The PTA is seeing Mr. Ruiz 3 days post ORIF of right left ne…

The PTA is seeing Mr. Ruiz 3 days post ORIF of right left neck fracture. The POC calls for Mr. Ruiz to ambulate up to 150′ with SBA and up/down 6 steps before discharge. He has precautions for TTWB only and insist on using axillary crutches he had at home. He often puts too much weight on his right LE and his balance is poor. He lives with his elderly wife who is concerned about his safety when he is discharged. To improve his safety during ambulation what would be the best thing for the PTA to do?

Case: 45 year old patient with R BKA and L knee disarticulat…

Case: 45 year old patient with R BKA and L knee disarticulation from and on the job accident where he was trapped behind the truck bumper and the wall of a wash out stall. No other internal injuries noted. Patient transferred to in patient rehab once medically stable. PT POC includes patient education, stump care, TE, TA, balance, functional mobility, stump care, and pre-prosthetic training.Of the following, what would be the most appropriate TE intervention plan?

A 78-year old female with severe aortic stenosis presents to…

A 78-year old female with severe aortic stenosis presents to the ICU following a transcatheter aortic valve replacement (TAVR). Preprocedural transthoracic echocardiography demonstrated severe aortic stenosis with left ventricular hypertrophy and an asymmetric septal bulge. Left ventricular wall thickness in the parasternal short axis view is 1.6 cm with a small cavity. Postoperatively, the patient develops sudden onset hypotension requiring vasopressor support; however, blood pressure continues to decrease despite escalating doses of norepinephrine. The vital signs are heart rate 94 bpm, blood pressure 85/54 mm Hg, respiratory rate 18/min. Transthoracic echocardiography demonstrates an underfilled left ventricle with midventricular obstruction.  What is the most appropriate next step in management?

A patient is transferred to the ICU with a blood pressure of…

A patient is transferred to the ICU with a blood pressure of 90/60 mmHg, oxygen saturation of 85%, oliguria, and diffuse crackles. Pulmonary artery catheter readings reveal a cardiac output of 1.9 L/min. and a wedge pressure of 24 mmHg.  Which IV medication is appropriate to prescribe?

A patient being seen for adhesive capsulitis of the right sh…

A patient being seen for adhesive capsulitis of the right shoulder has completed her exercises and is placed on ice to assist with inflammation and pain. After approximately 5 minutes on ice the complains of pain in her hand. The PTA notes a significant color change in the hand described as red/purple with blanching in the fingers. What is the best course of action?