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E-Stim Review for NPTE

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Question
Answer
Why use larger electrodes?   1) Use over large muscle groups. 2) Use to lower charge density.  
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Why use smaller electrodes?   1) Use over small muscle groups. 2) Use to increase charge density. 3) Use smaller electrode for active electrode to elicit strong reaction from specific muscle.  
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Contraindications for E-Stim   1) Cancer 2) Pacemakers 3)Areas of active bleeding/fractures 4)Superficial metal implants 5)Neck muscles.  
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Maximum current density for Ionto?   Max current density is 1.0 mA/cm2 for cathode (-) and 0.5 mA/cm2 for the anode(+)  
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How do you calculate dose for ionto?   Amplitude x Treatment time. We want a dosage of 40-80mAmin.  
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Lidocaine   Positively Charged Analgesic  
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Zinc   Positively Charged, for dermal ulcers  
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Hydrocortisone   Positively Charged, for Musculoskeletal inflammation.  
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Acetate   Negatively Charged, for Calcium deposits.  
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Hyaluronidase   Positively charged, for Edema reduction.  
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Dexamethasone   Negatively Charged, for Musculoskeletal inflammation.  
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Xylocaine   Positively charged analgesic.  
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Salicylate   Negatively charged analgesic  
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When would you keep electrodes far apart?   1) To have deeper current. 2) To decrease current density in SUPERFICIAL skin, which prevents burns. RISK IS TO CAUSE CONTRACTION OF UNDESIRED MUSCLES.  
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How to get continuous (tetanic) contraction with ES   Intermittent contraction with 20-80 pulses per second @ pulse duration of 100-600microseconds. LOW INTENSITY contraction at 20-50pps and HIGH INTENSITY at 50-80pps.  
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What is pulse duration? Recommended pulse durations for sensory and motor level ES?   Pulse duration is how long a current will activate for a single pulse. For sensory level ES, pulse duration of 20-100 microseconds is recommended. For MOTOR level ES, 100-600 microseconds is recommended.  
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