Sectional 2 (part One) Flashcards
_ is a serious long term disease of the airways that lead to your lungs, it makes everything the sides of the air was in your lungs inflamed and swollen, making it difficult to breathe.
ASTHMA
What are the 4 most common signs associated with asthma?
SW CT
- shortness of breath
- wheezing
- coughing
- tightness in the chest
What are the 4 S’s of Asthma?
Sensitivity
Swelling
Secretions
Spasms
Goal in PT is not to screen for asthma but to be?
To be prepared if you patient has an asthmatic attack/ episode in the clinic
With _ _ _, most individuals with asthma will have symptoms.
With STRENUOUS PHYSICAL EXERCISE most individuals with asthma will have symptoms
Exercise induced asthma can occur - _ post exercise onset. Should use _ _ exercises, and have an awareness of the individual patient’ _ _ _, as _ _ between individuals.
Exercise induced asthma can occur 5-10 MINUTES post exercise onset
Should use BRONCHODILATORS BEFORE exercise, and have an awareness of the individual patients TYPICAL ASTHMA ATTACK , as SYMPTOMS VARY between individuals.
Asthma is often worse _ _, due to _ _ in bronchomotor tone and reactivity.
Is often worse AT NIGHT, due to CIRCADIAN VARIATIONS in bronchomotor tone and reactivity.
Proper - and - may prevent of reduce the incidence of exercise induced asthma (EIA)
Proper WARM-UP AND COOL-DOWN may prevent or reduce . . .
Sports that require _ _ or are _, _ _ activities are more likely to trigger EIA
Sports that require CONTINUOUS ACTIVITY or are COLD, DRY WEATHER activities are more likely to trigger a EIA
Sports such as swimming, walking, leisure biking, hiking, downhill skiing or team sports that require short bursts of energy (baseball, football, wrestling, golfing, gymnastics) are _ _ to trigger an EIA
. . . Are LESS LIKELY to trigger an EIA
Sports such as soccer, basketball, field hockey, long distance running, cross country skiing, hockey and cycling/ mountain biking are _ _ to trigger EIA
. . . Are MORE LIKELY to trigger EIA
Short acting beta agonist inhalers usage guidelines: should take - puffs, _ to _ _ before exercise to prevent symptoms for _ to _ _.
Should take 2-4 puffs
5 TO 30 MINUTES before exercise
Prevents symptoms for 2 TO 3 HOURS
Cromolyn Sodium or nedocromil sodium inhaler usage guidelines: should take _ to _ _ before exercising, should be taken _ to _ _ before exercising to prevent symptoms for _ to _ _.
Should take 2 TO 4 PUFFS before exercising
Should be taken 5 TO 30 MINUTES before exercising
To prevent symptoms for 1 TO 2 HOURS
With both short acting beta agonist and cromolyn sodium inhalers it is best if _ _ _ exercising
It is best if TAKEN JUST BEFORE exercising
Long acting beta agonist inhalers usage guidelines: Should take _ _ for MDL, and _ _ for DPI; should be taken _ _ _ _ before exercise; prevents symptoms for _ to _ _ with intermittent use and with continuous use, the protective effect will last _ than _ _ .
Should take 2 PUFFS for MDL, and 1 PUFF for DPI
Should be taken AT LEAST 30 MINUTES before exercise
Prevents symptoms for 10 TO 12 HOURS with intermittent use and with continuous use, the protective effect will last LESS THAN 8 HOURS
Leukotriene modifiers usage guidelines: should be taken _ _ _ _ prior to exercise, can prevent symptoms for _ _ _ _ depending upon medication.
Should be taken AT LEAST 120 MINUTES prior to exercise
Can prevent symptoms for UP TO 24 HOURS depending upon medication
COPD and emphysema patients should not be put in _ or _ position (_ position is better) during PT treatment. Therefore bridging exercises would be _. Also need to make sure that if they are exercising in a pool that they _ _ _ than _ _.
COPD and emphysema patients should not be put in SUPINE OR TRENDELENBERG position (FOWLER/ LONG SIT position is better) during PT treatment
Therefore bridging exercises would be CONTRAINDICATED
Also need to make sure that if they are exercising in a pool that they DON’T GO DEEPER than WAIST HEIGHT
When exercising a COPD/ emphysema patient on a treadmill the speed should be kept to _ _ _ mph.
Should be kept to LESS THAN 3.5 mph
_ _ is a chronic inflammatory autoimmune disease that effects the CNS. It effects the Neurons of the brain and spinal cord including the myelin sheath.
MULTIPLE SCLEROSIS is a chronic inflammatory autoimmune disease . . . .
