-
5 criteria for reducing exercise intensity or terminating it, per American College of Sports Medicine
- 1) mod to severe angina (min is ok)
- 2) SBP > 240 a/o DBP > 110 (or over 260/115, depending where you look)
- 3) > 1 mm ST depression, horiz or downsloping (or >2 elevation)
- 4) increased frequency of ventricular arrhythmias
- 5) 2nd or 3rd degree AV block
also: drop in SBP, signs of exertional intolerance (pallor, cyanosis, cold/clammy skin, unusual SOB; CNS signs (ataxia, vertigo, visual or gait problems)
-
rehab guidlines for arterial disease / claudication
- intermittent walking w mod intensity and duration
- 2-3x /day
- 3-5 days/wk
- up to point of cluadication pain (usually within 3-5 min), then rest
-
WC seat heights
- standard: 20 inches
- hemiplegia or low-seat: 17.5 inches (lower than standard bc the pt wants to use the sound leg for steering and propulsion)
-
compression rate for CPR for an adult
- 100/min
- compression to ventilation ratio -- 30:2
- untrained rescuers should use compressions only
-
when to use an automated external defibrillator?
asap after beginning CPR
-
angle of cervical facets
thoracic facets
lumbar
- cervical: 45 degrees
- thoracic: 60 degrees
- lumbar: 90 degrees
-
coupled motion in thoracic and lumbar spine (per Fryette)
- in neutral spine, SB and rot are contralat
- in flex or ext, SB and rot are ipsilat
-
flex, ext, rot, SB, -- open/close facets?
- flex: open
- ext: close
- ipsilat rot: open
- contralat rot: close
- ipsilat SB: close
- contralat SB: open
-
atropine is what kind of drug
does what?
treats what?
- anticholinergic (blocks action of acetylcholine at parasymp sites in smooth muscle, secretory glands, and CNS)
- produces symp results: increased HR and contractility
- sinus bradycardia, exercised induced bronchospasm
-
-
osteoporosis pts should avoid what trunk motions
- trunk flexion or rotation exercises
- they can cause compression fractures
-
e-stim for decubitus ulcer, settings?
- high-volt monophasic pulsed current
- use neg charge for bactericidal effect
- pos charge to promote wound healing
-
burst current -- aka?
beat current -- aka?
- burst = Russian
- beat = interferential
- both are medium frequency biphasic currents
-
best positioning for lumbar traction
- best: prone
- second best: prone w pillow under abdmomen
- pt w spinal stenosis: supine, knees flexed
-
extraoccular eye movements -- aka?
which CN?
- lateral eye movments
- CN VI: abducens
-
exercise tolerance test optimal time duration?
8-12 min
-
can calcium alginate facilitate autolytic debridement?
yes. (nevermind an earlier card that leaves alginate off that list)
-
skills of calcium alginate
use on what kind of wound
disadvantage
- grade III ulcer with lots of exudate
- maintain moist wound, absorb exudate, facil autolytic debridement, reduce pain, promote faster healing (reepithelialization)
- permeable to bacteria, urine, etc
-
use what kind of precautions with hepatitis B
contact
-
contact precautions
describe
for what pts?
- gown & gloves
- pts w infection that can be spread by contact w skin, wounds, vomit, feces, etc
- ex: salmonella, scabies, pressure ulcers, hepatitis B
-
droplet precautions
when
describe
- for an infection that can be spread through close respiratory or mucous membrane contact with respiratory secretions
- ex: flu, pertussis (whooping cough), rhinovirus (common cold)
- mask, gown, gloves
-
airborn precautions
when
describe
- for a disease w small particles that can be spread over long distance
- TB, chickenpox, measles
- pt needs "airborn infection isolation room"
-
when in gait are knee extensors maxiamally active
heelstrike / initial contact, to stabilize the knee and counteract the flexion moment
-
most effective mobilization for frozen shoulder, and positioning for this?
- inf glide at 55 degrees abd
- (think convex-concave...)
-
most effective glide to improve GH ER?
posterior
-
capsule-ligamentous pattern for TMJ
limitation on opening, lat dev greater to uninvolved side, dev on opening to involved side
-
normal TMJ opening
25-35 is functional, but 35-50 mm is normal
-
normal jaw protrusion distance
3-6 mm
-
normal lat deviation of jaw distance
10-15 mm
-
weak lat pterygoid will present how?
upon protrusion, jaw will deviate to contralat side
-
capsular pattern of C-spine
for upper, occiput -C2
for lower c-spine, C3-T2
- Upper: flex > ext
- A/A jt: limits w rotation
- Lower: (SB = rot) > ext ....flex isn't limited
-
best arm pos for giving US to supraspinatus tendon?
slight abd and IR to expose it from under the acromion process
-
ABCDE of an atypical dysplastic nevus (a nevus is a common mole, this is a changing mole)
- assymetry,
- irregular borders
- color variation
- diameter > 6 mm
- elevation
-
typical presentation of LV failure
- fatigue and dyspnea after mild activity
- persistent spasmodic cough
- orthopnea
- elevated HR
- mild edema in both ankles
- anxious/agitated
- S3 heart gallop
- paroxysmal nocturnal dyspnea
- pulmonary edema
-
signs of pulmonary edema (these are seen w LV failure)
- marked dyspnea,
- pallor
- cyanosis
- diaphoresis
- tachypnea
- anxiety/agitation
-
typical presentation of RV failure
- dependent edema of ankles (usually pitting)
- wt gain w anorexia
- fatigue
- R upper quadrant pain
- nausea
- bloating, R sided S3 or4
- cyanosis of nail beds
- decreased urine output
-
edema scale
- +1 (Trace) Slight indentation, rapid return to normal
- +2 (Mild) 4mm indentation, rebounds in a few seconds
- +3 (Mod) 6mm indentation, 10-20 seconds to return to normal
- +4 (Severe) 8mm indentation, > 30 seconds to return to normal
-
signs of pericarditis
- substernal pain that may radiate to neck, upper back
- difficulty swallowing
- pain aggravated by coughing, relieved by leaning forward or sitting upright
- history of fevers, chills, weakness, or heart disease
-
pts w ant knee pain typically have what weaknesses in hips?
- weak abd and ER
- seen during a squat -- there'll be increased add and IR bc the abd and ER-ers aren't doing good ecc control
-
deep partial-thickness burn w/o infection takes how long to heal?
3-5 weeks
-
scaphoid pad
- goes under the navic to reduce inversion/pronation
- (navic used to be named scaphoid)
-
thomas heel
- a heel that's longer on the medial side
- brings the heel of the foot into varus to prevent depression in the region of the head of the talus
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