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21
Q

What is the normal WBC count?

A

-5.0-10

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22
Q

What does a WBC count greater than 11 indicated?

A

-Luekocytosis (trending upward)

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23
Q

What should you do with a patient with a WBC greater than 11?

A

-consider timing therapy in the morning because counts will be lower

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24
Q

What does a WBC less than 4 represent?

A

-Luekopenia (trending downward)

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25
Q

What does a WBC count less than 1.5 indicate?

A
  • nuetropenia (trending downward)
  • Mod: 0.5-1
  • severe: less than .5
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26
Q

What is a normal platelet count?

A

-140-400

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27
Q

What does a platelet count greater than 450 indicate?

A

-Thrombocytosis (trending up)

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28
Q

What can a patelet count over 450 cause?

A

-Thromboembolism

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29
Q

What does a platelet count less than 150 indicate?

A

-thrombodytopenia (trending down)

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30
Q

What do you need to be careful of with a patient with a platelet count less tan 150?

A

-fall (can bleed out)

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31
Q

What is the normal Hgb level for male?

A

-14 to 17.4

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32
Q

What is the normal Hbg count for females?

A

-12 to 16

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33
Q

What can high Hbg level (>20) cause?

A

-clogging of capillaries

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34
Q

What can low Hbg levels (5-7) cause?

A

-Heart failure

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35
Q

What should you do before mobilizing a patient with abnormal Hgb levels cause?

A

-get a consult

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36
Q

What is the normal Hct levels in male?

A

-42 to 52

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37
Q

What is the normal Hct levels in females?

A

-37-47

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38
Q

What is the normal glucose level?

A

-70 to 100 mg per dl

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39
Q

What is the normal fasting plasma glucose?

A

-90-130

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40
Q

What does blood glucose over 200 indicate?

A

-Trending upwards

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41
Q

A patient with high blood glucose (>200) with present with what to activity?

A

-decreased tolerance

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42
Q

Blood glucose less than 70 indicate what?

A

-trending downward

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43
Q

How will a patient with a blood glucose less than 70 respond to activity?

A

-may not be able to tolerate it until levels increase

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44
Q

What is the target blood glucose for patient in noncritical care?

A

-140-180

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45
Q

what is the normal HB1AC levels?

A

-<5.7

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46
Q

what will the HB1AC levels be for those that are prediabetic?

A

-5.7-6.4

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47
Q

What will HB1AC levels be for those how are diabetic?

A

->6.5

48
Q

What should you perform for patients with diabetes?

A

-monitor vitals, educate on importance of exercise and blood sugar control

49
Q

What activity levels can a person with INR greater than 6 perform?

A

-bed rest only

50
Q

Patients with an INR great than 5 not perform?

A

-exercise

51
Q

A patient with an INR between 4 and 5 can perform what?

A

-light exercise

52
Q

Patients with an INR less than 4 can perform what?

A

-4

53
Q

Acidosis is a pH below what?

A

-less than 7.35

54
Q

What is normal blood pH?

A

-7.35 to 7.45

55
Q

What pH is considered alkalosis?

A

-greater than 7.45

56
Q

What is the function of the pulse ox?

A

-measure O2 sats and HR

57
Q

Where can pulse ox be placed?

A

-finger, ear or forehead

58
Q

What precuations should be taken with pulse ox during mobilization?

A

-make sure it does not detach

59
Q

What type of diagnoses usually use a pulse ox?

A

-cariopulm or neuro

60
Q

What is the function of the swan ganz catheter?

A

-measure pulmonary artery pressure

61
Q

Where can a swan ganz catheter be inserted into the body?

A

-juggular, subclavian and femoral vien

62
Q

If the swan ganz catheter is inserted into the subclavian, what percautions should be made?

A

-no shoulder flexion

63
Q

if a swan ganz cather is inserted into the femoral artery what percautions are there?

A

-no hip flexion past 30, limit abduction

64
Q

What type of patients might have a swan ganz?

A

-post CABG

65
Q

Where is a ICP monitor located?

A

-through the skull into the left ventricle

66
Q

What precautions should be taken with an ICP monitor?

A

-avoid valsalva, limit neck flexion, no hip flexion past 90, no laying in prone or 15 degree from horizontal

67
Q

What is the function of the arterial line?

A

-monitors BP and for sample

68
Q

What is the most common artery for an arterial line to be place?

A

-The radial artery

69
Q

What percautions should be taken with an arterial line?

A

-limit ROM near insertion site

70
Q

What is the function of the hickman catheter?

A

-administration of medication, samples and measure central venous pressure

71
Q

Where is the hickman catheter inserted into the body?-

A

-into the right chest wall through the juggular vien

72
Q

What is the function of a folley cather?

