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Important things to know for math problems:

Dosage calculations- when dr. orders what is not in the bottle and no conversion involved • Desired/have * available

IV drip rate- volume * drop factor/ time in minutes

**mini/micro drip= 60 drops per mil **macro- 10 drops per mil

Pediatric dose using child’s weight- 2.2 lbs per kg

**pay close attention to amount per day or amount to be given at 1 time

Mark Klimek Lecture Notes

Lecture 4 Crutches, Canes and walkers

One of the major functions of humans is locomotion: testing frequently for casts, traction, crutches, and walkers

Patient teaching is also important- risk reduction

How do you measure crutches- important so that risk reduction is cut down on nerve damage

How do you measure the length of the crutch- 2-3 finger widths below the anterior axillary fold to a point lateral to and slightly in front of the foot

*** if any question says to measure from the axilla or from any landmark on the foot, they are wrong

Hand grip- can be adjusted up and down and when the hand grips are properly placed the angle of proper flexion will be about 30 degrees 1 / 2

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How do you teach crutch gaits?

1) 2-point- move a crutch and the opposite foot together followed by the other crutch and the other foot together (2,2,2,2,2,….)

2) 3 point- moving two crutches and the bad leg together (3,1,3,1,3,1..)

3) 4 point – move everything separately ( 2 crutches + 2 legs = 4)

4) Swing through – for none weight bearing- ex. Amputations- or cant bear weight on a leg) – pretty fast- swing themselves

**Amputation with a prosthetic device can bear weight

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