Volume of distribution of Paracetamol is?
A. 500 ml/kg body weight
B. 1 L/kg body weight
C. 5 L/kg body weight
D. 25 L/kg body weight
ESSENTIALS OF PHY MED AND REHABILITATION
WRITE A NOTE ON REHABILITATION OF BELL PALSY ?
1 MASS FACIAL MOVEMENTS SHOULD BE ENCOURAGED IF NO SYNKINESIS - only in mild injuries
2 MUSCLE REEDUCATION USING SURFACE EMG SHOULD BE DONE
3 ALTERNATIVELY , MUSCLE REEDUCATION SHOULD BE DONE WITH MIRROR BOX ALSO OR MIRROR BOX + SURFACE EMG - EXERCISES SHOULD BEGIN WITH MUSCLES THAT ARE EASIER TO ISOLATE
4 RELAXATION TRAINING IS REQUIRED TO INCREASE THE PATIENT AWARENESS OF INCREASED FACIAL TONE - face tapping or light massage
5 BILATERAL LIGHT FACE TAPPING EXERCISES SHOULD BE DONE TO INCREASE SENSORY STIMULATION AND BLOOD FLOW TO AFFECTED SITES
6 THE GOAL IS TO INHIBIT SYNKINESIS AND THEN PROGRESS TO ISOLATED VOLUNTARY MOVEMENTS
7 SLOW ONSET OF MUSCLE ACTIVITY IS ENCOURAGED BECAUSE FAST FACIAL MOVEMENTS PROMOTES SYNKINESIS AND PROMOTE IMPROPER MUSCLE RECRUITMENT
8 GALVANIC STIMULATION SHOULD BE USED TO PREVENT MUSCLE ATROPHY
DESEBSITIZATION TECHNIQUES FOR PHANTOM LIMB
1 Massaging - used to desensitize and to prevent adhesions in the scar tissue
2 Tapping, rubbing and the use of a vibrator at the stump
3 Wrapping and bandaging the stump contributed to desensitization
4 The patient was instructed to put weight on the end of the limb against various surfaces. These surfaces varied from resilient, such as soft foam, to variously resistant harder materials, such as the treatment table. ( v imp )
A ) The patient was directed to push the limb down into the surface and to increase the contact time and pressure to train toleration.
Q WILL BE ASKED APART FROM GCS WHAT OTHER SCALE IS USED IN TRAUMATIC BRAIN INJURY …VIVA Q
Post-traumatic amnesia (PTA) -
1 The duration of PTA is the best indicator of the extent of cognitive and functional deficits after TBI.
2 PTA is defined as that period of time in which the brain is unable to lay down continuous day-to-day memory.
3 In Australia, the most common means of assessing PTA is the Westmead PTA Scale.
4 The duration of PTA can be used as a guide to outcome and correlates well with the extent of DAI and with functional outcomes.
5 For example, one study found 80% of patients with a PTA duration of less than 2 weeks had a good recovery, compared with 46% for those with a PTA duration between 4 and 6 weeks.
6 Patients with additional hypoxic or ischaemic injury had a worse outcome for the same duration of coma.