Cardiopulmonary, gastro, renal, endocrine, integumentary systems

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Author:
chalford23
ID:
227840
Filename:
Cardiopulmonary, gastro, renal, endocrine, integumentary systems
Updated:
2013-08-07 14:44:54
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cardiopilmoanry
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Description:
cardiopulmonary
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  1. Hot, dry, red skin
    Labored breathing
    • Heat stroke
    • Call ambulance after placing ice compresses on the arterial pressure points
  2. 1.4-2.0 MET criteria
    crafts & shaving
  3. 1.0-1.4 MET cireria
    self-feeding, reading, deep breathing, table top games
  4. Showering
    2.0-3.0
  5. T/F Isometrics are contraindicated at Stage II of Cardiac recovery
    T
  6. A. Overweight
    B. Obese
    c. Morbidly obese

    BMI greater than 40
    BMI 25-29.5
    BMI greater/equal to 30
    • A. 25-29.5
    • B. greater/= 30
    • C. greater than 40
  7. Obesity risk factors
    • 1. cardiopulmonary compromise
    • 2. altered biomechanics (hips, kneed, ankles, back)
    • 3. pressure ulcers
    • 4. lymphedema, cellulitis, skin fold dermaties
    • 5. increased heat intolerance, risk of HYPERTHERMIA & heat exhaustion
    • 6. risk of OT injury when using poor transfers/body mechanics when transfering.
  8. MI Symptoms
    • 1. Severe substernal pain more than 20min may radiate to neck, jaw, arm, epigastric area
    • 2. dyspena, rapid respiration, SOB
    • 3. Indigestion (may misinterpret for indigestion), nausea, vomiting
    • 4. pain unrelieved by rest or sublingual nitroglycerin
  9. Ind. calf is swollen, warm, & painful.  What symptoms is this referring to & what should you do.
    DVT, call charge nurse/get medical attention immediately.
  10. T/F Isometric exercises are best for ind. who want to increase strength s/p angioplasty
    • F-isometrics are contraindicated for ind. with hypertension or heart disease
    • Contract-relax exercises & muscle contraction & holds are types of isometric exercises.  
    • Isotonic exercises are appropriate.
  11. Symptoms of Scleroderma
    • CREST
    • calcinsos
    • raynards
    • esophageal dysfunction
    • sclerodactyly (thick, tightening of skin)
    • telangiectasis (red spots)
  12. T/F LE activities such as walking increase cardiovascular response more than UE exercises such as peeling potatoes or propelling W/C.
    F- UE act. increase cardiac response more than LE.
  13. METS
    1. Grooming while standing
    2. Grooming while seated
    3. Showering while standing
    4. Perform light housework
    5. Shaving & crafts
    6. self feeding, reading, tabletop games, deep breathing
    • 1. 2-3
    • 2. 1-2
    • 3. 3-4
    • 4. 3-4
    • 5. 1.4-2
    • 6. 1.0-1.4
  14. 2 ways to decrease gag reflex
    • 1. press down firmly on center of tongue
    • 2. apply pressure distally to proximal
  15. T/F During videofluoroscopy the OT would start with thin liquids
    • F-OT starts with foods that don't present problems & then progresses to liquids. First step in introducing liquids is to start with thick liquids.  
    • EX: If ind. can tolerate stage II foods (mashed & pureed, then start with stage III (diced/minced) then to cereals, then to thick liquids.
  16. T/F Profuse sweating & nausea typically accompany orthostatic hypotension
    F-If pt feels dizzy, weak, nausea, sweating, and unsteady, sign of hypoglycemia.
  17. Thromboangiitis Obliterans or Buergers disease
    • diminished temperature sense, paresthesias, pain, and cold extremities.  
    • common in young men who smoke.
  18. Timing OT uses to assess pt. HR
    • 1-2 min prior to tx
    • during
    • at cessation
    • 5 min post activity.

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