PT Exam and Management of Hemiplegia Flashcards
What is the proper range for systolic blood pressure?
> 90 and <200
90-200
What is the proper range for diastolic blood pressure?
<110
What is the proper range for heart rate?
> 50 and <100
50-100
What does elevated INR indicate?
Increased chance for bleed.
INR~4 be very cautious
What are the chances of a DVT post-stroke?
30-75%
What would be considered normal for for O2 saturation?
> 90%
Below is respiratory insufficiency. Be on the lookout in those post stroke.
What type of stroke increases the chances of having seizures the most?
Hemoorrhagic 34%
Ischemic is 10%
Name 5 common problems encountered post-CVA.
- Dysphagia
- Cognitive problems
- Seizures
- Language deficits
- Visuospatial and perceptual disturbances.
_____ is difficulty with swallowing and can be _____ or can lead to ______.
Dysphagia
silent
pneumonia
3 compensatory strategies for dysphagia include:
thickening liquids, chin tucks during swallowing, and taking small sips.
3 treatments used for dysphagia include:
vitalSTIM NMES, posture/environmental set up, and mirror feedback.
People with ______ hemiplegia will often have attention deficits and distractibility.
Left hemiplegia.
_____ is a common visual disturbance seen with stroke patients.
Homonymous hemianopsia=loss of vision on the same side of both eyes.
Stroke patients often have body image disorders, difficulty with R/L discrimnation, and body scheme disorders known as _______.
somatagnosia= cant identify or orient one’s body parts
Perceptual deficits often experienced include:
depth, distance, and vertical
Agnosia is ________.
the inability to recognize familiar objects using one or more sensory modalities, while often retaining the ability to recognize the same objects with other modalities.
Anosognosia is ______.
the sever denial, neglect, and lack of awareness of the presence or severity of one’s deficits.
very common in Left hemiplegia
Dysarthria is ______. And can also affect:
difficulty saying words due to muscle dysfunction.
respiration, phonation, articulation, resonance
Treatment for dysarthria includes:
tongue and oral motor ex, functional speaking ex, and posture
Aphasia impairs ______ and usually occurs in the _____ hemisphere.
the expression and/or understanding of language,
dominant
____ aphasia is also known as expressive aphasia which means they have a hard time getting words out.
Broca’s
______ aphasia is also known as receptive aphasia where the patient has a “word salad” and doesn’t always understand your commands.
Wernike’s
____ aphasia is a combination of both Broca’s and Wernike’s.
Global
Hemiplegia or hemiparesis is a ______.
Lack of movement on one side of the body.
