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Orthro clinical examination

Normal Vital sign: HR: Adult and Infant Adult: 60-100 Infant: 80-180
Normal vital sign: RR: Adult and Infant Adult: 10-20 Child: 30-50
What is Hemocrit and what are the exercise considerations? % of RBC. Male 42-52%; Female 37-47% >25% light exercise only <25% contraindicated.
An increase in HR could be due to what other factors? Decrease hematocrit & hemoglobin, decrease blood sugar, anxiety, anemia, pain; decrease K+, exercise
The HR could decrease due to.....? Narcotics, acute MI, increase in K+
Pre work out level for diabetes is....? 100mg/dL-250mg/dL
What are some signs and symptoms of low blood sugar???? <70mg/DL. RAPID ONSET; tachycardia, fainting, fatigue and weakness, pallor, sweating, unable to concentrate, excessive hunger, double vision.
Signs and symptoms of High blood sugar? >300mg/dL: GRADUAL ONSET; Increase thirst, dry mouth, weak pulse, RR increased, FRUITY ODOR,
What is the appropriate response for pt with high or low blood sugar? High: seek immediate medical tx Low: provide sugar; if unresponsive seek medical tx.
What are some of the factors that lead to and increase in BP??? Increase blood sugar, CAD, anxiety, pain, exercise (SBP only)
What are the values for Hemoglobin and exercise considerations? male 14-18 g/dl; female 12-16 g/dl <8 contraindicated
Normal blood Pressure: Adult? Infant? Adult: 120/80 Infant 90/60
PaO2 normal range 80-100 mmHG Increase: hypervent Decrease: cardiac decomp, COPD
PaCO2 normal range 35-45 mm Hg Increased: COPD Decreased: preg, pulm embolism, anxiety
Leukocytes (WBS's) normal value 5000=10,000 >5000 light exercise <5000 fever is contraindicated <1000 use mask and standard precautions
What is visceral pain? Pain radiating from internal organs. Does not change with activity and is worse at night.
What is typical systemic pain pattern? awakens in pm; deep aching, throbbing, reduced by pressure; constant or waves/spasms; wt loss
Pain pattern for joint pain? decreases with rest, sharp, ceases when stressful action is stopped, no other symptoms
Asthmatic response(s) RR >24, use of accessory mm of respiration; coughing, wheezing, sub sternal chest tightness
Normal response for DTR is? 2+ Normal 0 absent 4+ hyperactive with clonus
Created by: thirdtime



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