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Older Population

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
   
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  amount of blood ejected from ventricles  
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Venous Return   amount of blood returned to right atrium  
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Blood Volume   blood in body (~8% wt), 30 cm/sec (20 minutes to circulate thru body)  
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Arrhythmia   Irregular beat pattern, fluttering, throbbing, lightheaded, SOB, dizzy  
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Cardiac Ischemia   Decrease blood supply, tightness/pain in chest, jaw, arm, back (left>right), nausea, heartburn (GERD)  
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Deep Vein Thrombosis (DVT)   Clotting common in LE (redness, swelling, warmth)  
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how to test for DVT?   Homan's sign, pressure on calf, w/ or w/o putting into dorsiflexion creates pain + for DVT  
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Embolis   break & travel  
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If someone has signs of rapid breathing, SOB, chest pain - could be?   pulmonary embolus  
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Congestive Heart failure   decreased ventricular function = not meeting body's metabolic needs  
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patient has SOB, edema, dizzieness/lightheaded, distension, fatigue, anxiety, S3 sound in chest (ventricular gallop)....sign of?   Congestive heart value (CHF)  
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Hypertension   Elevated arterial BP, systole and diastole  
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normal BP for infant   90/60  
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normal BP for children   120/80  
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normal BP or adults   140/90  
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before therapy w/every patient you should?   take vitals  
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COPD   Emphysema, Bronchitis, Asthma  
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emphysema   decreased elasticity & air exchange  
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bronchitis   inflammation of mucous membranes  
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asthma   inflammatory & spastic response of airways  
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patient is barrel chested, accessory breathing, SOB, pain, presents as?   Emphysema  
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patient presents with cough, decreased PO2.....could have?   bronchitis  
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patient presents with wheezing, coughing, SOB   Asthma  
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be sure the patient has with them _____if they have asthma.   inhaler if putting on any cardio equipment  
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patient assessment by auscultation   listening - with a stethoscope, heart rhythm, wheezing, rales  
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Assess a patient w/percussion drainage   tapping chest or lung area to help clear lungs  
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Assess a patient w/palpation   check for tenderness, HR, RR  
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Peripheral Artery Disease (PAD)   narrowing or blockage @ the periphery, inc w/activity causing inc in pain  
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assess a patient by observation   cyanosis, edema, posture (thorax & abdomen), accessory breathing  
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what does ECG/BP test?   stress while on a treadmill, UBE or IV  
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what does MET measure?   energy cost of a physical activity  
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How does diaphragmatic breathing help?   push out air from inside "big ring of muscle"  
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how can we help patient w/incontenance?   strengthen pelvic floor, keegles  
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what breathing technique to help relax?   PLB, pursed lip breathing  
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Swing phase of gait is?   initial swing, midswing, terminal swing  
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stance phase of gait is?   initial contact (heel strike), loading response, midstance, terminal stance, pre-swing  
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what ROM required for Ankle DF?   10 degrees  
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ROM PF for gait?   20 degrees  
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what knee ROM needed for proper gait?   Flexion 60 degrees, extension 0 degrees  
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What hip ROM for proper gait?   flexion 30 degrees, extension 10 degrees, trunk/pelvis rotation ~ 5 degrees  
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what is normal temp for older person?   96.5 - 97.5  
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Orthostatic hypertension   can occur w/aging or neurologic pathology, venous pooling w/prolonged supine, return compromised w/position change  
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Valsalva   forced exhalatoin against closed glottis (nose & mouth shut off), causes decrease in BP followed by an "overshoot" post release (spike in HR & BP) & then an autonomic response  
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person is agitated, mild memory loss, signs of?   Alzheimer's  
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person having progressive memory loss, "tip of the tongue" moments more often, sign of?   Dementia  
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patient presents w/sensory chgs, pain, weak, fatigue, spasticity, balance & coordination problems, speech problems, cognition, integumentary, emotional, bowel/bladder   MS  
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patient presents w/sensory, motor, weaknessautonomic, cranial nerve issues, acute onset, plateau quickly to bed rest   Guillain Barre  
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how to treat Guillain Barre?   maintain ROM, careful of skin, don't fatigue, functional, endurance, balance, gait, strength  
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patient fasciculations, depressed reflexes, bulbar involvement, dysarthia, lability, dysphagia, spasticity, fatigue, cramps   ALS  
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dysarthria   difficulty articulating words  
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dysphagia   difficulty swallowing  
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ROM needed for gait, DF, PF, Knee, Hip   DF 10......PF 20.....Knee flex 60......Hip flex 30.......Hip ext 10  
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