A

-drain the bladder of urine

73
Q

What is the function of the NG tube?

A

-removes fluid or gas, monitors digestive activity or administer medication

74
Q

what precautions should be taken with an NG tube?

A

-no food or water by mouth, caution of cervical flexion and rotation, no laying supine past 30 deg

75
Q

What precautions should be taken with a gastric tube?

A

-before mobilization place feeding on hold, then make sure it is secured and no infections

76
Q

When mobilization a patient with a nasal cannula or tacheostomy mask, what should be monitored?

A

-O2 sats (dont go below 92)

77
Q

Where is chest tube drainage inserted into the body?

A

-into the plueral cavity on the lateral chest

78
Q

What precuations should be taken with chest tube drainage?

A

-must keep drain below chest cavity

79
Q

What should you do before mobilizing a patient on mechanical ventilation?

A

-Make sure the tube is long enough

80
Q

What is the function of an external ventricular device?

A

-monitor ICP and drain fluid

81
Q

What precuations do you need to take with a patient with an external ventricular device?

A

-Must keep head inline with the transducer

82
Q

What precautions should you take for those with a jackson pruit drain?

A

-do not dislodge, no tugging, must maintain suction

83
Q

What was passed in 2014 that made health care providers digitalize health records?

A

-The HITECH Act

84
Q

What should be the only formal exercise post spine surgury?

A

-Gait

85
Q

What a spine surgury patient is ambulating with a walker, what should be prevented?

A

-lifting of the walker (breaks lifting precaution)

86
Q

What is the normal HR for newborns?

A

-100 to 130

87
Q

What is the normal RR for children?

A

-30 to 50

88
Q

What type of orthotic would be used for a patient with an amputation or wound of the foot?

A

-fore foot offloading boot

89
Q

What can be placed on a immobile patient to prevent pressure wounds on the heal?

A

-pressure releivin AFO

90
Q

What is normally used on patient S/P TKA for prevent knee buckling?

A

-knee immobilizing brace

91
Q

What are the THA precautions?

A

-No IR, NO Abd, NO hip flexion past 90

92
Q

What is used to protect the head after craniotomy?

A

-soft shell helmet

93
Q

a s/p craniotomy patient must have on what to do anything out of the bed?

A

-soft shell helmet

94
Q

What cervical orthosis is thought to have better stabilization than the HALO except for c1/c2?

A

-Menerva

95
Q

What Jewitt thoracic orthosis restricts flexion by encourages what?

A

-Hyperextension

96
Q

What is a problem with the jewitt orthosis in sitting?

A

-it may put pressure on the throat and genitals

97
Q

What must you do with a GERD patient after feeding?

A

-Elevate the bed

98
Q

What a patient with ICP monitoring needs to have the bed angled to what?

A

-30 to 45 degrees

99
Q

What should the bed position be for a CHF patient?

A

-semirecumbent to 45 degrees

100
Q

A patient with the g tube should not be reclined past what?

A

-30 deg

101
Q

What is albation used for?

A

-to remove ectopic foci causing heart abnormalities

102
Q

What is the first step to evaluating cognitive status?

A

-see how the patient reacted when you entered the room

103
Q

If a patients cognition is impaired, what should determine?

A

-if impairment occured in the hospital or before admission

104
Q

How can we mobilize unconscious patients?

A

-PROM, positioning

105
Q

All patients should be considered for mobilization within how many hours of admission?

A

-48

106
Q

Patients should be considered for mobilization how soon after beginning mechanical ventilation?

A

-72 hours

107
Q

What are the 4 themes at the care of clinical reasoning process in acute care?

A

-Collection and analyzation of medical data, application of specialized PT knowledge, communication to gain information, communication to provide information

108
Q

What are the 3 goals of PT in the ICU?

A

-minimize or prevent effects of inactivity, help person become functionally independent, being information intake and ideas regarding discharge planning

109
Q

ICU acquired weakness can occur if patient is on mechanical ventilation for a little as how many days?

A

-4 to 7

110
Q

ICU acquired weakness is often associated with what?

A

-Sepsis or ARDS

111
Q

If bicarbonate is less than 24, acidosis is caused by what?

A

Metabolic

112
Q

The physician orders contain what?

A

-the entire POC for the patient

113
Q

What should you view in the medical record before performing a PT eval?

A

-that there is order for one, WBS, activity level, parameters, changes in medication of health status

114
Q

The admission note is often called what?

A

-history and physical

115
Q

What is in the admission note?

A

-what lead the patient to the hospital, vital signs upon admission, medical Hx, current medication, social history

PCM 2 (1 decks)

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