Gait/Stairs
Your patient is an 85 yo female with a left CVA. When performing gait training, which side would you guard on?
Your obese patient has ended up on the floor and cannot get up with the help of the staff. PT is called into to assist. What device do you bring?
Hoyer lift/sling
What is the ICP limitations for PT?
>20mmHg = likely no therapy
Your patient had an Intra-Aortic Balloon Pump with femoral access on the left. What is/are the PT implications:
No hip flexion
(bed rest x 8hrs after removal, bed rest but may do bed level ex, HOB below 30* to prevent catheter migration)
Your patient is suspected to have TB. What type of precautions would you expect with this diagnosis?
Airborne
Your patient is a 22 yr old male s/p MVC NWB on the RLE. He is ambulating with crutches. He has a flight of stairs to enter is bedroom with no railing. What pattern/order do you teach?
up: LLE, Crutches/RLE
down: Crutches, RLE (hovering), LLE
When determining what type of walker you would use with your morbidly obese patient, what is the most important factor to consider related to the device?
Weight capacity
An arterial line becomes dislodged during your PT treatment. What is the most first thing you should do?
Apply pressure and elevate. (call for a nurse)
What medication is given to patient's suffering an ischemic stroke?
Your patient is on contact precautions. What does this mean you as a therapist should don prior to entering?
Yellow gown, gloves (after hand hygiene)
You perform gait with your patient. They ambulate 50 ft with a step to gait using a roller walker with CGA. Where do you document this in your note?
Objective
Your patient had bilateral tibial Fx and is NWB BLE. What is the most appropriate AD to use for this patient for transfers?
Sliding board
Your patient has suffered at TBI. They have increase in intercranial pressure. What is the device that will be inserted into their ventricle?
IVC (Intraventricular cath)
Your patient has a RASS score in the ICU of -2 . What do you expect of the patient?
Briefly (less than 10 seconds) awakens with eye contact to voice
What device is used to treat advanced heart failure
LVAD (left vent assist dev)
Patient is POD 0 from a right TKA. What is the gait pattern you would use to initiate gait training.
Step to, 3 point gait.
Crutches
Which devices provides nutrition but BYPASSES the stomach/GI?
TPN
What are 2 risks of being over sedated while in the ICU
Delirium
Pneumonia/Lung Injury
Neuromuscular dysfunction
What device is used in the ICU when both the heart and lungs are failing?
VA ECMO
VV ECMO is used with lung only problems
Your a patient is NWB on the LLE, has a BMI of 30. They have no rails but 3 steps to enter. They live alone. What is the safest technique to teach for stair negotiation?
Backwards, walker adjusted
What assistive device would you choose for someone who has normal balance, no WB restrictions, but endurance limitations?
4WW / Rollator
What is important to remember about the level of an EVD (External Ventricular Drain)
Your patient has been in the ICU for 2 weeks. They became septic and now are presenting with remarkable weakness. This is known as:
Critical Illness Polyneuropathy (CIP) or Critical Illness Myopathy (CIM)
What is the device used only in the ICU and is used to assist the body by replacing the normal blood filtering function of the kidneys?
CRRT (Continuous Renal Replacement Therapy)