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6 Motor Development > L7 Pulmonary and Cardio > Flashcards

L7 Pulmonary and Cardio Flashcards

1
Q

Sleep deprivation for infants

A

impacts health, behavior, emotional functioning, neurocognitive functioning

pre-term infants need more sleep than full-term infants

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2
Q

Infancy sleep

A

parents need to safeguard sleep

quiet sleep best for brain plasticity, processing information

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3
Q

PT role in infancy sleep

A

minimize distractions during sleep, particularly in hospital settings such as NICU

back-to-sleep protocols for positioning with healthy infants

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4
Q

Early Childhood Sleep

A

change in patterns

role in cognition, psychosocial aspects of life like learning, memory, emotional regulation, brain structure development

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5
Q

PT Role Early Childhood sleep

A

ask about sleep
encourage healthy sleep pattern

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6
Q

Adolescence Sleep

A

Association between sleep and development at time of puberty

usually there is more prevalence of delayed sleep and shortened sleep

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7
Q

PT Role with Adolescence Sleep

A

ask about sleep
encourage healthy sleep pattern

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8
Q

Individual aspects that impact breathing

A

muscle force generation for inspiration
vessel diameter
ROM of thorax
airway responsiveness

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9
Q

Environmental impacts on breathing

A

gravity
air quality
temperature
humidity
oxygen content of air

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10
Q

Task impact on breathing

A

ventilation
circulation
respiration

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11
Q

Ventilation

A

flow of gases between lungs and external environment

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12
Q

Circulation

A

movement of blood throughout the body

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13
Q

Respiration

A

tissue level gas exchange

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14
Q

Formation of CV System

A

formed via merging of two epithelial tubes to create single cardiac tube

heart beat begins at 17 days gestation

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15
Q

Fetal heart sounds are detected by

A

8-10 weeks of gestation

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16
Q

Circulation of blood in fetus

A

12% will follow the pathway of adult circulation

fetal blood is oxygenated by the placenta and mother, not by lungs

17
Q

Cardiac looping begins

A

3.5 weeks of embryonic life

single cardiac tube folds onto itself creating R/L sides of heart and endocardial cushions become valves

18
Q

When does effective blood begin in fetus?

A

end of first month

19
Q

Foramen ovale

A

located in atrial septum, allows for blood to go from RA –> LA –> LV –> Aorta

20
Q

Ductus Arteriosus

A

use of vascular link outside heart between pulmonary artery and aorta

blood exits pulmonary artery to aorta, bypassing lungs and L heart

21
Q

Foramen ovale will close…

A

within a few hours after birth, the pressure changes within cardiac chambers close it

22
Q

Ductus arteriosus closes…

A

within a few weeks

23
Q

Pulmonary System development

A

not functional until first postnatal breath b/c of fluid environment in utero

transient newborn tachypnea may occur after birth

24
Q

Alveoli will ____ from birth to childhood

A

increase

25
Q

Airway of child

A

higher larynx

smaller diameter of airways

increased resistance to airflow

increased work of breathing

less cartilage within the airway walls for support

26
Q

Alveolar Capillary membrane of child

A

fewer alveoli
less developed ventilation channels
thicker alveolar walls
capillary bed farther from wall

27
Q

Bony thorax of child

A

increased compliance of ribcage
horizontal alignment of ribcage

28
Q

Muscles of ventilation of child

A

muscles act as stabilizers vs mobilizers
decreased length tension relationship
fatigue faster

29
Q

Embryonic Phase (1)

A

lung bud formation

differentiation between trachea and bronchi

30
Q

Pseudoglandular (2)

A

formation of airways
terminal bronchioles

31
Q

Canalicular (3)

A

lung periphery formation
increased vascularizatoin
formation of air-blood interphase

32
Q

Saccular (4)

A

alveolar saccules formation
surfactant detectable

33
Q

Alveolar (5)

A

mature alveoli formation
proliferation and expansion of capillaries
nerve and gas exchange

34
Q

Newborns and Breathing

A

Cartilaginous ribs are compliant, so less stability. more horizontal

more fatiguable diaphragm

decreased stability of upper chest and neck

more upright positions help to develop diaphragm

35
Q

Pediatric Outcomes Data Collection Instrument

A

Parent reported outcome measure for daily activiities and QOL

for 2-10 years (proxy), 11-18(self or proxy)

tests global function, transfer and basic mobility, sports and physical function, pain/comfort, happiness

takes about 20 min

36
Q

Participation and Environment Measure (PEM-CY)

A

participation patterns for children and youth in home, school, and community environments

for 5-17, self report or proxy

measures 25 activities and their relative ease or difficulty with task

about 25 to 40 min

6 Motor Development (7 decks)

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