Things to remember Flashcards
HDL and LDL which is good which is bad
Low, high and normal levels
HDL good
- women: low is <50 mgDL
- men: low is <40 mgDL
LDL bad: you want this below 100 mgDl
BMI > than ____ is associated with increased risk of HTN, hypercholesterolemia, CAD and mortality
30
What is normal BMI
18.5-24.9
Wist-hip ratio > than _____ is an indication of central obesity and increased risk for CAD
.9
Stage 1 hypertension classified as what
130-139
OR
80-89
Elevated HTN = _____
120-129
AND
<80
Stag 2 HTN = _______
at least 140
OR
at least 90
Polycemia is what
increased RBC: increased viscosity, volume and therefore increased BP
Thrombocytosis is what
increased platelets: does NOT increase BP
explain ATNR reflex in stroke or baby
ATNR normal age of response
turn towards affected extremity = affected side UE extension
turn away from affected extremity = affected side UE flexion
normal age of response = birth - 6 months
explain STNR reflex in stroke or baby
STNR normal age of response
neck extension = UE extension, LE flexion
neck flexion = UE flexion, LE extension
normal age of response: 6-8 months
Explain TLR
normal age of response
prone: flexion
supine: extension
Normal age of response = birth to 6 months
stage one hypertension medical management
does NOT include BP medications unless pt is at risk of heart disease and stroke
otherwise lifestyle changes
autonomic dysreflexia is common in patients with what level SCI
what do you do about it
T6 and above
MEDICAL EMERGENCY! Get them into sitting, look at urinary drainage system
name pressure sensitive areas (10)
medial and lateral femoral condyle patella lateral tibial condyle fibular head tibial tuberosity tibial crest anteiror-distal end of tibia distal end of fibula surgical suture
what is normal ply?
when you you request new socket?
3-5 = normal
10 ply
two biggest causes for buckling with above knee amputation and prosthetic?
prosthetic in too much DF
socket too far anterior to COM
hip flexion contracture what do you do to a prostethesis to increase stability?
flexion plate! Keeps the hip, knee and ankle all in line so you don’t buckle. Knee joint stays in line even if the socket is not!
what do egophony, bronchophony or whipspered pectoriloquy indicate?
consolidation in the lungs
egophony: ee–> aye
bronchophony: 99 is clear
Whispered pectorioquy: whispering 1,2,3 is clear
normal pulmonary arterial pressure
5-15 mm
normal intercranial pressure adults?
child?
adults: 0-10
child: 0-5
above this you’re getting too high and risking ischemia
normal PaO2
PaCO2
HCO3
PaO2: 80-100
PaCO2: 35-45
HCO3: 22-26
what is a normal T score (osteoporosis)
-1 or greater value!
less than or = -2.5 is Osteoporosis
-1 to -2.5 is osteopenia
what needs to happen after a chest tube is removed?
chest xray to r/u pneumothorax!
normal diaphragmatic excursion
1.2-2 inches (3-5 cm)
What artery opening device is sitting EOB or STS contraindicated in?
intra-aeortic balloon pump: NO HIP FLEXION
what is RPP
HRxSBP
myocardial O2 consumption and coronary blood flow; correlates to onset of angina
UE vs. LE exercise
HR SPB SV RPP Max O2 consumption Work level associated with point of volitional fatigue
UE has….
increased HR
increased SPB
Increased RPP
decreased SV
decreased Max O2 consumption
Decreased work level associated with point of volitional fatigue
Can you perform percussions post l/s fusion
NOPE!
Goal INR value
2-3.5
Higher = risk of bleed Lower = risk of clot