Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Clinical Practice > Week 2 &3 Lectures > Flashcards

Week 2 &3 Lectures Flashcards

1
Q

Know the difference between short sitting, long sitting, hook lying, and bridging.

A

-Short sitting- legs flexed
-Long sitting- legs straight on bed
Hook lying- back on bed, knees at 90 degrees
-Bridging- raising hips

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What does EOB stand for?

A

Edge of Bed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Know the difference between half-kneeling, kneeling, and quadruped

A
  • Half-kneeling- one knee on ground
  • Kneeling- both knees on ground (tall kneeling)
  • Quadruped- on knees and hands
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What are the 4 assistance levels? Give a definition of each.

A
  • Independent- Patient able to perform skill safely with no one present
  • Supervision- Patient requires someone within arms reach as a precaution
  • Close guarding (stand-by assist)- Person assisting is ready with hands up, but not touching patient.
  • Contact guard- Therapist is positioned as with close guarding, with hands on patient but not giving any assistance
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Difference between assistance levels?

A
  • Min assist- patient can perform 75% of the task
  • Mod assist- patient can perform 25-75% of the task
  • Max assist- patient can perform less than 25% of the task
  • Dependent- patient does not attempt participation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Weight bearing status abbreviations

A

FWB- Full weight bearing

  • WBAT- Weight bearing as tolerated
  • No restrictions for FWB or WBAT, limited only by patient discomfort. WBAT is between PWB and FWB
  • PWB- partial weight bearing
  • Prescribed amount as a percentage of patients body weight.
  • TTWB (TDWB)- toe touch (touch-down) weight bearing
  • Toes may rest on ground in standing, but the extremity is non-weight bearing. Utilized for balance assist only
  • NWB- non-weight bearing
  • Foot may not contact the floor
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

5 bed mobility movements

A

SLIDE 10-18

  • Scooting up and down
  • Scooting sideways
  • Rolling supine to side lying
  • Supine to sit
  • Scooting in sitting
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Steps to providing assistance in bed mobility?

A
  • Maintain good body mechanics
  • Use bed height to your advantage
  • Utilize the draw sheet
  • Direct distally, control centrally
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

How many fingers should fit in a gait belt?

A

2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

How to get from sitting to standing?

A
  • Scooting in sitting to front of surface
  • Place base of support under center of mass
  • Shift center of mass anteriorly

AKA: Butt forward, feet back, nose over toes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

TRANSFERS

A

TRANSFERS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Types of transfers?

A
  • Lateral sheet transfer
  • Vertical lift
  • Squat pivot
  • Stand pivot
  • Transfer board
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Does a vertical lift involve 2 people?

A

Yes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

When would you use a squat pivot vs a stand pivot?

A

When the patient requires higher level of assistance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What does squat pivot not achieve that stand pivot does?

A

Full extension

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Therapist position for a squat pivot transfer?

A
  • Staggered stance
  • Hips and knees flexed
  • Utilize gait belt or ischial tuberosity’s
  • Knee block
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

VITAL SIGNS

A

VITAL SIGNS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What are the 4 internationally recognized vital signs?

A
  • HR
  • BP
  • RR
  • Temp
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Other measurements to take with vital signs?

A
  • Pain
  • Pulse Ox
  • Perceived exertion rating
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What is basal heart rate?

A

HR measured after an extended period of rest.

Can be an indication of CV function in the absence of physical stress

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What is resting heart rate?

A

Without imposed stress

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

What is pericardial HR?

A

Measurement of the CV system’s capacity to provide blood flow during imposed physiological or physical stress

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

What is recovery pulse rate? When is it taken?

A

Measurement of the cardiovascular system’s recovery capability following the imposition of physiological oor physical stress.

Usually taken 1-3 minutes after intervention

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

HR>100=______.

HR<60=______.

A

Tachycardia
Bradycardia

Ask what normal is

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Assessing Pulse/HR

A 
\+3 = Bounding
\+2 = Normal
\+1 = Weak or Thready
0 = Absent
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

Difference between the HR values of +3,+2,+1, and 0

A

+3 (Bounding)- Readily palpable, not easily obliterated by finger pressure

+2 (Normal)- Easily palpable and obliterated only by strong finger pressure

+1 (Weak or Thready)- Hard to feel and easily obliterated by slight finger pressure

0 (Absent)- not discernible

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

What is patency?

A

The openness of the peripheral portion of the cardiovascular system

Presence or absence of pulse at a given site

28
Q

Is a patient with a lack of patency a red flag?

A

Yes, immediate referral to MD

29
Q

HR Zones

A
  • Warm up/Cool down- 50% or less
  • Fat burning zone- 50-65%
  • Target HR Zone- 65-85%

Anaerobic/High Intensity Zone- 85-100%

30
Q

Calculation for Max HR

A

220- age

31
Q

Heart Rate Norms at different ages

A
  • Newborn- 120-160
  • Infants (1-12 months)- 100-120
  • Children (1-8yo)- 80-100
  • Adult- 60-100
32
Q

What should you not do when taking HR?

A

Use your thumb as a palpation finger

33
Q

Methods of taking HR?

