Karteikarten
Modalities
Karten in diesem Stapel (65)
- 1Contraindication for heat.1. acute/ subacute inflammation
2. impaired circulation/ sensation
3. DVT
4. impaired cognition
5. Malignant tumor
6. tendency toward hemorrhage or edema
7. too old, too young - 2T/F: heat cannot be used for any inflammatory conditions.F. May use heat if subacute or chronic.
- 3Contraindications for ice1. impaired circulation
2. impaired sensation
3. peripheral vascular disease - 4Contraindication for ultrasound.1. acute infection
2. impaired circulation/ cognition/ sensation
3. malignancy
4. do not apply over chest if patient has pace maker
5. too young or too old
6. thrombophelebitis - 5Select the frequency for US: 1MHz or 3 MHz?If superficial: 3 MHz
If deep or obese: 1 MHz - 6Choose the intensity: 0.3 w/cm2 or 1.5 w/cm2Lower + pulsed: acute conditions, thin tissue
Higher + continuous: chronic conditions, thick tissue - 7____ and ____ allows US to penetrate, while _____ and ______ absorb the energy.Fat and water allow penetration.
Muscle and connective tissue allow absorption. - 8Your patient is pregnant. Which areas should you avoid using ultrasound treatment?1. low back
2. abdominal area
3. pelvis - 9Force for traction for: 1. cervical 2. lumbar1. cervical: 20 - 30 lb
2. lumbar: 25 - 65 lb - 10Neck positioning for cervical traction: 1. C1-4 2. C5-7 3. cervical disc1. C1-4: 0-5 deg flex
2. C5-7: 20 - 30 deg flex
3. cervical disc: neutral. - 11Preferred positioning for lumbar traction: 1. spinal stenosis 2. disc herniation1. supine with 90/90 on a bolster
2. prone without pillow - 12Contraindications for traction1. impaired cognition
2. spinal tumor/infection
3. spondylolisthesis
4. RA
5. osteoporosis
6. vascular compromise - 13Acute strain, contraindication or precaution?Precaution.
- 14Hiatus hernia, contraindication or precaution?Precaution
- 15Joint instability, contraindication or precaution?Precaution
- 16Pregnancy, contraindication or precaution?Precaution
- 17TJM dysfunctions, contraindication or precaution?Precaution.
Remove dentures. May provide padding using mouth piece or gauze. - 18TIme indicated for intermittent compression.2 hours per day.
- 19Who may benefit from intermittent compression?1. chronic edema
2. lymphedema
3. stasis ulcer
4. traumatic edema
5. venous insufficiency
6. amputation - 20Contraindications for compression therapy.1. acute inflammation/ infection of the treatment area
2. acute DVT/PE
3. arterial insufficiency
4. cancer
5. diminished sensation/ cognition
6. kidney or cardiac insufficiency
7. hypertension
8. obstructed lymph channels
9. fracture or very frail elderly - 21After which procedures are you most likely to see a patient on CPM (continuous passive motion) machine?1. post-immobilization of fracture
2. tendon or ligament repair - 22Contraindications for CPM?1. Thrombophlebitis or DVT
2. Increased pain, edema, or inflammation
3. arterial insufficiency
4. loss of protective sensation
5. infection of treatment area
6. obstructed venous or lymph vessels - 23Who may benefit from the use of a tilt table?1. patient after prolonged bed rest
2. patient after immobilization
3. patient with SCI
4. patient with TBI - 24Who should be contraindicated to use the tilt table?1. unstable fractures
2. confused/ anxious patient - 25How can you help prevent venous pooling of a patient on the tilt table?1. elastic wrap
2. abdominal binder - 26Contraindications for any electric stimulation.1. healing fracture
2. active bleeding
3. malignancies or phlebitis in the area
4. superficial metal implants
5. pharyngeal or laryngeal muscles
6. demand-type pacemaker
7. myocardial disease - 27Can you use EMS over areas of impaired sensation and severe edema?Yes but with precautions.
- 28Cathode or anode? lithium for gout.Anode
- 29Cathode or anode? dexamethasone (anti-inflammatory)Cathode
- 30Cathode or anode? Iodine (for scar softening)Cathode
- 31Cathode or anode? Copper (fungal infection), magnesium or calcium (muscle spasm) and zinc (derma ulcers)Anode.
