clinical affil vocab

• fatty liver
• usually not harmful itself, but inticates some other problem (alcoholism)
• In fatty liver, large droplets of fat, containing mostly triglycerides, collect within cells of the liver. The condition is generally not painful and may go unnoticed for a long period of time. In severe cases, the liver can increase to over three times its normal size and may be painful and tender.
• Often, there are no symptoms associated with fatty liver. If there are symptoms, they can include pain under the rib cage on the right side of the body, swelling of the abdomen, jaundice, and fever. Symptoms that occur less often in alcoholic fatty liver, but more often in pregnancy related fatty liver, are nausea, vomiting, loss of appetite, and abdominal pain.

esophagogasroduodenoscopy - exam of upper digestive tract

exam of lower intestinal tract or colon --- to detect and remove polyps

excision of half of colon --> anastomosis of the remainder or a colostomy

60-100

hold -- bc creates hyptoension and apnea

hold -- causes palpitations, tachycardia, anxiety, headaceh, tremor, HTN, acute pulmonary edema

hold - excessive ADH --> hyponatremia

treat - safe for PT -- but may cause arrythmias

• poor-: sx present at rest, physical activity increases distresss, standing tolerance < 1 min
• poor: ok at rest, light brief non-resistive activity causes trouble, standing tolerance 1-3 min
• poor+: ok at rest, tolerates non-resistive activity 2-4min, needs frequent rest, stnading tolerance 2-4 min
• fair-: tolerates non-resistive 5-10 min, needs rest periods, standing tolerance 5 min
• fair: tolerates light to mod resistive activity 5-10 min, standing tolerance 5 min
• fair +: 20-30 min tolerance of light resistive activity w minimal fatigue, standing tolerance 15 min
• good-: standing tolerance 20 min, mod resistive activity
• good: 30+ min standing, tolerates normal activity using mod to max resistance w no signs of fatigue, palpation, dyspnea, or pain

• poor-: max assist
• poor: mod assisit
• poor+: min assist
• fair-: CG
• fair: CS + verbal cues (VCs)
• fair+: indep
• good-: indep against min resist
• good: indep against mod resist
• good+: indep against max resist

• poor-: max assist
• poor: mod assisit
• poor+: min assist
• fair-: CG
• fair: CS
• fair+: ok w DS or indep
• good-: indep in basic dynamic balance activities
• good: indep in functional dyn bal acts
• good+: indep in high level dyn bal acts

peripherally inserted central venous catheter

usually UE, biluminal, gives antibiotics

• sup vena cava via cephalic or basillar vens of antecubital fossa (elbow-pit)
• for longtterm use to administer drugs or fluid

• short catheter (.75-1 inch long) inserted into a small peripheral vein
• used for temp access to deliver IV meds
• can't draw blood

iv line into subclavian, basilic, jugular, or femoral vein, going to the RIGHT ATRIUM

vascular access for extended time periods for: total parenteral nutrition (TPN), repeated blood sampling, administration of drugs or fluids

steps to enter (specify if it's descending)

prior to admission

vital signs stable

on room air (breathing normally)

needle inserted but not attached, waiting for an IV of something

triple lumen catheter (central line)

chest tube (for pneumothorax

a restraining vest

nasogastric tube

feeding into the stomach

sequential compression device - a prophylactic to prevent clots

ensory intact, light touch - write SI LT in notes if pt has normal sensation

not tested

right lower lobe

• hand held assist
• home health aid

long arc quads - seated calf raises

plan of care

secondary to

initial eval

no accute distres

sick sinus syndrome - broad term for heart arrhythmia

permament pacemaker

temp pacemaker

community acquired pneumonia

 physical medicine rehab

gastrointestinal reflux disease

forward head posture

• Chart reviewed.
• Rec'd pt... (how you found the pt)
• Details of all you did (but not the quality of it)
• Position where you left pt.
• All lines intact (if applicable)
• Safety maintained.
• RN aware.

prior level of function

call bell