A
  • Manual palpation
  • Auscultation- monitoring of the heart using a stethoscope
  • Doppler Measurements
  • Pulse Ox
  • ECG or Electronic Monitors
34
Q

Muscle mass and depth make which palpation sites harder?

A

Brachial, popliteal, and femoral

35
Q

What is BP?

A

Measure of force exerted by blood against the aorta

36
Q

Difference between systole and diastole?

A

During systole the ventricles of the heart are contracting, this is when maximum pressure is exerted.

Diastole is when the ventricles are relaxed, minimum pressure is exerted.

37
Q

BP is a key indicator for what?

A

Health of the cardiovascular system

38
Q

A low BP results in _____ high BP results in __________.

A

Fainting

Stroke/ Myocardial Infarction

39
Q

Purpose of taking BP?

A
  • To determine vascular resistance to blood flow

- To determine the effectiveness of cardiac muscle in pumping blood to overcome vascular resistance

40
Q

BP measurement considerations.

A
  • Size of cuff
  • Placement of bladder
  • Support of patient’s arm
  • Patient Position
41
Q

You should always take BP on the ____ side unless?

A

Left

IV, breast cancer, post-surgery

42
Q

Patient should be sittin with the arm in a horizontal supported at ___________.

A

Heart level

43
Q

Normal resting BP’s in different ages

A 
Systolic
Neonates- >60
Infants- 70-95
Children- 80-110
Adults- 90-120

Diastolic
Neonates through Children- highly variable
Adults- 60-80

44
Q

Blood Pressure Phases

A

Phase I- first clear tapping sound heard
SYSTOLIC BP

Phase II- Softer sound, may be a swishing or murmur

Phase III- Louder and more crisp sound

Phase IV- Sound changes from crisp and distinct to muffled

Phase V- Cessation of sound
(Diastolic BP)

45
Q

Blood Pressure Categories

A

Normal- Less than 120/80

Elevated- 120-129/Less than 80

High BP (Hypertension Stage 1) - 130-139/80-89

High BP- (Hypertension Stage 2) - 140 or higher/ 90 or higher

Hypertensive Crisis- 180 or higher/ 120 or higher

46
Q

High BP reading signs and symptoms?

A

Headache

  • Dizziness
  • Flushed face
  • Spontaneous epistaxis
  • Vision Changes
  • Nocturnal urinary frequency
47
Q

How long do you have to wait between BP readings?

A

1 minute

48
Q

BP red flags for termination of exercise?

A

BP changes in presence of angina (chest pain), dizziness, nausea, pallor, or extreme diaphoresis at rest or during exercise

49
Q

Other abnormal BP responses to physical activity?

A
  • Diastolic increases more than 10mmHg with activity

- Systolic BP does not rise or it falls with increasing workload

50
Q

What is orthostatic hypotension?

A

A sudden drop in BP with changes in position

Drop of 20 Systolic
Drop of 10 Diastolic
Or Both

Changes within 3 minutes of standing/sitting up

51
Q

ANKLE BRACHIAL INDEX

A

VITAL LECTURE S32

52
Q

Subjective measures of respiration

A
  • Depth of respiration
  • Regularity
  • Ease
  • Use of accessory muscles
53
Q

Accessory Muscles of Inspiration

A
  • SCM
  • Pec Major/minor
  • Serratus Anterior
  • Lats
  • Trapezius
  • Serratus posterior
54
Q

Accessory muscles of Expiration

A
  • Transverse Abdominis
  • Internal/External Obliques
  • Rectus Abdominis
  • Intercostals
  • Quadratus Lumborum
55
Q

Respiration Norms

A
  • Newborn- 40-60 breaths/min
  • Infants- 25-50/min
  • Adults- 12-25/min
  • Elderly- may increase secondary to decreased elasticity/effeciency of gas exchange
56
Q

Borg Breathlessness Scale

A

0- none at all
5- severe
10- maximum

57
Q

Purpose of Temperature

A
  • Baasa, metabolic states
  • Infection, inflammation
  • Response to exercise
58
Q

Methods to take Temperature

A

-Thermometer
-Mercury glass
-Electronic
-Heat sensitive
strips

59
Q

Sites to take temperature

A
  • Oral
  • Rectal
  • Auditory canal/tympanic
  • Forehead
  • Axillary
60
Q

Average temperature of the body?

A

98.6

61
Q

Varying Factors

A
  • Time of Day
  • Menstrual Cycle
  • Pregnancy
  • Aging
  • Season (controversial)
  • Physical Fitness
  • Shift work
  • Meals
  • Alcohol
62
Q

Hypothermia vs Hyperthermia

A

Hypo- decreased core temp

Hyper- increased core temp

63
Q

What does pulse ox measure?

A

Oxygenation of the blood

64
Q

What is a normal O2 sat?

A

90% and above

Under 85% is severe hypoxia

65
Q

Pain is _______.

A

Subjective

66
Q

Purpose of measuring pain?

A
  • Diagnosis
  • Prognosis
  • Appropriate interventions
  • Response to interventions

Clinical Practice (6 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions