Safety (contraindications, indications, precautions, prep, electrodes) Flashcards
Can any estim be used with pacemaker
yes, TENS with somepacemakers
What are 3 contraindications for NMES
-chest in person with cardiac disease
-impaired circulation areas
-lower abdomen and internal organs
What are 3 contraindications for TENS
-impaired sensation
-person w/ cognition or communication impairments sufficient to prevent them from giving accurate and timely feedback
-area unstable due to recent surgery, bone fx, or osteoporosis
What is one contraindication for IFC
impaired sensation
What are contraindications for e-stim (12ish; not including NMES/IFC/TENS specifics)
-Electronic medical devices
-Pregnancy
-Malignancy
-Active DVT
-Hemorrhagic conditions and thrombophlebitis
-Actively bleeding
-infected tissues (TB, osteomyelitis)
-recently radiated tissues
-neck/head of seizure pt
-transcranially w/o specialized training
-near reproductive organs
-near eyes
-ant neck or carotid sinus
HVPC precautions (5)
-impaired circulation
-impaired sensation
-cognition or communication impairments
-chest w/ cardiac disease
-lower abdomen and internal organs
TENS precautions (3)
-impaired circulation
-cardiac disease chest
-lower abdomen and internal organs
NMES precautions (2)
-impaired sensation
-cognition or communication impairments
7 precautions
-active epiphysis
-skin diseases
-impaired circulation
-impaired sensation
-cognition or communication impaired
-chest in person with cardiac disease
-lower abdomen, internal organs
3 indications for e-stim
-intact skin overlying implants
-inflam tissues from recent injury or exacerbation of chronic inflam
-area ustable d/t recent surgery, bone fx, or osteoporosis
Describe how to prep skin
-observe for active bleeding, wounds, hair
-feel/ask if pt is wearing lotion or any other products
-use wet towel to clean area (hard enough to get dead cells off)
Things to look out for during skin check
-hair, scars, rashes, bruises, cuts
-allergies
-quality of skin
-tattoos
-dirt/oil/OTC topical
