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PT Evalution
| Question | Answer |
|---|---|
| What are the four critical life functions? | ventilation = moving air in and out of lung Oxygenation = getting oxygen into blood Circulation = moving blood through the body Perfusion = getting blood ,oxygen into tissue |
| Which of these Life fuctions is the first priority? | ventilation = moving air in and out of lung establish open airway and breath |
| What assessments would determine how well a patient is ventilating? | respiratory rate, tidal volume, chest movement, breath sounds, PaCO2 |
| How would the therapist determine if a patient has a problem with Oxygenation? | Heart rate, color, sensorium, PaO2 |
| What information would help the therapist determine if a patients Circulation is Adequate? | Puls/heart rate and strength, cardiac output |
| What changes would indicate that a patient may not have adequate Perfusion? | Blood pressure,sensorium,temperture,urine output,hemodynamics |
| Explain the difference between "Signs and Symptoms" and list example of each. | Signs = Objective information, those things you can see or measure EX.(color,pulse,edma,blood pressure) Symptoms = Subjective information, those things a patient must tell you EX. (Dyspnea,pain,nausea,musle weakness) |
| What are in the Admission Notes,when you look at in a Patient Chart? | Admittimg diagnosis,History of present illness, Cheif complaint,Past Medical History. you want to look at everything |
| List the 8 items that are important to examie when reviewing a patients chart? | Admission Notes,Signs and Symptoms,Occuption or employment History,Allergies or Allergic Reactions,Pior surgery(illness or injury),Vital Signs,Physical Examie of Chest, Smoking History, Advance Directives |
| Define Advance Directives | Set of instructions documenting what treatment a PT would want if he was unable to make medical decisions |
| Types of Advance Directives | Do Not Resuscitate Living will Durable Power of Attorney for Health Care |
| A properly written order for respirtory care should include what four factors | Type of Treatment Frequency Medication dosage and dilution Physician Notes |
| The Respiratory therapist has just finished administering an aersol treatment with albuterol to a child with asthma. How should the treatment be charted? | Respiratory = record date,time,reactions, |
| What is the normal value for urine output? | Normal Urine Output 40 mL/hr (approximately 1 Liter/day) |
| What finding might indicate that the patients fluid intake has exceeded his urine output? | Weight Gain Electrolyte Imbalance Increased Hemodynamic Pressures Decreased Lung Compliance |
| Changes in what reading can indicate Hypovolemia? | Deacreased CVP (< 2 mmHg) can indicate Hypovolemia |
| Changes in what reading can indicate Hypervolemia? | Increased CVP (>6 mmHg) can indicate Hypervolemia |
| Patient interview/History Term Semicomatose Define | Responds to only pain stimuli |
| Patient interview/History Term Lethargy/Somnolence: Define | Sleepy |
| Patient interview/History Term Obtunded Define | Drowsy state, may have a decreased cough or gag |
| When assesing a patients orientation to time, place and person, what are some of the factors that could affect the patients ability to cooperate? | Language difficulties Influence of Medications Hearing Loss Fear,Apprehension,Depression |
| Define "Activties of Daily Living" (ADL) | Activities of daily Living are the basic tasks of everyday living |
| List the Six criteria that "Activties of Daily Living" (ADL)are based upon. | Bathing with sponge, Bath or shower Eating - Dressing Toliet Use - Transferring Urine and bowel continence |
| Describe what a "Katz ADL" score of 1 indicates. | A score of 2 or less indicates servere impairment and the patient requires assistance when performing any activity |
| Measuring Subjective Symptoms Define Orthopnea | Difficulty breathing except in the upright position (hert problem,CHF) |
| Measuring Subjective Symptoms Define General Malaise | Run down feeling, Nausea, Weakness, Fatgue, Headache (Electrolyte Imbalance) |
| Measuring Subjective Symptoms Define Dyspnea | A Feeling of Shortness of Breath or Difficulty in Breathing |
| Measuring Subjective Symptoms Define Dysphagia | (Difficulty Swallowing) and Hoarseness are also common Symptoms |
| What should the therapist consider while conducting a patient interview? | Ask open- ended question, not yes or no question Communicate using simple language (KISS Method) Utilze pictures, Diagrams, Begin to Identify the patients major problem |
| Define Patient Learning Needs | Patient education is the process of influencing patient behavior and producing the changes in Knowledge, Attitudes and Skills necessary to maintain or improve health. |
| What criteria is a patients ability to learn based upon? | Cultural and Religious values Emotional Barriers,Language Barriers Desire and Movativation to learn Age and Eduction Level Physical and Cognitive Limitions |
Created by:
Cam1228
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