1
Q
Seat Height/ Leg length
A
19.5 - 20.5
2
Q
Seat Depth
A
16 in
3
Q
Seat Width
A
18 in
4
Q
Back height
A
16-16.5
5
Q
Armrest height
A
9 in
6
Q
average temp
A
96.8-99.3
7
Q
pyrexic
A
100
8
Q
hyperpyrexic
A
106
9
Q
adult pulse
A
60 to 100 bpm
10
Q
newborn pulse
A
100 to 150bpm
11
Q
Child pulse
A
70 to 130 bpm
12
Q
BP average
A
less than 120/80
13
Q
Systolic BP
A
90-140
14
Q
Diastolic BP
A
60-90
15
Q
hyperextensive crisis
A
greater than 180/110
16
Q
High normal BP
A
130-139/ 80-89
17
Q
Low normal BP
A
110/75
18
Q
hypertension
A
180/120
19
Q
no more than 20mmHg
A
Systolic
20
Q
no more than 10mmHg
A
Diastolic
21
Q
normal RR
A
12-18 breaths per minute
22
Q
Pulse Ox
A
95-100%
23
Q
Pain Scale
A
0-10
24
Q
sites of temp
A
oral, rectal, axillary, ear canal, inginual
25
sites of pulse
temporal, carotid, brachial, radial, femoral, popliteal, dorsal pedal, posterior tibialis, apex of heart- apical
26
where to find BP
radial artery
27
where to find RR
thorax/ abdomen
28
where to find pulse ox
finger
29
rapid HR greater than 100
tachycardia
30
slow HR less than 60
bradycardia
31
65+ HR
decrease
32
young HR
increase
33
male HR is
lower
34
BP in young, systolic is
lower
35
BP in 65+, systolic is
higher
36
physical activity in BP
increases
37
Diastolic stays the same in
physical activity
38
systolic increases / decreases by
15-20
39
food consumption in BP
decreases
40
tobacco/ alc in BP
increases
41
dehydration in BP
lowers
42
cardiac output systolic BP
increases with increasing cardiac
43
what will change BP
stress, arteries, arm position
44
BP increases, put arm
low
45
BP decreases, put arm
high
46
factors with hypertension
obesity, physical inactivity, nicotine, alc, salt, arteriosclerosis, DM, diet, age
47
abnormal respiratory
above 20 below 10
48
what to observe during RR
rate, rhythm, depth, character
49
Blood Oc will drop ___% with exercise
2-3%
50
seat too narrow will cause
pressure ulcers, poor posture, reduced balance, difficulty propelling and difficult transfers
51
modified independence
always has device (walker, cane)
52
uneven terrain in WC
go backwards, rear wheels go first, larger surface area is able to overcome uneven ground. also pop wheelies
53
Good MAP
70-100 mmHg
54
how to go through door with WC
user reaches forward and placed one hand on the foot frame and other on the door or door’s frame other side. pull with both hands, WC is moved through
55
confirming proper fit of WC
90 degree bend in knees and ankles, bottom all the way back in seat, thighs parallel to ground, knees should be in line with hips
56
Max assist
25-49%
57
Mod assist
50-74%
58
Min Assist
75+%
59
evaluation of WC
sitting balance, stability, transfer method, ability to change position, posture
60
caster wheels
small front wheels
61
drive wheels
big back and has bar underneath that connects
62
wheel locks
toggle, z or scissor, axillary, caster locks
63
footrest
fixed footrest, swingaway, elevating leg rest
64
restraints
lap (waist) belt, chest belt
65
what to promote in WC
function, prevent deformity, body alignment, prevent tissue damage, use special support
66
types of wheelchairs
semi reclining, fully reclining, externally powered, sport, lightweight, and folding
67
assisted functional activities
ascending/ descending curbs, stairs, slopes, rough soft, elevators, doorways
68
transferring is a
safe movement of a person from one surface/ position to another
69
independent
modified independence
70
assistance
SBA, CGA, Min-Mod-Max assist
71
dependent
total assist
72
CGA
first time treating patient, instead, multiple loss of balance
73
SBA
patient needs verbal / tactile cues, no guarding with contact
74
WB Status
FWB, WBAT, TTWB, NWB
75
with THR avoid
hip add, rotation, flex greater than 90 degrees
76
low back tramua avoid
excessive lumbar rotation
teach log roll
77
THA
total hip arthroplasty
78
most common for hip replacement
posterior lateral
79
spinal cord injury (SCI) avoid
distraction and rotational forces
do logroll
80
when a SCI do supine you sit and monitor
BP may syncope (watch for osteoporosis)
