Older Population
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
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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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Created by:
djbari
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