Escolar Documentos
Profissional Documentos
Cultura Documentos
o Cork
Procedure
1
o Place
whole
hand
in
water
for
5
minutes
o Do
not
move
hand
o Record
initial
sensation
and
after
5
minutes
Procedure
2
o Place
cork
on
forearm
for
2
minutes
o Keep
forearm
still
o Record
initial
sensation
and
after
2
minutes
Results
o Initially
very
hot,
after
warm
o Initially
corks
weight
is
felt,
then
not
anymore
o Fast
adaptation,
the
receptors
become
less
sensitive
Pressure
sense
Materials
o Blindfold
o Bottle
with
Wet
Sand
Procedure
o Dip
index
finger
into
sand
and
subject
determines
which
part
of
the
finger
has
the
greatest
sensation
of
pressure
Fingertips
touch
surface
of
sand
Entire
finger
immersed
but
stationary
in
sand
Entire
finger
is
immersed
in
sand
and
moving
sideways
Results
o Finger
tip
o Lateral
sides
of
finger
o Lateral
sides
of
finger
o Pressure
sensation
felt
deeper
in
the
tissue,
force
acting
on
any
direction
against
resistance
o Touch
tactile
reception
on
the
superficial
skin
Aristotles
Experiment
Materials
o Blindfold
o Marble
Procedure
o Place
marble
in
between
the
Index
and
Middle
fingers
and
roll
it
o Cross
the
Right
Middle
finger
Over
the
Right
Index
finger
and
roll
the
marble
from
the
tips
Results
o Uncrossed
=
1
marble
o Crossed
=
2
o There
are
homunculus
regions
in
the
brain
and
by
crossing
the
fingers
we
distort
the
spatial
relations
of
the
stimulus
and
perceive
2
marbles
Synthetic
Senses
Two-point
discrimination
Materials
o Blindfold
o Double
pointed
compass
o Ruler
Procedure
o Test
on
fingertip
and
nape
o Set
the
points
2mm
apart
and
increase
till
two
stimuli
are
noticed
(two
point
threshold)
o Gentle
and
simultaneously
with
equal
pressure
o Record
distance
for
2
trials
Results
o Fingertips
are
more
sensitive
than
nape
of
neck
o Threshold
is
inversely
proportional
to
sensitivity
o Peripheral
innervation
density
is
proportional
to
sensitivity
Reflexes
o Gag
reflex
touch
uvula
with
applicator
o Corneal
reflex
touch
cornea
with
cotton,
do
not
touch
eye
lashes
o Knee
jerk
hit
patellar
tendon,
legs
must
be
free
so
cross
legs,
test
both
sides
o Ankle
jerk
subject
stands,
rests
knee
on
chair
and
tap
the
Achilles
tendon
o Plantar
reflex
stroke
the
lateral
half
of
the
sole
of
the
foot
starting
from
heel
to
toes
Reflex
Classification
Afferent
n.
Center
Efferent
n.
Gag
Super/poly
CN
IX
Cranial
CN
X
Corneal
Super/poly
CN
V
Cranial
CN
VII
Abdominal
Super/poly
T9-T12
Spinal
T9-T12
Knee
Jerk
Deep/mono
Femoral
n.
Spinal
L2-L4
Femoral
n.
Ankle
Jerk
Deep/mono
Tibial
n.
Spinal
S1
Tibial
n.
Plantar
Super/poly
Plantar
n.
Cranial
L4-S3
Plantar
n.
Response
Esophagus
Orbicularis
Abdominal
ms.
Quadriceps
Triceps
surae
Dorsal
interosseous
Blood
Experiments
o RBC
Count
Determination
Materials
Hemocytometer
w/
red
bead
Microscope
Filter
paper
Isotonic
Saline
solution
Procedure
Swab
fingertip
with
alcohol
Prick
finger
with
lancet
Suck
blood
to
.5
mark
and
wipe
out
excess
blood
with
filter
paper
Suck
isotonic
saline
solution
to
101
mark
Shake
pipette
in
figure
8
motions
for
3
mins
Place
cover
slip
on
counting
chamber
Shake
pipette
5
times
Discard
first
few
drops
and
allow
a
drop
to
form
at
tip
Place
drop
at
edge
of
cover
slip
No
fluid
in
the
gutter,
which
may
push
up
on
the
cover
slip
Count
5
medium
squares
at
corners
and
1
in
the
middle
To
avoid
double
counting,
count
the
ones
touching
the
Upper
and
Left
borders
Results
#RBC
=
E/80
x
400
x
200
x
10
o E
=
no.
