precautions / contraindications Flashcards

1
Q

Pacemaker avoid these activities

A

first 24: moving shoulder
2 weeks: lifting
4 weeks: lifting weight
8 weeks: shovelling

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2
Q

ECG Precautions

A

disconnection

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3
Q

PCA (patient controlled analgesic) precautions

A

BP drop more than 20% of baseline
resp rate less than 10/min
altered mental state

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4
Q

Epidural precautions

A
line is tapes
drops in BP
allergies
spinal block
infection
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5
Q

NG Tube precautions

A
feeds are OFF
don't lower bed with feed on 
head of bed >30
sores around nose n mouth
swollow/ cough discomfort
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6
Q

NG contraindication

A

No suctioning on same name that NG tube is in

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7
Q

Chest tube precautions

A

disconnection
blockage
infection

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8
Q

chest tube contraindication

A

chamber is below level of insertion

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9
Q

Urinary Catheter precaution

A

kinks

infection

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10
Q

Urinary catcher contraindication

A

chamber below level of bladder

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11
Q

Patient selection:

COPD / CHF considerations during inspiratory mm training

A

stable condition
weak inspiratory mm
dyspnea more than usual

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12
Q

Patient selection: contraindications

A

acute respiratory failure

cognitive impairments

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13
Q

diaphragmatic breathing with max end hold contraindication

A

COPD / Asthma

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14
Q

rib springing contraindications

A
fractured ribs
osteoporosis 
burns
coagualtion disorders
chest wall surgery
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15
Q

when to consider not mobilizing

A

Cardio
resp
neuro
other status

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16
Q

cardiac dont mobilize

A

Mean arterial pressure <65 or >110
Bp below pre exercise or disportionaly high
HR <40 or >130
New MI

17
Q

resp status don’t mobilize

A

Sp02 <88
RR <5 or >40
F02 >60
Uncontrolled asthma

18
Q

Other reasons not to mobilize

A

unstable fracture

exercise mm soreness . fatigue

19
Q

precautions/contraindications for airway clearance techniques

A

hemoptysis or coagulation disorders
pneumothorax / chest wall surgery

headache
nausea/vommmiting
preganancy 
hypertension 
rib frac/osteo
20
Q

contraindications for suctioning

A

undiagnosed facial trauma
nose fracture
skull fracture

21
Q

Assisted cough contraindication

A

ruptured diaphragm

22
Q

assisted cough precaution

A

osteoporosis

ab surgery

23
Q

breath stacking precaution

A

COPD asthma