Cardio & Lymphatic Systems and Lymphatic Facilitation

Question 1

Which vessel has higher elastic and contractile elements?

Answer 1

Arteries

Question 2

What is vasoconstriction and vasodialation?

Answer 2

Vasoconstriction (increase sympathetic) - narrowing of the vessel
Vasodilation (Decreased sympathetic) - widening of the vessel

Question 3

What is diffusion, osmosis, and filtration?

Answer 3

Diffusion - Passive transport based on concentration gradients
Osmosis - only water molecules move through osmotic pressure
Filtration - passive transport based on differences in pressure

Question 4

What are the 4 starling forces causing fluid movement in the capillaries?

Answer 4

Capillary fluid pressure (CFP) - filtration
Interstitial fluid pressure (IFP) - reabsorbtion
Plasma oncotic pressure (POP) - reabsorbtion
Interstitial oncotic pressure (IOP) -filtration

Question 5

How much movement of the fluid in our body does the lymphatic system aid in?

Answer 5

10%

Question 6

What can bilateral edema be indicative of?

Answer 6

Heart problem

Question 7

What’s the function of the lymphatic system?

Answer 7

Fluid return (open system)
immunity

Question 8

What are the components of the lymphatic system?

Answer 8

Lymph nodes (afferent-carry lymph into nodes, efferent-prevents backflow)
Catchment (collects lymph from specific region, several nodes clustered together)

Question 9

When does fluid become lymph?

Answer 9

When interstitial fluid enters lymphatic vessels

Question 10

What are the 2 types of lymph capillaries?

Answer 10

Initial vessel - first capillary, more absorbant

Collection capillary - collects from multiple initial’s

Question 11

What are the 2 lymphatic ducts?

Answer 11

Right - collects from upper right quadrant

Thoracic - everywhere else

Question 12

Where does the fluid return to circulation?

Answer 12

Lymphatic Terminus

Question 13

What are the types of edema?

Answer 13

Circulatory edema-avoid/extreme caution with lymphatic facilitation
Lymph edema- Primary: congenital or genetic defect, Secondary: when nodes or damaged
Traumatic edema- localized temporary swelling

Question 14

What are the benefits of lymphatic facilitation?

Answer 14

Lowers secondary edema formation via protein removal
Limit hematoma organization to damage tissue
Lower pain via gate control and reduced pressure on nociceptors

Question 15

What are some absolute contraindications for lymphatic?

Answer 15

Current infection
Kidney dysfunction
Active tuberculosis
Thrombosis, ebolism, phlebitis
Congestive heart failure

Question 16

What are some relative contraindications for lymphatic facilitation?

Answer 16

Malignant disease
Monitor closely if hypotensive
Don’t work over: thyroid if hyperactive, sternum if asthmatic, or open wounds

Question 17

Do you use emollient with lymphatic facilitation?

Answer 17

NO

Question 18

How does the stationary circle stroke work?

Answer 18

“L” pattern: 1st go across line of lymph flow, then in line with lymph flow

Question 19

What does the respiratory pump with lymphatic facilitation do?

Answer 19

Enhance lymph flow through deep structures by using breaths

Question 20

Where is the external pressure placed during inhalation for the respiratory pump?

Answer 20

cisterna chili

Question 21

What are the 3 stages of lymphatic facilitation?

Answer 21

1. Start siphon - get things moving toward cachment (fill terminus, empty terminus)
2. Clear the way - stationary strokes over catchment
3. Promote edema uptake

Question 22

What’s the treatment sequence of upper extremity?

Answer 22

1. Fill terminus
2. Empty terminus
3. Axilla
4. Upper arm
5. Lower arm
6. Axilla
7. Empty Terminus

Question 23

What’s the treatment sequence for the lower extremity?

Answer 23

1. Fill terminus
2. Empty terminus
   3-7. Respiratory pump
3. Inguinal catchment
4. upper leg (long stroke)
5. popliteal
6. lower leg
7. popliteal
8. upper leg
9. inguinal
10. respiratory pump
11. empty terminus