- 32Cathode or anode? Salicylate (pain relief)Cathode
- 33Cathode or anode? Lidocaine (pain relief)Anode
- 34Cathode or anode? hydrocortisone (anti-inflammatory)anode
- 35Cathode or anode? Acetate (calcium deposits)Cathode
- 36Contraindications for TENS units:1. demand-type pacemakers (anywhere)
2. do not perform over chest area if a patient has cardiac dysfunction
3. do not perform over eyes, laryngeal, pharyngeal muscles, head, and neck if the patient had CVA/epilepsy
4. no application to mucosal membranes - 37Usual parameters for TENS for temporary pain relief at chronic sites.1. high frequency (75 - 120 pps)
2. short pulse width (50 - 100 micro sec)
3. low intensity - 38Parameter for acupuncture-like TENS.1. low frequency (1 - 4 pps)
2. long pulse width (300 micro sec) - 39Special parameter for TENS if patient is undergoing wound debridement.1. high pulse rate (150 pps)
2. long pulse width (300 microsec)
3. 15 min - 40When will you choose to use a high-voltage pulsed DC?Denervation.
Wound-healing.
Edema management. - 41Parameters for russian current.2500 Hz
70pps - 42Parameter for FES1. 80 - 100 hz
If minimal atrophy: 1:1 or 1:2 on:off.
If moderate atrophy: 1:3 or 1:4 on:off ratio.
If severe atrophy: 1:% to 1:10 ratio. - 43Contraindications for whirlpool therapy.1. wound
2. maceration/bleeding
3. unstable cardiac disorder
4. bowel incontinence
5. severe epilepsy
6. suicidal patient - 44How to calculate the force suitable for cervical and lumbar traction given the patient's weight?cervical: 7% of their weight.
lumbar: 50% - 45Should you use the calculated % force for traction the first time the patient is introduced to it?No.
Cervical: 8-10 lb.
Lumbar: 30 - 40 lb - 46T/F: soft tissue stretching can be achieved without reaching the maximal force for joint separation.T.
12 - 15lb for cervical, 25% body weight for lumbar. - 47Usual dosage for tilt table.30 -60 min. 1-2 times/day
- 48Name the STM technique: Gliding movement of the hands over surface of the skin. can be wither superficial or deep.Effleurage.
- 49Name the STM technique: Grasping and lifting of tissues.Kneading.
- 50Name the STM technique: Compression of tissure using small circular or long stroking movements.Friction.
- 51Name the STM technique: Rapid striking with palmar surface of hand and fingers.Tapping.
- 52Name the STM technique: Shaking of the tissue using rapid quivering.Vibration.
- 53Which pole is recommended for wound healing if an infection is present?Anode + silver dressing over wound.
- 54Which pole is recommended for electrical stimulation for wound healing if there is no infection present?Cathode (negative pole)
** switch to anode if plateau occurs.** - 55NMES: What is the recommended on:off ratio for fatigue prevention?1:3.
- 56Iontophoresis: Which analgesia agent is positive and which one is negative?Lidocaine or Xylocaine are positive.
Salicylate is negative. - 57Iontophoresis: is acetate positive or negative?NEGATIVE.
- 58Is hyaluronidase (Wydase) positive or negative?Positive.
- 59Is Dexamethasone positive or negative?Negative.
- 60Iontophoresis: which anti-inflammatory agent is positive and which one is negative?Positive: hydrocortisone.
Negative: Dexamethasone - 61Compare the pulse rate selection for TENS for conventional and acupuncture-like stimulations.Conventional: 80-150 pps
Acupuncture: 1-5 pps - 62Compare the pulse duration of conventional and acupuncture-like TENS.Conventional: 50 - 150msec (lower)
Acu-like: 150 - 300 msec (higher) - 63If you want to produce a long-lasting pain relief, which TENS method should you select?Acupuncture-like TENS or point-stimulation.
- 64Usual pulse duration and pulse rate for NMES.Pulse duration: 20 - 250 microsec
Pulse rate: 25 - 30 pps - 65Initial On:off ratio and goal on: off ratio for shoulder sublux NMES.Initial: 1 on:3 off
Goal: 12 on :1 off
Electrode placement: on supraspinatus and posterior deltoid
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- Beschreibung
- NPTE NPTE Karteikarten am Modalities, erstellt von Mia Li am 27/06/2019.
- Erstellt von
- Mia Li · Jun 2019
- Aktualisiert
- 30 Jun 2019
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- 2
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