81
burns avoid
shearing force
82
hemiplega avoid
pulling on involved extremity, laying on bad extremity
83
orthostatic hypotension
drop in BP because change in position
84
recumbent
patient needs to be in seated position
85
how to transfer
instruct patient, gait belt, proper footwear, move to edge of surface, lean forward, nose over toes, transfer to strong side, 45 degree surface to surface
86
documentation of transfers
- type of transfer used
-level of assistance
-surface the patient transferred to and from
-any precautions
-patients ability to demonstrate safety techniques
-equipment used if any
-progression towards independence (goals)
87
vital signs are
temp
heart rate
blood pressure
respiratory rate
pulse oximetry
pain
gait speed
88
need to have a resting balance
over 65 or under 2
history of cardiovascular problems
trama/ surgery
icu
89
pulse oximetry
oxygen in blood
below 95% is dangerous
below 90% is bad once exercising
90
get low pulse ox to do
pursed lip breathing
91
what may happen if low oxygen in blood
syncope, will turn blue
92
factors that cause increase/ decrease in temp
level or amount in physical activity
environment temp, age, emotional stress
physiological status, medications
93
adverse reactions to activity
mental confusion, fatigue, lethargy, slow reactions, nausea, syncope, vertigo, diaphoresis, chance in appearance- pallor, loss of consciousness
94
most common single value of temp
98.6
95
most accurate temp location
rectal
96
pulse is an
indirect measure of contraction of left ventricle movement of blood in artery
97
all vitals must be at least
60 seconds
98
hypotension
slow HR
99
hypertension
fast HR
100
strong and regular
even beats with good force
101
weak and regular
even beats with poor force
102
irregular
both strong and weak beats
103
thready
weak force irregular beats
104
abnormal responses by pulse
slow increase during activity
does not increase in activity
continues to increase/ decrease as activity plateaus
slow decline at activity declines or is terminated
does not decline as activity declines
declines before activity declines
HR exceeds excepted for activity level
irregular rhythm
105
blood pressure is
effects of cardiac output
systolic/ diastolic
106
tools for blood pressure
sphygmomanometer (bp cuff) and stethoscope
107
systole
contraction of left ventricle
K level I sound
108
diastole
rest period of heart
K level V sound
109
Phase I
first faint clear tapping sound
110
Phase II
swishing sound
111
Phase III
crisp and loud
112
Phase IV
abrupt muffling until quality is heard
113
which phase is best indicator for diastolic pressure
phase IV
114
phase V
disappearing of sound
(second diastolic pressure phase)
115
Stages of BP
140/90 stage 1
160/100 stage 2
180/110 stage 3
210/120 stage 4
116
rate
breaths per minute
117
depth
volume of air exchanged with each respiration
118
rhythm
regularity of a pattern
119
character
deviations from normal
120
aspena
absence of breathing
121
dyspnea
labored breathing
122
orthopnea
condition in breathing is easier when a person is seated or standing
123
rale
abnormal discontinuous sound heard on auscultation of chest, Crackle
124
SOB
shortness of breath
125
stridor
shrill harsh sound secondary to tracheal or largyngeal obstruction
126
wheezes
secondary to restricted airway and expiration
127
cheyenne stokes
cycles of breathing increases dapper followed by respiration
128
most reliable indicator of pain
self report
129
pain screen
quantified rating of intensity of pain
130
scales of pain
FLACC, Visual analog (faces), McGill Pain questionnaire, Numeric pain
131
pain assessment
location, intensity, duration, aggravating, relieving factors, daily activity, sleep patterns, psychological effects
132
nonpharamcologic interventions
application of physical agents- tens, heat
positioning
massage
distraction
relaxation
133
Blood volume heart rate
decreases
134
muscle contraction heart rate
increases
Intro to PT
flashcards
Decks in class (2)
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