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14 Cards in this Set
- Front
- Back
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pre tx |
h/w check chart md and poc> match pmh, latex allergy |
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for OP |
any sreenings or surgical procedures pic ID Script is within 30 days |
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ip |
lab val meds rn notes temp, vs, last couple of days/last night |
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equip: |
VS, Borg, TB, gloves, Goni, Gt belt |
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if ip: to RN |
Intro, explain, consent, DM? eat when? how much? recent glucose? where inj? any other meds? leave pt? |
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to pt |
intro to pt and spouse pt will either be in gym already or take back id pt/dob (id-op or check wrist-ip) explain, consent Contraindications- vs, gb, tb, dvt, pe s/s how are you feeling? pain? where? and how much? DM? ate? how long? how much? have insuling? how was it taken? injected and where? insulin pump? s/s if increased or decreased? op: monitoring equip and snack? -last reading and when? |
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pre tx |
mi or angioplasy or copd affected you? any issues? if on nitro> have it w/you? have you used it since mi? exp date? affected exercise? has beta blockers s/s? explain borg get baseline VS- hr 1st (60 sec)
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energy coservation |
conserve energy -pace yourself, rest when getting tired, take deep breaths in and out (nose/mouth) try not to do everything at once space out dr apt, chores, etc. anything inp articular that makes you tired? -if walker, how far at home before you get tired? put on gloves, check skin |
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wb: |
if ischial tub, move pt behind curtain and stand w/ sw acceptable wb- white and goes back not acceptable wb- doesnt turn white -palpate/have pt and spouse palpate -check for any pinkness/drainage/breakdown -shower at night b/c it may cause swelling and cant put it int the socket
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inspect sound limb |
protect, inspect look at it put leg on towel on my leg in inspecting should turn white (2 sec) diabetes: bottom of foot; pulses sensation w/ finger -shake out shoes before wear, no lotion between toes, wear glasses if needed, white cotton socks, not too tight, non perfume lotion valsalva during exercise or exertion
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gt in pb |
-chair at end -sw at good side and at the end -keep knee up and elevated in w/c and sit up tall -pt can pedal to pb -pt stands up, good leg back, push off chair pain? borg? wgt shift lateral, hand release (good hand first) fwd/back (good hand off first) diagonal starting with good first (good hand off first) then switch feet and repeat walk using hands borg walk bwd if a 2 or ask spouse or if 1 go to chair. bring w/c to them if tired once seated. |
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next |
pulse vs/borg inspect skin take pros off if a new prosthetic |
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stretch and strengthen |
for stretch take active then passive goni if rom problem 30 sec hold or if quad sets for flexors do 10 sec 3 times strengthen according to muscle grade if on plinth make sure sw/chair is on good side vs/borg pain? |
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end |
if in room call bell water cell phone tv remote or for op -walk up front |
