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Introduction to Physical Therapy Assistant

AB
Cardinal signsx5 vital signs (temp, PR/HR, RR, BP, pulse oximetry)
hypothalamusControls the temperature in the body.
Bradycardiaabnormally slow pulse rate (<60 bpm)
Tachycardiaexcessively high pulse rate (>100 bpm)
PalpitationThe sensation of irregular pulse rate felt by patient
Normal heart rate60-90 bpm (consider 91-100 normal)
ArrhythmiaIrregular rhythm
Oral temperature98.6 deg. F
Rectal & tympanic temperature99.5 deg. F
Axilla temperature97.6 deg. F
Pulse Ratewave of blood passing through the artery of left ventricle
Carotid BPUsed during CPR-easy to monitor
Temporal BPMonitored in infants during anesthesia.
PoplitealMay indicate a blocked femoral artery
Radial BPEasty to locate; most common site for peripheral monitoring.
Doppler Ultrasoundmeasures sound waves reflected off blood cells
TelemetryTransmitter delivers patient's vital signs
Blood PressureForce of blood against inner artery walls
sphygmomanometerBlood pressure cuff
Aneroid sphygmomanometerCircular gauge in 2 mm increments
Mercury sphygmomanometerVertical glass tube in 2 mm increments
Electronic sphygmomanometerNo stethoscope required (calibrated)
Stethoscopeplace ear pieces facing slightly forward
HypertensionHigh BP, including transient, primary or secondary
HypotensionBP below normal
Orthostatic (postural) hypotension BPcaused by standing and can result in syncope
Normal adult RR12-20 breaths/min.
Tachypnea=>24 breaths/min
Bradypnea=<10 breaths/min
OrthopneaDifficulty breathing lying down
ApneaAbsence of Breathing
SOBshortness of breath
DyspneaDifficulty of breathing
Malpracticenegligent or careless performance
nonfeasancefailure to act when there is a duty to.
malfeasanceperformance of an illegal act
misfeasanceimproper performance of a professional act
criminal negligencecareless regard for safety of others
Informed ConsentBased on FULL disclosre of the facts
Uninformed consentIf any of the 4 criteria of informed consent missing
Camp timeThe best part of any day!
Tracey's famous quote"That's all you get."
"The List"A collection of movies to watch.
River WalkFirst date when school wasn't around.
WorkA frustrating and inconvenient activity.
Cardiogenic ShockHeart is not pumping sufficiently.
Hypovolemic SHockLoss of blood or body fluids.
Anaphylactic Shockresponse to hypersensitivity (allergic)
Neurogenic ShockCaused by pain, fright or unpleasant sights
Management of ShockHead lower than LE (supine)
Orthostatic HypotensionDrop in BP bec. of position changes
High Risk PatientsElderly, post-op patients, SCI or PVD patients
Autonomic Dysreflexiaexaggerated reflex of the ANS to noxious stimuli
Myocario InfarctionDecreased blood and Oxygen reaching the heart.
Arterioslerosis, Thrombus & EmbolismCause of Caridac Arrest
CVACerebrovasular accident
ThrombosisBlood clot obstructing BV in brain.
EmbolismMass of undisolved matter
Cerebrovasular insufficiencySudden change in systolic (top) pressure.
TIATransient ischemic attack (warning sign to CVA)
Black and purpleCamp's official colors
Dress codeNo belt and more to follow...
Pink handcuffsNOT a child's toy.
Our first movieMe, Myself and Irene
IntermissionA deliberate stop in a movie, often to practice school.
HypoglycemiaLow blood sugar (too much insulin)
HyperglycemiaToo Much sugar (not enough insulin)
Don't give sugar!!!Advise for hyperglycemic patients.
Base of SupportThe area on which an object rests.
Center of Gravitythe point at which mass of body is located.
Isometricmm contraction with NO motion.
Lever armcan be Force arm or Resistant arm
Lordosisincrease in inward curvature of cervical and lumbar spines.
Pelvic TiltAnt (butt out) post (tuck butt in)
Systolic PressurePeriod of contraction (top)
Diastolic PressurePeriod of relaxation (bottom)
Ventricular BPUsed to measure systolic and diastolic
Stroke Volumevolume of blood pumped per beat
Cardiac OutputVolume of blood pumped per minute
Auscultationlistening to sounds produced by body
Lub SoundOccurs as the AV valves close (ventricles contract).
Dub SoundOccurs as the semilunar valve closes (ventricles relax)
Degree conversionF=(Cx1.8) + 32
THA (total hip arthroplasty) patientsDo not rock them in movement.
Surface positioningAngle betw. W/C & Bed should be parallel or 45-60 Deg.
Hoyer LiftUsed to lift heavy obese pt.
Total assistancept unable to perform any of the work.
Maximum assistancept. unable to support own weight (<25%)
Moderate assistancept does some work (=50%)
Minimal assistancept. doesmost of work (>75%)
SBA Stand-by assistancepatient requires NO hands-on assistance
Contact Guard (CG)hands are on patient to guide/guard.
modified independent assistancePt. performs task indep. but needs assitive device (like AFO)
Inclined Wheelchair positionAlways stand between pt. and incline.
Rough Terrain wheelchairTip chairinto wheelie position.
Stryker FrameTurning frame pt. turned horizontally from prone to supine.
Circ-O-Lectric bed FrameCircular turning frame (pt. turned vertically)
Kinair bed FrameContains air bladders that can be controlled indiv.
Keane, Roto-RestOscillates from side to side to reduce pressure on pt's skin.


8th Grade Civics Teacher
Luther Jackson Middle School
Falls Church, VA

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