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Clinical Practice Exam 1 - Lab Material
Terms in this set (56)
what is the gait belt used for in regards to contact guarding or minimal assistance?
it provides a contact point for control of the patient's movement from a proximal position
what is the gait belt used for in regards to moderate or maximal assistance?
it provides a mechanical advantage
how to you find the cuboid when palpating?
find the base of the 5th metatarsal and go proximal
what movement can you do to help you find the talus?
inversion and eversion
a patient saying they feel nauseated would be a (sign/symptom)
a patient vomiting twice would be a (sign/symptom)
what are the 4 internationally recognized vital signs?
1. heart rate
2. blood pressure
3. respiratory rate
what are the 4 different kinds of heart rate and what do they mean?
1. basal HR - pulse rate measured after an extended period of rest, also an indication of CV function in the absence of physical stress
2. resting HR - without imposed stress
3. periactivity HR - during intervention, it's the measurement of the CV system's capacity to provide blood flow during imposed physiological or physical stress
4. recovery pulse rate - taken 1-3 minutes following intervention , it's the measurement of the CV system's recovery capability following the imposition of physiological or physical stress
how do you tell if a patient has poor patency?
if there's a presence or absence of a pulse at a given site
what do you do if you have a patient with a lack of patency without a known pathology?
immediately refer them to an MD
what are some signs of poor patency?
1. trophic (nutritional) disorders such as loss of hair, dry or flaky skin, and muscle atrophy
2. skin temperature may be decreased in areas of decreased patency
3. blanching (skin becoming white or pale)
in absence of pathology, how do you calculate ones max HR?
220 - age
what is the numerical scale for assessing pulse/HR and what does each number mean?
0 (absent) = no perceptible pulse even with max pressure
1 (thready) = barely perceptible, easily obliterated, fades in and out
2 (weak) = difficult to palpate, slightly stronger than thready, can be obliterated with light pressure
3 (normal) = easy to palpate, requires moderate pressure to obliterate
4 (bounding) = very strong, hyperactive, not obliterated with moderate pressure
what is the normal HR range for adults?
what is the normal HR range for children (1-8 years)?
what is the normal HR for infants (1-12 months)?
what is the normal HR for newborns?
what is auscultation?
monitoring of the heart using a stethoscope
what are doppler measurements?
US based device that uses frequency of blood flow changes during blood flow to examine patency
are the ventricles relaxed or contracted during systole?
are the ventricles relaxed or contracted during diastole?
what vital sign is the key indicator of the health of the CV system?
which arm do you take BP on and what are the exceptions?
the left arm, except for stroke or lymphedema
what is normal systolic for adults?
what is normal diastolic for adults?
what is normal systolic for children (ages 1-8)?
what is normal systolic for infants (1-12 months)?
what is normal systolic for newborns?
what is normal BP?
what is considered elevate BP?
what is considered hypertension stage 1?
what is considered hypertension stage 2?
what is considered hypertension stage 3?
exercise termination and an immediate referral is warranted when a patient with hypertension and on medication has a blood pressure of
an abnormal BP response to physical activity would be diastolic increasing or decreasing by how much?
diastolic increasing by more than 10 mm Hg
an abnormal BP response to physical activity would be systolic responding how?
not rising OR falling >10 mm Hg
how much does systolic and diastolic drop with OH?
-systolic drops >20 mm Hg
-diastolic drops >10 mm Hg
what is pulse pressure?
the difference between systolic and diastolic
what is the ankle brachial index (ABI)?
ABI = highest posterior tibial and or dorsal pedis reading/highest brachial reading
what is the normal respiration rate for newborns?
what is the normal respiration rate for infants?
what is the normal respiration rate for children?
what is the normal respiration rate for adults?
rating of perceived exertion goes from
6 (very very light) to 20 (very very hard)
what is a normal ROM for the shoulder joint flexion?
what is the normal ROM for the GH joint flexion?
what is the end feel for flex, ext, IR, ER and abduction of shoulder and GH?
what is normal ROM of extension of GH joint?
what is normal ROM of extension of shoulder joint?
what is normal ROM for GH and shoulder abduction?
GH = 120-125
shoulder = 180
what is normal ROM for internal rotation of the shoulder complex?
what is normal ROM for external rotation of the shoulder complex?
what is normal ROM of elbow flexion and end feel?
what is normal ROM for elbow extension and end feel?
what is normal ROM for pronation and end feel?
80, hard or firm
what is normal ROM for supination and end feel?
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