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Peat 2 – Questions & Accurate Solutions (Graded A+)
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Peat 2 – Questions & Accurate Solutions (Graded A+)
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Peat 2 – Questions & Accurate Solutions (Graded A+)normal ABI Right Ans - 1.0
ABI > 1.1 Right Ans - relates to arterial calcification in the leg
-artery cannot be fully compressed for valid measurements of pressure at ankles
-mostly found in patients with diabetes
arterial aneurytsm Right Ans - affected artery is dilated causing decreased blood flow and ischemia in the limbs
ABI < 1.0
arterial thrombosis Right Ans - occlusive disease of arteries, causing decreased blood flow to LE
ABI < 1.0
arterial occlusive disease Right Ans - ABI < 1.0 ulcers are usually round and dry
R ventricular failure Right Ans - results in blood back up into systemic venous circulation manifested by edema systemically including, JVD, ascitis, and B pedal edema
hypotension Right Ans - abnormally low BP or fall in arterial BP w/ inc. in exertion or HR results from many causes including dehydration and lack of blood ejected from L ventricle
L ventricular failure Right Ans - results in back up of blood in pulmonary system and decreased cardiac output -dry cough or wheezing; pulmonary edema -paroxysmal nocturnal dyspnea -muscular fatigue and weakness due to decreased CO resulting in tissue hypoxia and inability to remove metabolic waste -tachycardia
-light-headedness
-pallor
-cyanosis
normal WBC # Right Ans - 4,500-11,000 / mm^3
WBC # leukocytosis Right Ans - > 11,000-15,000
leukopenia WBC # Right Ans - caused by immunosuppression < 4,000
hand placement for upper lobe excursion Right Ans - hands places over ant.
portion of first four ribs with fingers over upper trap
hand placement for diaphragm excursion Right Ans - hands placed over ant. chest w/ thumb over costal margin so tips of fingers almost meet at xiphoid
hand placement for upper posterior lobe excursion Right Ans - fingrers over traps w/ palms on posterior thorax
hand placement for middle lobe excursion Right Ans - hands placed over lower libs
normal response for oxygen saturation to exercise Right Ans - 98-100%
if it drops below 90% with activity, decrease exercise intensity
normal hemogloin Right Ans - males: 14-17
females: 12-16
normal PaCO2 Right Ans - 35-45 mmHg
normal PaO2 Right Ans - 80-100 mmHg normal pH Right Ans - 7.35-7.45
normal HCO3- Right Ans - 22-26
Cheyne-Stokes respiration Right Ans - irregular respiration pattern characterized by period of apnea followed by gradually inc. depth of respiration -often observed w/ depression of cerebral hemispheres (e.g., coma), in basal ganglia disease, and occasionally with CHF
bradypenia Right Ans - regular respiration pattern characterized by rate of less than 10 breaths/ min
-associated w/ impairment of respiratory control center and may occur with increased intracranial pressure, drugs, or metabolic disorder
tachypenia Right Ans - regular respiration pattern characterized by rate of more than 24 breaths/ min
-associated w/ respiratory insufficiency and fever as body attempts to rid itself from excess heat
Biot respirations Right Ans - irregular respirations pattern characterized by highly variable respiratory depth and intermittent periods of apnea
normal MAP Right Ans - 70 -100
if lower, unable to perfuse vital organs
normal blood glucose Right Ans - 70-100
s3 heart sound Right Ans - signs of CHF
s4 heart sound Right Ans - signifies rapid ventricular filling after atrial contraciton and is consistent w/ a presentation of systemic HTN, cardiomyopathy, or coarctation of the aorta stridor Right Ans - indicates upper airway obstruction
contraindications to aquatic therapy Right Ans - -Cardiac failure and unstable angina
-Respiratory dysfunction/vital capacity <1L
-Severe peripheral vascular disease
-Danger of bleeding or hemorrhage
-Severe kidney disease (pt's unable to adjust fluid levels)
-Open wounds without occlusive dressings, colostomy, skin infections
-Uncontrolled bowel or bladder
-Water and airborne infections
-Uncontrolled seizures
breathing pattern of C6 ASIA A SCI Right Ans - has full use of diaphgram but lacks innervation of abdominal and intercostal muscles -outward motion of abdomen and inward motion of upper chest
venous insufficeincy Right Ans - presents with hemosideran staining and lipodermatosclerosis ulcers at medial ankle that are irregular in shape and highly exudate good peripheral pulse
exam with venous filling time if time < 15 sec = venous insufficiency
secondary lymphedema wound Right Ans - wounds usually a result of cracking or dry skin from chronic fibrosis
arterial insuffieiency Right Ans - skin pale and cold
ulcers seen at lateral malleolus and toes examine with dorsal pedal pulse
how to examine surface arterial blood flow Right Ans - capillary refil
what does sensory filament testing examine? Right Ans - peripheral sensation
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