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47 Cards in this Set
- Front
- Back
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Patency |
-absence or presence of pulse |
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Normal HR |
Adult: 60-100 (>65 may be lower) Child: 80-120 |
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Korotkoff's Sounds |
1) tapping 2) swishing 3) knocking 4) muffling 5) sounds disappear |
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How long to wait after estimating SBP? |
-30 secs |
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Normal RR |
-12-20 breaths/min |
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How often do you reposition patients? |
-every 2 hours |
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Indications/Benefits/Limitations of PROM |
I - if the Pt cant move, or DRs orders B - maintain ROM, circulation, proprioception, keep lube in joints, minimize contracture L - no increase in strength or decrease atrophy, must be aware of normal ranges |
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Indications/Benefits/Limitations of AROM |
I - DRs order B - gain in strength, increase mobility, circulation, and bone strength L - pain limits them |
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Types of End-Feel |
Bony - elbow extension Soft - elbow flexion (MM end) Firm - shoulder flexion (Lig end) |
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Is it easier to push or pull objects? |
-push (b/c it uses body weight) |
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Order of Application (Sterile Technique) |
1) shoes 2) cap 3) mask 4) gown 5) gloves |
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Order of taking off (Sterile Technique) |
1) gown 2) gloves 3) mask 4) cap 5) shoes |
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Types of Gait Pattern with Parallel bars |
-4 point -2 point -3 point NWB -3 point TWB |
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Types of Gait Pattern with Walker |
-3 point NWB -3 point TWB |
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Types of Gait Pattern with Crutches |
-4 point -2 point -3 point NWB -3 point TWB |
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Types of Gait Pattern with Cane |
-modified 4 point -modified 2 point -step to -step through |
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Why is a cane used? |
-patient has balance or weakness problems -patient has pain |
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What type of assisstive device can be used for all types of WB statuses? |
-walkers and crutches |
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What is the WB status of patients with 1 crutch, hemi-walker, and quad cane? Single tip cane? |
-FWB and WBAT yes -PWB, TWB, NWB no -all no except FWB |
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What type of assistive devices can be used with those with mod impaired balance? |
-walkers -hemi-walkers -maybe crutches or quad cane |
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What type of assistive device can be used with those with severely impaired balance? |
-only a walker |
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How to fit assistive devices? |
-wrist should be at handle (greater troch) -elbow should have 20-30 degrees of flex |
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4 point gait |
-2 ambulation aids -move device first then opposite leg and so on |
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2 point gait |
-2 ambulation aids -move device and opposite leg simulataneously |
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3 point/NWB gait |
-2 ambulation aids or walker -step-to or step-through -device and leg move alternately |
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Modified 3 point/PWB gait |
-2 ambulation aids or walker -move leg and device simulataneously |
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Modified 4 point gait |
-1 ambulation aid -aid and leg move alternately |
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Modified 2 point gait |
-1 ambulation aid -aid and leg move simultaneously |
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ET tube |
-patient is paralyzed -never remove tube |
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Tracheotomy |
-never remove -beware of coughing -no PT on new trach Pt |
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Nasal cannula |
-want these Pts mobilized -may be able to remove |
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CPAP or BiPAP |
-never remove -no PT |
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Chest tube |
-never remove -used for collapsed lungs -can do PT -unit must stay upright |
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Peripheral IVs |
-taped in place -no tugging or kinks |
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Central Venous Lines |
-sutured in place so no tugging
-needs surgeon for insertion |
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Arterial Lines |
-sutured in place -used to monitor BP -if removed its a medical emergency |
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Mediport |
-surgically placed in vein -used for chemo patients |
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Patient controlled analgesia (PCA pump) |
-higher fall risk |
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Sequential Compression Device (SCDs) |
-returns blood back to heart -reduces edema and prevents DVT -remove before exercise |
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External Pacing |
-painful (60 shocks/min) -no exercise |
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Internal Pacing |
-no pain -AROM is suggested |
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Permanent Pacing |
-no exercise until permanent -ADLs encouraged |
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ICP monitor (intracranial pressure) |
-little PT -don't pull out |
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Cranial-Halo |
-limits mobility -visual impairment -fall risk |
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Penrose |
-drains wounds to fight infection |
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Nasogastric Tube |
-used for feeding or suctioning -don't pull out if feeding -okay to pull if suctioning |
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Foley Catheter |
-for urine -dont pull -keep bag below bladder (prevent UTI) |
