I CBC You
An upward trend in these cells can be caused by chronic inflammation, infection, surgery or stress. Symptoms may include bruising, unintentional weight loss, and malaise. A consideration for therapy might be to see the patient in the afternoon as there are low levels of me in the early morning and a peak in the late afternoon.
What are WBC's?
When this is high, your patient is said to be dry. This can also lead to hypertension, tachycardia, thirst, changes in mental status and with severe cases, seizures and coma. Lab values of > 145 mEg/L.
What is hypernatremia?
This LMWH drug can be used to prevent and/or treat blood clots. Mobilizing patients should be performed after 5 hours.
What is Lovenox?
This vasculature closure device allows a stitch to be used to close the blood vessel. It does not need to be removed and will dissolve within a few weeks. Mobility can resume following only an hour of bedrest for the affected limb.
What is Perclose?
What is d/c plan for HPT with 24 hour assist vs SAR
An increase in this blood product can be caused by malignancies, splenectomy, or hemorrhage.
Symptoms can include chest pain, tingling in the hands and feet and dizziness. Elevated levels can also lead to thromboembolism.
What are platelets?
Presentation of DKA elevates this endocrine lab value, greater that 400mg/dL or <60 mg/dL presents as an absolute contraindication for PT.
What is Glucose?
These 3 NOACs can be used to treat and prevent DVT’s and patients can be mobilized after 3 hours of administration.
What is Pradaxa, Xarelto, Eliquis?
Your patient is s/p cardiac cath 36 hours ago with inability to flex at right hip without severe discomfort & their H/H is downtrending. They are pending ultrasound to r/o_____________?
What is a pseudoaneurysm?
Your chart review indicates your patient is wheelchair bound from a NH, the patient endorsed being on PT program within her facility 2 sessions a week and transfers with a hoyer lift for 3 years. She is requesting you to send her to SAR for more therapy because she is not getting enough PT.
What is DISCHARGE from inpatient PT?
Thrombocytopenia is caused by leukemia, radiation/chemotherapy, pregnancy and liver disease.
There is a low level of platelets ( <150k/ul). There is an increased risk of this that therapists should be aware of when mobilizing patients.
What is spontaneous hemorrhage?
High _______ is said to effect :
Bones (pain)
Stones (renal)
Thrones (diarrhea)
Groans (Abdominal pain)
Psych overtones (Confusion)
Decreased values can lead to AMS, tingling in extremities and abnormal heart rhythm.
What is Calcium? Normal Values 6-10
INR (International Normalization Ratio 0.8-1.2) and PT (Prothrombin Time 11-13 seconds) identify bleeding risks for what anticoagulant? As opposed to aPTT (activated Partial Thromboplastin Time 21-35 seconds) for UFH (Unfractionated Heparin).
What is Coumadin? *Trade name Warfarin*
This Criteria is the most commonly used tool used to screen for LE DVT. It consists of a 9 clinical variables that stratify risks for the hospitalized acute care patient including: active cancer, bedridden >3days, calf swelling, localized tenderness, pitting edema of the involved extremity.
What is Wells Criteria?
IV's, PEGS, PICC
What is do not disconnect?
The normal values of Hgb in men are 14-17 g/dL and women 12-16 g/dL, with values being decreased in the elderly. These values _________ (on the low and high end), are considered critical values in the acute care setting.
What is <5-7 & >20g/dL?
Downtrending __________ can lead to Headache, Lethargic, Decreased reflexes, Nausea and vomiting, Diarrhea, Orthostatic hypotension, Pitting edema. Mnemonics to indicate Acute intervention with "Low Uhoh, seizures, coma"
What is Hyponatremia? <130 mg/dL
An INR of 2.5-3.5 is the therapeutic range for patients with __________.
What are prosthetic heart valves?
After this line is removed patients are on bedrest for 1 hour and a follow CXR is required before mobilization to ensure they are without complications of PTX.
What is a Chest Tube
Portable wound vacs may require this preparation for hallway mobility.
What is disconnecting from charger? Inquire with team for disconnection from battery pack, ensure ends are clamped & sterile gauze for infection control.
This closely related lab value to Hgb can also cause spontaneous blood clotting if levels are critically high. Patients with a high level of this may have impaired endurance so you’ll want to progress with caution.
What is Hematocrit?
These patients are at high risks for cardiac arrhythmias with serum levels > 5.5 mEq/L. Severe cases can lead to Bradycardia, V-Fib, High level HB's & cardiac arrest.
What is hyperkalemia?
Fondaparinux (Arixtra) is known for its decreased risk of _______, or low platelet count due to anticoagulation, causing fever, chills, high BP, tachycardia, CP and sometimes a rash.
What is HIT (Heparin Induced Thrombocytopenia)?
After ICD/PPM insertion precautions are as follows: no shoulder flexion above 90 degrees, no heavy lifting >15 lbs 2-4 weeks and patients are generally on bed rest for this many hours.
What is 2-3 hours?
Your patient for eval is a recent admission well known to the palliative care team with stage IV cervical cancer with mets to pancreas, she returns from home hospice with insufficient care. She requires max encouragement to participate and is a dependent transfer bed-chair.
What is, evaluate patients ability to participate with Rehabilitation? SAR vs inpatient Hospice??