precautions / contraindications Flashcards
Pacemaker avoid these activities
first 24: moving shoulder
2 weeks: lifting
4 weeks: lifting weight
8 weeks: shovelling
ECG Precautions
disconnection
PCA (patient controlled analgesic) precautions
BP drop more than 20% of baseline
resp rate less than 10/min
altered mental state
Epidural precautions
line is tapes drops in BP allergies spinal block infection
NG Tube precautions
feeds are OFF don't lower bed with feed on head of bed >30 sores around nose n mouth swollow/ cough discomfort
NG contraindication
No suctioning on same name that NG tube is in
Chest tube precautions
disconnection
blockage
infection
chest tube contraindication
chamber is below level of insertion
Urinary Catheter precaution
kinks
infection
Urinary catcher contraindication
chamber below level of bladder
Patient selection:
COPD / CHF considerations during inspiratory mm training
stable condition
weak inspiratory mm
dyspnea more than usual
Patient selection: contraindications
acute respiratory failure
cognitive impairments
diaphragmatic breathing with max end hold contraindication
COPD / Asthma
rib springing contraindications
fractured ribs osteoporosis burns coagualtion disorders chest wall surgery
when to consider not mobilizing
Cardio
resp
neuro
other status
cardiac dont mobilize
Mean arterial pressure <65 or >110
Bp below pre exercise or disportionaly high
HR <40 or >130
New MI
resp status don’t mobilize
Sp02 <88
RR <5 or >40
F02 >60
Uncontrolled asthma
Other reasons not to mobilize
unstable fracture
exercise mm soreness . fatigue
precautions/contraindications for airway clearance techniques
hemoptysis or coagulation disorders
pneumothorax / chest wall surgery
headache nausea/vommmiting preganancy hypertension rib frac/osteo
contraindications for suctioning
undiagnosed facial trauma
nose fracture
skull fracture
Assisted cough contraindication
ruptured diaphragm
assisted cough precaution
osteoporosis
ab surgery
breath stacking precaution
COPD asthma
