HIPPA we stand by
If your BP cuff is too small, it can ____ a patient's BP
overestimate
A patient with a left lung pneumonia should be positioned on their ___ side to promote v/q matching
good lung down, therefore, right side lying
An obese patient presents to you with a productive cough that has lasted 4 months over the winter. They report they've had this "winter cough" every year for the 3 years.
Upon examination: they have yellow sputum, a mix of tactile fremitus and percussion findings depending on if it's over an area of secretion retention or air trapping. What disease is this?
chronic bronchitis
High risk patients require what prior to starting a moderate intensity exercise
med screen, stress test, MD supervision
ECG changes with large acute MI with injury to myocardial tissue
STEMI (elevation)
If a patient has increased tactile fremitus and dull percussion; it aligns with what probably finding or type of lung disease
what is a restrictive lung disease (or consolidation)
A patient has consolidation in the left lower lobe. How should they be positioned to help with postural drainage?
DAILY DOUBLE
tredelenburg, supine, 1/4 turn to be on their right side (eg. left shoulder proper up)
A patient's findings include an recent bout of respiratory distress, severe hypoexmia and decreased lung compliance. They have cyanosis, dull percussion, severe ↓PaO2 and PaCo2. What do you suspect?
Acute repository distress syndrome (RLD)
Name 5 ways to measure intensity? why does this matter?
RPE, HRmax, HRR, RIR, vo2max, METS, etc....
What is the cause of barrel chest vs pigeon chest?
barrel: chronic hyperinflation
pigeon: congenital
The amount of air that remains in lungs at resting respiratory level?
FRC = ERV +RV
Suction should last no more than ____ seconds per pass and also ____ seconds between passes
10-15, 30 seconds to prevent complications
A female patient has developed penumothorax. They have been on mech vent for the last 7 days in the ICU. What type of pneumothorax do you suspect? What does this mean?
tension: tear in pleura from (now one way valve and air can't get out)
medical emergency!!! code blue
What is the main difference between adminstering a maximal and sub maximal exercise test for PT's
DAILY DOUBLE
We can't perform a maximal (not able to resuscitate/provide meds)
Physio can complete submax
Describe the 2 types of pleural effusions
exudative: leaky (more permability)
transudative: too much hydrostatic pressuree
ABG values:
pH: 7.48; PaCO₂: 40 mmHg; HCO₃⁻: 32 mEq/L
Uncompensated Metabolic Alkalosis
Name the 3 types of precautions for infection control
contact percussion (transmission through in/direct contact)
droplet: respiratory tract
airborne: aerosolized
A patient is being invesitaged for an infectious lung disease as they have systemic symptoms and a productive cough that used to be dry.
turburculosis
Name 5 indications to terminate an exercise test/session
fatigue, signs of poor perfusion, SOB, wheeze, angina onset, leg cramps, drop in SBP, excessive BP, no change HR< subject requires to stop, equipment breaks
movement of fluid to generate pulmonary edema
DAILY DOUBLE
from pulm. capillaries to interstitial space to alveolar space
List 1 Differential diagnosis for the following mucous colours.
(1) white (2) green (3) pink and frothy (no, not a smoothie)
1. normal (or asthma)
2. purulent: infection, emphysema, pneumonia, bronchiectasis, limb abscess
3. pulmonary edema
What are 2 pro's and 2 cons of performing ACBT's or Autogenic dainage
pros: no equipment, independent,
cons: active (patients want passive), time,
A patient is experiencing dyspnea, specifically paroxysmal nocturnal dyspnea, fatigue, and weakness. What does this patient have
left sided HF
-giveaway: PND
What are the 3 questions to quantify risk prior to exercise
1. known CV/metabolic/pulm disease
2. S/S of CV/metabolic/pulm disease
3. number of CV risk factors (eg. age, FHx, smoke, obesity, HTN, DM, etc)
lung/bronchial modifications to airways with CF (there's 4)
thick, sticky mucous blocks airway, bacterial infection, widened airway, blood in mucous