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972
ACUTE CARE HANDBOOK FOR PHYSICAL THERA1)ISTS
Up and go test, rimed, 902, 908[, 908-909
poliovirus, 626
Upper extremity
Vacuum Assisted Closure device, 489
amputation in, 888
Vagus nerve, 291 t
levels of, 889f
Valvular heart disease
treatment suggestions in, 8951
pathophysiology in, 44
types of, 892t-893,
replacement surgery in, 57
casts for, 222t-223t
signs and symptoms m, 45t
coordination tests of, 300t
Vancomycin-resistant enterococcal infecfractures of, 1 85-190, 254t-258t
tions, 6 16-61 7
musculoskeletal examination of, 1 63,
Vanil1ylmandelic acid, urinary, 671
164t
VariCOSIty
range of morion in, 166r
esophageal, 526
peripheral nerves of, 274, 277t
esophagogastric tamponade tube
slings and splints for, 22St
in, 797t
tendon reflexes of, 2961
positioning precautions in, 551
traction applied to, 231r
venous, 399�00
Uracil mustard, 855r
Trendelenburg's test in, 371t
Urea nitrogen in blood, 565-566
Vascular resistance, systemic, 12, 19
after angiography, 370
Vascular system, 363�30. See also
Ureterolithotomy, 597
Blood vessels
Ureters
VasculitIS, 395-397
calculi in, 597
Vasodilators, 869t
pain referred from, 558r
Vasopressin. See Antidiuretic hormone
radiographic examination of, 566
Vasospasm
Urethra
of cerebral artenes, 3 1 5
biopsy of, 570
o f coronary artery, myocardial
endoscopy of, 568
ischemia in, 40
Urge incontinence, 585t
Vegetative scate, persistent, 755-757, 756r
Urinalysis, 563-564, 565r
Veins, 364
etiology of abnormalities in, 565t
characteristics of, 365{
specimen collection in, 564
disorders of, 399-403
Urinary system. See Genitourinary system
chrOniC insufficiency, 402--403
Urine
clinical lindings in, 386t
analysis of, 563-564, 565t
skin dIsorders Ill, 402, 403. 468-
diversion procedures, 597-599, 598f
470, 469t
specimen collection, 564
thrombosis. Sce Thrombosis,
Urobilinogen, 520t
venous
Urodynamic srudies, 568
varicose, 37lt, 399�OO
Uroflowmetry, 568
Vena cava, Sf
Urography
Venodyne boots, 795t
excretory, 566-567
Veno-occlusive dlse3se of liver, in bone
retrograde, 567
marrow transplantation, 736
Urokinase, 868t
Venti mask, 776t
Urolithiasis, 583-584
Ventilation, 92
Uterus, cancer of, 348, 349t
airway pressure rtlease, 820t
diagnostic tests in, 3371
alveolar. 127t
risk factors in, 335t
assist/control, 8 1 7t, 813
surgery in, 349t
ventilator settings in, 822t
assisted, 8 1 7t, 823
Vaccination
controlled, 8 1 7t
influenza, 620
definition of, 89
INDEX 973
high-frequency jet, 820t
increase in, 315, 32 1 -324
high-frequency oscillation, 819t
normal range in, 321
and hyperventilation, lOOt
Ventricles of hean
and hypoventibtion, lOOt
anatomy of, 4t
intermittent mandatory, 8 1 7t
arrhythmias of, 76t-77t, 83f-86f
synchronous, 8 1 7e, 823
ablation procedures in, 53
in weaning from mechanical venti-
automatic implantable defibrillator
lation, 824
in, 56
inverse ratio, 8 1 9t
in ectopic foci, 44, 77t, 84f
maximum voluntary, 129t
in premature contractions, 44, 77t,
minute volume in, 127t, 8 1 9t
85£
negative pressure, 8 1 9t
assist devices for, 832-836, 838
partial ltquid, S20t
external, 833, 834£, 835r
and perfusion ratio, 96
internal, 833, 833f, 835t
mismatch in, 96, 97f
physical therapy in, 835-836
in radionudide scan, 120- 1 2 1
weaning from, 834
positive pressure, 8 14-81 5, 8 1 9r
in Batista procedure, 58
noninvasive, 8 1 9r
diastole of, 6, 19, 19t
