Acute Care Lines
NPTE Clinical Files | Physical Therapy
Kyle Rice
4.9 • 631 Ratings
🗓️ 2 January 2019
⏱️ 11 minutes
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Summary
Camron presents with pulmonary hypertension and suspected Cor Pulmonale
The physical therapist is challenged with determining which acute care lines will MOST be present and used to monitor the patient's condition
How well do you know your acute care lines? Let's test your understanding in this excellent episode about acute care lines
Are you looking for an awesome cheatsheet to help you with acute care lines, their functions, and conditions they are used for? Look no further https://www.nptecheatsheet.com/acutecarelines
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Transcript
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| 0:00.0 | You are now tuning in to the MPTE Clinical Files, two mock MPTE-based questions told and solved |
| 0:07.0 | week by week. Thank you for tuning in to the MPT Clinical Files. My name is Kyle Rice, the MPT |
| 0:12.3 | PrEPP Coach, the founder of the PT Hustle and the creator of the MPT Prep Success Coaching |
| 0:17.3 | Program. And if you would like a free cheat sheet that goes along with this specific |
| 0:22.4 | question, tune in to the end of this episode. And I'm going to give you more information on how to |
| 0:27.7 | get that. All right. So for our next NPT clinical file, we have our patient Cameron. And Cameron is |
| 0:33.4 | being monitored for pulmonary hypertension and evaluated for a suspected exacerbation |
| 0:38.9 | of his core pulmonary. Now, the treating therapist requests that his student anticipate |
| 0:44.2 | the lines that will be present prior to entering the room. Now, which are the following is the |
| 0:49.1 | most likely being used to monitor the pulmonary hypertension? So we have A, arterial line, B, Swan Gans |
| 0:57.0 | C is the Hickman catheter, and D is the pick line. All right. So when we look up at this question, |
| 1:04.6 | we have our patient Cameron. He's being monitored for pulmonary hypertension and evaluated |
| 1:09.5 | for a suspected exacerbation of his core |
| 1:13.3 | pulmonary. So we got to slow down a little bit because this is all really important. |
| 1:17.3 | First of all, pulmonary hypertension is not systemic hypertension, y'all. All right? There |
| 1:22.5 | is a difference between the two. When we're talking about systemic hypertension, we're talking |
| 1:26.5 | about the force of blood flow on the walls of the peripheral arteries, all right, are the arteries that are leaving the heart and going out towards the periphery. Now, pulmonary hypertension is related to the pressure that's on the walls of the pulmonary arteries. You know, that those are the vessels that carry the blood from the right ventricle |
| 1:47.5 | and bringing it towards the lung tissue, all right? |
| 1:50.4 | So if we have any backup of fluid in there or decrease in diameter of the artery walls, |
| 1:56.6 | that creates pulmonary hypertension. |
| 1:58.7 | All right? |
| 1:58.8 | So now we know what that is. |
... |
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