of
RBC
counted
in
5
boxes
o 400
=
total
of
small
squares
o 200
=
dilution
factor
of
pipette
o 10
=
factor
of
depth
N
for
male
=
4.5
5.5
million
per
cc
/
female
=
3.5
4.5
million
per
cc
Errors
=
over
dilution
&
bubbles
=
decrease
RBC
count
o WBC
Count
Determination
Materials
White
bead
Acetic
acid
hemolyse
Procedure
Suck
blood
to
.5
mark
Suck
acetic
acid
to
11
mark
Count
wbc
in
the
4
corners
big
squares
and
get
the
average
Count
upper
and
left
borders
Results
#WBC
=
L
x
20
x
10
o L
=
average
of
WBC
o 20
=
diluting
factor
o 10
depth
factor
N
=
5k
10k
/
cu
mm
o Bleeding
time
(platelet
factor)
Prick
finger
=
time
zero
Every
30
seconds
blot
blood
on
absorbent
paper
till
no
more
blood
stain
forms
N
=
1-3
mins
with
dukes
method
of
lobe
of
ear
o Clotting
time
(clotting)
Prick
finger
and
drop
blood
onto
slide
directly
=
time
zero
With
a
tip
of
a
pin
draw
it
from
the
center
to
the
sides
to
find
any
thread-like
strands
Repeat
every
10
seconds
till
thread
forms
N
=
3
6
mins
o Hemoglobin
determination
Sahli
hellige
hemometer
Prick,
suck
blood
into
hemometer
pipette
to
20
cu
mm
mark
Wipe
off
excess
blood
5
drobs
of
HCl
into
tube
Blow
out
blood
into
tube
and
rinse
2x
with
HCl
solution
Shake
tube
till
mixed
Add
water
one
drop
at
a
time,
mixing
with
stirring
rod
till
the
color
matches
the
standard
Read
the
results
on
the
scale
of
tube
N
=
male
14
18
g/dL
and
female
12
14
g/dL
o Cross
matching
2.5
ml
of
blood
into
an
test
tube
Centrifuge
for
10-15
mins
at
15rpm
Place
1
drop
of
serum
on
slide
and
add
1
drop
of
RBC
suspension
from
other
Mix
and
observe
for
3-5
mins
for
agglutination
Cross
match
with
5
other
members
o Blood
typing
.3
ml
of
blood
into
test
tube
with
saline
solution
Place
antiserum
A
into
one
concave
and
antiserum
B
in
other
Add
1-2
drops
of
RBC
suspension
to
each
Mix
and
observe
for
5-20
mins
for
agglutination
/
do
not
use
same
mixer
o Hematocrit
determination
3
ml
of
blood
into
wintrobe
tube
or
microhematocrit
pipette
Or
prick
finger
and
draw
blood
into
pipette
Add
clay
and
centrifuge
for
5
mins
at
15
rpm
Use
chart
Results
Determines
the
ratio
of
total
cellular
elements
to
fluid
in
the
blood
Isotonic
and
Isometric
contraction
o Dumb
bell
P0
=
extended
elbow
in
between
thigh
at
mid
thigh
Start
with
2.5
lbs
ask
to
flex
completely
=
Pf
Rest
for
30
seconds.
Increase
to
5
lbs
and
repeat
Continue
adding
weights
at
2.5
lb
increments
to
determine
RM
RM
=
repetition
maximum
=
weight
or
resistance
a
person
can
move
throughout
a
joint
movement
only
once
after
which
one
can
no
loncer
repeat
the
movement.
Record
heaviest
weight
where
full
flexion
and
extension
was
done
isotonic
contraction;
weight
unable
to
complete
range
of
motion;
angle
when
motion
ceased
isometric
contraction
o Hand
grip
isometric
contraction
Palpatory
Place
cuff
2
cm
above
cubital
fossa
Dont
let
subj
see
manometer
Palpate
subjects
radial
pulse
using
2nd
and
3rd
fingertips
Inflate
up
to
when
pulse
can
no
longer
be
felt
Slowly
release
pressure
by
deflating
the
bag
Systolic
the
first
pulse
reading
Diastolic
is
unread
bec
of
laminar
flow
Eliminates
error
of
having
Auscultatory
gap
korotkoff
sounds
fade
and
return
atherosclerosis
o Auscultatory
Let
rest
for
5
minutes
Put
the
stethoscope
on
the
cubital
fossa
approximately
over
the
artery
Inflate
bag
at
pressure
higher
than
palpatory
reading
Deflate
at
rate
of
2-4
mmHg
per
pulse
First
tapping
sounds
systolic
N:100-120
Last
tapping
sound
before
silence
Diastolic
N:
80-90
Tapping
sounds
korotkoff
sounds
1
clear
tapping,
2
murmur
like,
3
loud
tapping,
4
thumping/
muting,
5
silence
o BP
=
CO
x
TPR;
Physical
=
arterial
compliance
and
blood
volume
(CO
=
HR
x
SV)
o Posture
Change
in
CO
->
felt
by
carotid
sinus
or
aortic
arch
->CN
IX->Medulla
->
CNX->change
in
TPR->change
in
venous
return->change
in
HR
and
SV
->
change
in
BP
Standing
to
lying
decrease
BP
Lying
to
standing
increase
BP
o Exercise
Treadmill:speed
4:5minutes,
handgrip:5
minutes,
stationary
bike:resistance
2:15
minutes
Measure
before,
during(immediately
after
exercise)
and
after
exercise(15
minutes
after),
allow
30
minutes
rest
between
to
types
of
exercise
Increase
BP
and
HR
during
exercise
Decrease
BP
and
HR
after
exercise
Isometric:
increase
TPR
:
Increase
systolic
and
Diastolic
Isotonic:
increase
systolic
only
+sympathetic
->increase
HR
and
force
of
contraction->increase
SV
and
CO
o Cold
Pressor
Pain
perception
scale,
Bucket
of
ice
cold
water
(0-5
degrees
C),
BP
set
Let
rest
for
5
minutes
Record
BP
opposite
of
immersed
hand,
before,
at
30
sec
of
immersion
and
at
60
sec
of
immersion.
