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Exam 4
Cardiac
| Question | Answer |
|---|---|
| Contraindications for postural drainage-6 | 1. Increased intracranial pressure 2. Hemodynamically unstable 3. Recent head trauma 4. Recent eye surgery 5. Diaphragmatic hernia 6. Recent spine or esophageal surgery |
| Contraindications for cupping-7 | 1. Acute spinal injury 2. Unhealed rib fracture 3. Significant osteoporosis 4. Untreated pneumothorax (especially hemoptysis) 5. Unstable hemodynamic status 6. Pulmonary embolism 7. Compromised skin |
| Expectorant (Mucinex) function | A class of drug to break up and expel mucus |
| Stage 1 lipidema | Skin feels smooth. Fat deposits cause small lumps under the skin |
| Stage 2 lipidema | Lipedema tissue builds up. Lumps grow in number and size. Skin may have indentations |
| Stage 3 lipidema | Lipidema tissue increases and becomes THIK AND HARD. large growths of fat hang around thighs and knees |
| Contraindications for Manual lymph drainage -8 | 1. Acute cellulitis 2. Acute bacterial infections (flu/fever) 3. Untreated cancer 4. Active hemorrhaging 5. Acute blood clot 6. Acute inflammation of joints or vessels 7. Nonstable kidney function 8. Acute cardiac dysfunction (MI, CHF) |
| Contraindications for compression therapy-7 | 1. Acute cardiac dysfunction (MI) 2. Untreated DVT 3. Untreated renal failure 4. Acute cellulitis 5. Sever PAD 6. Untreated cancer 7. Serious, uncontrolled HTN |
| Pitting edema scale | 1+ 2+ 3+ 4+ |
| 1+ on pitting edema scale | 2mm depth Rebounds nearly immediately |
| 2+ on pitting edema scale | 4mm depth Rebounds within 15 seconds |
| 3+ on pitting edema scale | 6mm depth Rebounds within 30 seconds-under 2 min |
| 4+ on pitting edema scale | 8mm depth Rebounds 30 sec or more |
| hYPOventilation could lead to | Acidosis |
| HYPERventilation could lead to | Alkalosis |
| Acute Acidosis = | EMERGENCY |
| PE sx-5 | SOA Coughing hypoxia chest p! MEDICAL EMERENCY |
| Pulmonary edema sx-6 | SOA wheezing/gasping anxiety cough w/ frothy sputum (may have blood) chest p! palpitations |
| What could hemoptysis indicate? | Pulmonary edema Bronchitis PNA PE Lung CA TB |
| What is Pneumothorax | Air leaks into pleural cavity Resulting in a collapsed lung |
| What causes pneumothorax | Trauma such as puncture |
| Pneumothorax sx -5 | Chest p! SOA hypoxia Cyanosis Hypotension |
| What is atelectasis | alveoli deflate causing the lung to collapse |
| What is Graves disease | Autoimmune attack on the thyroid gland |
| Graves disease cardiopulmonary-4 | Dyspnea with exertion Palpitations Tachycardia Arrhythmias |
| Antibiotics purpose | treat bacterial infection (pneumonia) |
| Common antibiotic name | ends with -illin -icin -mycin |
| Antibiotic precautions | Take entire dose |
| Bronchodilators (Beta-2-Agonists) purpose | mimics epinephrine Causing bronchodilation |
| Bronchodilators (Beta-2-Agonists) common names | ends in -ol (albuterol) DIFFERENT THAN -alol |
| Bronchodilators (Beta-2-Agonists) precautions | palpitations |
| Beta blocker purpose | reduce BP and HR -HTN, CHF |
| Beta blockers common names | ends in -alol |
| beta blocker precautions -5 | Bradycardia Orthostatic hypotension Bronchoconstriction Hallucinations PAD |
| Calcium channel blockers purpose | treat HTN anti-ischemic agent antiarrhythmic |
| Calcium channel blockers common names | tend to end with -ipine |
| Calcium channel blockers precautions | Orthostatic hypotension Dizziness edema |
| Heparin x5 | 1. Anticoagulant that is also an antithrombotic 2. IV injection or subcutaneous 3. Happens FAST 4. PTT test 5. Short term |
| Warfarin x5 | 1. Anticoagulant 2. Usually oral pill 3. Takes hours to day to work 4. INR 5. Typically used long term |
| Anti-arhythmic purpose | depressing electrical activity of the heart ex.) A-fib, Heart failure |
| Anti-arhythmic common name | Digoxin AKA Digitalis |
| Anti-arrhythmic precautions -4 | dizziness GI Weakness Digoxin toxicity |
| Digoxin toxicity sx-3 | confusion vision changes tachycardia/irregular pulse |
| Nitrates purpose | treats angina through vasodilation |
| Nitrate common name | Nitroglycerin |
| Nitrate precautions-3 | Orthostatic hypotension HA dizziness |