Factors that can trigger a relapse in MS are: seasonal (_ and _); _; _ and/ or _ stress; _; and _ (avoid _, _ whirlpools and showers, _ _, and be aware of the temperature _ _ _)
Factors that can trigger a relapse of MS are:
- seasonal (SPRING AND SUMMER)
- INFECTIONS
- PHYSICAL and/ or EMOTIONAL stress
- PREGNANCY
- HEAT (avoid SAUNAS, HOT whirlpools and showers, HOT PACKS, and be aware of the temperature IN THE CLINIC)
Common signs and symptoms of MS include (in order of most to least common): change in _ (_, _, and ); rapid onset of _ _ pain or _ loss ( neuritis); _ vision; _ unsteadiness; _ problems
- Change in SENSATION (ARM, LEG and FACE)
- Rapid onset of UNILATERAL EYE pain or VISION LOSS (OPTIC neuritis)
- DOUBLE vision
- GAIT unsteadiness
- BALANCE problems
Other common signs and symptoms of MS: _ and _ dysfunction, loss of _ function, _, muscle _ and _, _, _, _, and clinical _.
- BOWEL AND BLADDER dsyfunction
- Loss of MUSCLE function
- NYSTAGMUS
- muscle SPASMS and TREMOR
- FATIGUE
- ANXIETY
- ANGER
- clinical DEPRESSION
Precautions for MS: avoid _ and _ _ or _ _.
Avoid FATIGUE and HEAT APPLICATION or OVER HEATING
Contraindications for MS: Avoid _ testing/ techniques especially the _ test and _ _ _/ _ test
- avoid NEURODYNAMIC testing/ techniques
- especially the SLUMP TEST and the PASSIVE NECK FLEXION/ LHERMITTE test
_ may result in loss of consciousness, especially following or during exercise. This is a _ _.
HYPOGLYCEMIA may result in loss of consciousness, especially following or during exercise.
This is a MEDICAL EMERGENCY
_ when uncontrolled can lead to reduced tissue healing.
HYPERGLYCEMIA
What are the guidelines for hypoglycemia, normal and hyperglycemia? Recommended range for children?
Hypoglycemia: LESS THAN 50 mg/dl
Normal: 60-120 mg/ dl
Hyperglycemia: GREATER THAN 180 mg/ dl
Children: 70-140 mg/ dl
Should never _ _ _ _ in the pool. Also be careful with patients that have?
Should never LEAVE DIABETIC PATIENT UNATTENDED in the pool
Also be careful with patients that SEIZURE DISORDERS
_ _ is another complication of DM II that can affect patient treatment.
PERIPHERAL NEUROPATHY is another . . . .
_ _ _ is a life-long condition that can occur at any age, affects women more commonly than men. Signs and symptoms include twitching, tingling, burning sensation in the legs, the urge to move the legs and difficulty falling asleep.
RESTLESS LEG SYNDROME is a life long condition . . . .
Restless leg syndrome: cause? Worse at? Aggravated by? (2)
Cause is unknown, thought to be related to dopamine system
Worse AT NIGHT/ BEDTIME
Aggravated by: SITTING OR LYING DOWN
PT treatment for restless leg syndrome include: _ or _ knee joint, especially at _; -; _ and _.
Include:
- EXERCISING OR MOVING knee joint, especially at NIGHT
- SELF-MASSAGE
- STRETCHING and WALKING
Restless leg syndrome can sometimes occur on a short term basis in patients post _, usually resolves within - _ post _
Can sometimes occur in the short term in patients post TKA, usually resolves within 4-8 WEEKS post SURGERY
Symptoms of restless leg syndrome are often similar to _ _ _ or _ pathologies.
Are often similar to OTHER ORTHOPEDIC or VASCULAR pathologies
_ is the #1 most abused drug in US. Acts as a _ _.
ALCOHOL is the #1 most abused drug in the US
Acts as a CNS DEPRESSENT
4 main symptoms of alcohol dependence: loss of _; _; _, drinking _ _ for the _ _; and physical _
Symptoms:
- loss OF CONTROL
- CRAVING
- TOLERANCE, drinking GREATER AMOUNTS for the SAME EFFECT
- physical DEPENDENCE
Clinical presentation of Alcohol dependence: _ behavior, _ for _, arrive at PT on the _ /, reoccurring -, _ of alcohol, or arrives at PT appt. _.
Clinical presentation:
- INAPPROPRIATE behavior
- LATE for APPOINTMENTS
- arrive at PT on the WRONG DATE/ TIME
- reoccurring FLARE-UPS
- SMELLS of alcohol
- arrives at PT appointment IMPAIRED
_ _ is a type of nerve damage brought on by chronic abuse of alcohol.
ALCOHOLIC NEUROPATHY is a type of nerve damage. . .
What other condition can read as ‘drunk’ on a breathlizer?
Hyperglycemia
What are the #1 and #2 most common complaints seen in US doctors offices?
1- LOW BACK PAIN
There is a high incidence of _ seen in the PT patient population
High incidence of DEPRESSION seen in the PT population
What are the 4 most common physical symptoms associated with depression?
VH BM
- Vague aches and pains
- headache
- back/ neck pain
- muscle pain