Remove
hand
and
take
BP
every
minute
for
4
minutes
after
removal
Systolic
doesnt
change
because
of
pain
->
vasoconstriction
Hyporeactor-
0-10;
normoreactor
10-20;
hyperreactor
>20
Hyperemia
is
a
compensatory
mechanism
after
vasoconstriction
in
cold
water,
vasodilation
will
happen.
o Hyperventilation
Ask
to
hyperventilate
for
30
sec
record
BP
at
last
5
sec
and
5
min
after
Inspiration->
increases
blood
in
atrium->increases
SV->increasesCO->increases
BP
Respiratory
Experiments
o Respiratory
Control
and
Movements
Procedure
Longest
apnea
Largest
Lung
Volume
Quality
of
Air
Hyperventilate
for
30
sec
1
Residual
volume
Dec
CO2
Expiratory
Reserve
Volume
Inc
O2
End
of
maximal
forced
3
Residual
Volume
Dec
C02
expiration
Dec
02
End
of
deepest
inspiration
2
Total
Lung
Capacity
No
change
End
of
Inspiration
post
4
Functional
Residual
Capacity
Inc
C02
rebreathing
Tidal
Volume
Dec
02
Pneumograph,
kymograph,
timer
Place
pneumograph
around
subjects
chest
and
connect
to
the
recording
tambour.
Keep
side
arm
of
the
connecting
T
tube
open
while
making
adjustments.
o
Adjust
the
pneumograph
to
make
sure
that
the
kymograph
stylus
moves
up
and
down
as
the
chest
expands
and
deflates.
Close
the
side
arm
when
ready
to
record.
Record
the
movements
for
1
min
Use
slow
speed
drum
Observe
the
degree
of
chest
movements.
N
12-20
rpm
Respiratory
Apnea
Determine
how
long
breath
can
be
held
Procedure
Hyperventilate
for
30
sec
Longest
apnea
1
Quality
of
Air
Dec
CO2
Inc
O2
Dec
C02
Dec
02
No
change
Inc
C02
Dec
02
Physical
Examination
Sites
of
PE:
Supra
scapular,
interscapular,
infrascapular,
base
of
lungs
Inspection:
deformities
in
thoracic
cage
and
vertebral
column,
observe
chest
expansion/excursion
determine
RR
Palpate:
test
tactile
fremitus
(feel
vibrations
while
saying
tres
tres
or
ninety
nine)
Percussion:
hit
finger
at
interphalangeal
joint
(resonant
hollow
air
filled;
hyperresonant
more
than
normal
air;
dull
solid
bones
or
fluid
filled
muscles)
Auscultate:
breath
sounds
and
vocal
fremitus
Air
in
pleural
cavity
Vibration
Percussion note
Breath sounds
decreased
Hyperresonant
Decreased
decreased
Dull
Decreased
Increased
Dull
Decreased
Special
Senses
o Taste
Materials
Gauze
Sugar
in
solution
and
crystal
form
Watch
Procedure
Stick
out
tongue
and
hold
position
Dry
with
gauze
Place
crystal
and
solution
one
at
a
time
Time
how
long
it
takes
for
the
subject
to
taste
3
trials
Results
Sugar
solution
will
have
a
faster
time
because
it
mixes
quickly
with
the
moist
surface
of
the
tongue
to
reach
more
taste
receptors
Taste
=
sensation
produced
by
adequate
stimulus
Flavor
=
perception
that
combines
taste,
smell,
temperature,
and
texture
CN
VII,
IX,
X
used
o Smell
Materials
Blindfold
Test
substance
(coffee,
mint,
garlic)
Procedure
Occlude
one
nostril
and
place
the
test
substance
near
the
unconcluded
nostril
Id
smell