PT 5101 Lecture 12: Bed Mobility
Document Summary
Immobility bed rest more than 2 days. Creates issues with: vascular, skin, pulmonary, joints/muscles. Deep venous thrombosis (dvt) blood clot: pulmonary embolism (pe) clot to lungs, heart attack (mi) clot to heart, stoke (cva) clot to brain. Symptoms: calf pain, redness, swelling, dyspnea(difficulty breathing), tachypnea, sweating, chest pain (cid:758)(cid:727)(cid:734)(cid:739)(cid:759) (cid:758)(cid:739)(cid:728)(cid:726)(cid:727)(cid:739)(cid:759, fast: face, arm, speech. Ex: surgery on bed rest, flu and stuck in bed, prolonged flight, right quarters. First 48-72 hours in cast, higher risk of dvt. More likely to increase as age increases, high bp, high cholesterol. Diabetes mellitus (dm: more susceptible to vascular disease. Active ankle pumps creates vascular pump. Compression device on lower legs air goes in and moves. Elastic stocking - hard to put on. Anticoagulant therapy: medications, monitor inr test to see how effective. Old: bedrest 3-5 days wait for clot to dissolve with meds than move, anticoagulant medication dissolves clot, prevent new formation elastic stocking with ambulation increases blood flow.