Download Acute Care Handbook for Physical Therapists 2nd Edition by Jaime C. Paz MS PT, Michele P. West MS PT PDF

By Jaime C. Paz MS PT, Michele P. West MS PT

This useful reference offers crucial info for actual therapists supplying sufferer care within the clinic environment. this is often the one ebook written by means of actual therapists that addresses the entire components within the complicated acute care surroundings.

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Extra info for Acute Care Handbook for Physical Therapists 2nd Edition

Example text

Data from American Col­ lege of Cardio/ogy/Americall Heart Associatioll. 1999 Update: ACCIAHA guidelines for the manageme11t of patiellls with acute myocardial infarction: executive summary and recommendations. Circulation 1 999; 1 00: 1 016-1 030; American College of Cardiology/American Heart Association. ACCIAHA guidelines for the management of patients with acute myocardial infarction. J Am Coli Cardiol 1 996;28:1328-1428; alld American College of Cardio/ogy/ American Heart Association. ACCiAHA guidelines for the management of patients with ltltstable angina and Ilon-ST segment elevation myocardial infarctioll.

Signs and Symptoms of Valvular Heart Diseases Disease Symptoms Signs Aortic stenosis Angina, syncope or near syncope, signs of left ventricle failure (dysp· nea, orthopnea, cough). Chronic aortic regurgitation Angina, symptoms of left ventricular failure. Acute aortic regurgitation Rapid progression of symptoms of left ven­ tricular failure, pulmo­ nary edema, angina. Mitral stenosis Symptoms of pulmonary vascular congestion (dyspnea, orthopnea), If patienr develops pulmo­ nary hyperrension (which can cause hypoxia, hypotension), he or she may have angina, syncope.

Atrial fibrillation) or valvular conditions (mitral regurgitation) that produce stasis of the blood. 5 times the refer­ ence range should not undergo physical therapy because of the poten­ tial for spontaneous bleeding. Likewise, an international normalized ratio of more than 3 warrants asking the physician if treatment should be withheldP Blood Lipids Elevated total cholesterol levels in the blood are a significant risk factor for atherosclerosis and therefore ischemic heart disease. 29 Measuring blood cholesterol level is necessary ro determine the risk for development of atherosclerosis and to assist in patient educa­ tion, dietary modification, and medical management.

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