pressure control, S I 9t
and end diastolic pressure, 6
pressure suppa ned, 8 1 7t, 823
ejection fraction of, 6
ventilator settings in, 822t
function of, 4t
in weaning from mechanical ventifactors affecting, 7, 8f
lation, 825
systole of, 6, 1 9, 19t
Ventilatory support, 8 1 1-826
Venrriculectomy of heart, partiaJ Jeft, 58
bronchopulmonary hygiene in, 826
Venrriculoatrial shunt, 326, 805t
complications in, 8 1 8-824
Ventriculography, 38
cuff in, 8 14
Ventriculoperironeal shunt, 326, 805t
extubation in, 8 1 2
Ventriculostomy
indications for, 8 1 2
drainage of cerebrospinal fluid in,
i n intracranial pressure increase, 324t
324t
intubation in, 8 1 2-813, 8 13f
monitoring of intracranial pressure in,
complications of, 823-824
792t
modes of, 815, 8 1 6f
Venturi mask, 776f, 782f
alternative, 8 19t-820t
Vertebral arteries, 272, 273t
conventional, 8 1 7t-81 8t
Vertebral column. See Spine
negative pressure, 819t
Vesicular breach sounds, '102
objectives of, 8 1 1-812
Vestibulocochlear nerve, 290[-291 t
physical therapy in, 8 14, 826-827
Vestibulospinal cract, 276r
positive pressure, 8 14-8 15, 8 1 9t
Vibration sense, testing of, 298t
noninvasive, 8 1 9f
Vinblastine, 859r
pressure-cycled. 8 14, 8 1 5
Vincristine, 859c
time-cycled, 8 1 4
Viral infections
volume-cycled, 814-81 5
cancer related to, 334t
ventilator settings in, 8 1 8, 821 t-822t
cytomegalovirus, 635f, 636-637
weaning from, 824-826
encephalitis in, 627-629
physical therapy in, 826-827
gastroenteritis in, 630
Ventricles of brain, 269-271
HIV infection and AIDS in, 63 1 -634.
circulation of cerebrospinal fluid in,
See also HJV infection and
269-271 , 271£
AIDS
dysfunction of, 3 1 5-3 1 6
influenza in, 6 1 9-620
pressure of cerebrospinal fluid in, 321
meningiris in, 627
974
AClITE CARE HANDBOOK FOR PHYSICAL THERAPISTS
Viral infections-co1ltinued
ascendtng and descending tracts in,
mononucleosis in, 634-636
274, 276t
poliomyelitis in, 625-626
Whooping cough, 620
rhinitis in, 6 1 8
Willis arterial circle, 272, 272f
i n transplant recipients, 707, 708
Withdrawal syndrome in alcohol abuse,
Vision
760-76 1
cranial nerve functions in, 288t, 289t
Withholding and Withdrawing medICal
in hematologic disorders, 378t
therapy, 755
hypertension affecting, 394t
Wounds, 435-436, 468-495
in intracranial pressure increaSt, l2lt
in arterial insufficiency, 468, 4691
resting of, 287, 293f, 293-294
assessment of. 476-483
Visual field deficit, 287, 293f
in burns. See Burns
Vital capacity, J 22f, 126t
chronic, 476
forced, 1 2 1 , 124, 128t
cleansing and debridement of, 483--488
Vital signs
sterile technique in, 485
in chemotherapy, 343
culrure of, 482
in infections, 609
in decubtrus ulcers, 162, 163, 470-
in intracranial pressure incre3St, 323t
471
in neurologic evalu3tion, 287
stagmg and classification of. 483,
Vitamin BI2 deficiency, 405-406, 4 1 6,
483t
866t
in diabetes mellitus. 469t, 471-472
Vitamin 0, 437
drainage from. 481-482
in liver failure, 7141
dressings in, 487, 488-489, 490t-
in osteomalacia, 691
492t
Voice sounds in respir:ltory evaluation,
healing of, 472-476
104-105
management of, 483-495
Vomiting. See Nausea and vomiting
III neuroparhles, 471-472
von Willebrand's discase, 4 1 1
phYSical therapy in. 493-495. 494l
prevention of. 494t
Warfarin therapy, 4 1 5, 845t
staging and classification of, 483.
Water deprivation test, 662r-663r
483t
Water loading test, 663t