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The Big One > Things to remember > Flashcards

Things to remember Flashcards

1
Q

HDL and LDL which is good which is bad

Low, high and normal levels

A

HDL good

  • women: low is <50 mgDL
  • men: low is <40 mgDL

LDL bad: you want this below 100 mgDl

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2
Q

BMI > than ____ is associated with increased risk of HTN, hypercholesterolemia, CAD and mortality

A

30

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3
Q

What is normal BMI

A

18.5-24.9

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4
Q

Wist-hip ratio > than _____ is an indication of central obesity and increased risk for CAD

A

.9

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5
Q

Stage 1 hypertension classified as what

A

130-139

OR

80-89

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6
Q

Elevated HTN = _____

A

120-129

AND

<80

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7
Q

Stag 2 HTN = _______

A

at least 140

OR

at least 90

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8
Q

Polycemia is what

A

increased RBC: increased viscosity, volume and therefore increased BP

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9
Q

Thrombocytosis is what

A

increased platelets: does NOT increase BP

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10
Q

explain ATNR reflex in stroke or baby

ATNR normal age of response

A

turn towards affected extremity = affected side UE extension

turn away from affected extremity = affected side UE flexion

normal age of response = birth - 6 months

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11
Q

explain STNR reflex in stroke or baby

STNR normal age of response

A

neck extension = UE extension, LE flexion
neck flexion = UE flexion, LE extension

normal age of response: 6-8 months

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12
Q

Explain TLR

normal age of response

A

prone: flexion
supine: extension

Normal age of response = birth to 6 months

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13
Q

stage one hypertension medical management

A

does NOT include BP medications unless pt is at risk of heart disease and stroke

otherwise lifestyle changes

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14
Q

autonomic dysreflexia is common in patients with what level SCI

what do you do about it

A

T6 and above

MEDICAL EMERGENCY! Get them into sitting, look at urinary drainage system

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15
Q

name pressure sensitive areas (10)

A 
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
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16
Q

what is normal ply?

when you you request new socket?

A

3-5 = normal

10 ply

17
Q

two biggest causes for buckling with above knee amputation and prosthetic?

A

prosthetic in too much DF

socket too far anterior to COM

18
Q

hip flexion contracture what do you do to a prostethesis to increase stability?

A

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!

19
Q

what do egophony, bronchophony or whipspered pectoriloquy indicate?

A

consolidation in the lungs
egophony: ee–> aye
bronchophony: 99 is clear
Whispered pectorioquy: whispering 1,2,3 is clear

20
Q

normal pulmonary arterial pressure

A

5-15 mm

21
Q

normal intercranial pressure adults?

child?

A

adults: 0-10
child: 0-5

above this you’re getting too high and risking ischemia

22
Q

normal PaO2
PaCO2
HCO3

A

PaO2: 80-100
PaCO2: 35-45
HCO3: 22-26

23
Q

what is a normal T score (osteoporosis)

A

-1 or greater value!

less than or = -2.5 is Osteoporosis
-1 to -2.5 is osteopenia

24
Q

what needs to happen after a chest tube is removed?

A

chest xray to r/u pneumothorax!

25
Q

normal diaphragmatic excursion

A

1.2-2 inches (3-5 cm)

26
Q

What artery opening device is sitting EOB or STS contraindicated in?

A

intra-aeortic balloon pump: NO HIP FLEXION

27
Q

what is RPP

A

HRxSBP

myocardial O2 consumption and coronary blood flow; correlates to onset of angina

28
Q

UE vs. LE exercise

HR
SPB
SV
RPP
Max O2 consumption
Work level associated with point of volitional fatigue
A

UE has….

increased HR

increased SPB

Increased RPP

decreased SV

decreased Max O2 consumption

Decreased work level associated with point of volitional fatigue

29
Q

Can you perform percussions post l/s fusion

A

NOPE!

30
Q

Goal INR value

A

2-3.5

Higher = risk of bleed
Lower = risk of clot

The Big One (18 decks)

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