Orthopedics
Name 2 ways patients can prevent blood clots?
- Wear compression socks
- Elevate feet
- perform ankle pumps
- Take anticoagulant as prescribed
- walk every hour
Name 2 signs or symptoms that demonstrate a patient is having worsening heart failure?
- weight gain 2-3 lbs in a day or 5 in a week
- frequent need to urinate
- palpitations or irregular pulse
- Vague feeling of being confused
- difficulty sleeping in a flat position
- loss of appetite, indigestion, nausea or vomiting.
- swelling in feet, legs, or stomach
What is Idaho's state nickname?
Gem State
Name 2 things a patient can perform to slow breathing when feeling anxious?
1. pursed lip breathing
2. Belly Breathing
3. Visualization
4. Guided Imagery
5. Progressive muscle relaxation
6. Music
7. Mindfulness
What do you do if the DC instructions the patient has, is different than the protocol?
Follow the DC instructions for that visit as they take precedence over the protocol. Notify RPD of discrepancy after the visit.
Name 2 things that you can educate the patient on to manage their heart failure? (also found in the "to do list")
1. Weigh yourself daily
2. Take medications as directed
3. Keep MD appointments4.
4. Eat well
5. Keep moving
6. Stop smoking
7. Plan for the future
8. know their BP
How many counties does Idaho have?
44- and fun fact Kaitlyn can name them all ;)
Name 2 things that would indicate your patient is in the yellow zone for breathing management?
1. Phlegm increase, color change, or thickening
2. Coughing or wheezing increase after taking medications
3. Meds are not helping
4. More trouble breathing or coughing with activity
5. Need extra pillow to sleep
6. Reduced appetite
7. Temperature 98.6-100.4
What are 2 things that must be documented every visit with a patient following a Total Knee Arthroplasty? +
- Knee extension
- Knee flexion
If a patient is on a protocol with a cardiologist, and is currently in the yellow zone, what would be your next step?
- refer to protocol, and if it indicates, it is okay to give the patient an extra dose of prescribed diuretic.
- call MD if symptoms do not improve
Which Idaho national monument contains the deepest river gorge in North America?
Hells Canyon National Recreation Area
What are the 2 things that a patient must be proficient in prior to using the blue breather?
Diaphragmatic breathing or pursed lip breathing
Incentive spirometer
Name 2 things on the patients Post Op "To do list".
1. manage meds as directed
2. manage my pain
3. prevent constipation
4. prevent infection
5. Manage Swelling
6. Prevent blood clots
7. Schedule and keep MD appointments
8. Keep moving
9. Avoid Falls
10. Do my exercises
What score on the heart failure index is an "adequate" self-management score?
70+
pg 13 of heart failure book.
Idaho Produces more of this crop than any other state in the US, but it isn't the potato. What is it?
Lentils
On the Modified Borg scale, when should a patient stop activity and sit down to allow for better breathing?
5+
Modified Borg is 0-10, 5 is severe (unable to speak during activity or exercise)