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OPP Exam 3 > COPD > Flashcards

COPD Flashcards

(53 cards)

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1
Q

What are 3 things we do Pre-OMT for possible COPD patients?

A

Look, Listen, Palpate

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2
Q

What are 3 things we “Look” for Pre-OMT COPD patients?

A

Barrel Chest, Type/Depth of Breathing/Paradoxical, Posture

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3
Q

What are 3 things we “Listen” for Pre-OMT COPD patients?

A

Pertinent History (Sx/Indication-Contraindication/Risks), All lung fields (wheeze, rale egophony, etc), Heart

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4
Q

What are 3 things we “Palpate” for Pre-OMT COPD patients?

A

Chest wall resistance/compliance, Tactile fremitus or not, Somatic dysfunction (TART) incl STERNUM

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5
Q

What can prolonged use of steriods make patients prone to?

A

Osteoporosis

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6
Q

What would osteoporosis contraindicate?

A

HVLA

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7
Q

Where do we have TTC for the posterior sites of the lungs for their viscerosomatic reflexes?

A

T1-6 (esp T2-4)

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8
Q

Where do we have TTC for Anterior Chapman Points of the lungs for their viscerosomatic reflexes?

A

ICS 2-4

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9
Q

What is the 24-hour rule?

A

If we treat someone getting a cold within 24 hours with OMT it will go away

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10
Q

What is the 3:3:3 approach?

A

3 goals, 3 techniques, in 3 minutes or less

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11
Q

What are the 3 goals in the 3:3:3 approach for a Pulmonary Issue?

A

Improvement in sympathetic, parasympathetic, and lymphatics

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12
Q

What are the 3 areas for the parasympathetic goal?

A

Suboccipital inhibition, OM / OA / C2 (vagus), OCMM-Temporal (vagus)

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13
Q

What are the 6 areas for the sympathetic goal?

A

T1-6, Rib 1, Chapman’s reflexes, (ICS 2-4; T2-4), Rib raising (also in lymph), Rib 1-6, Generalized soft tissue

Lymph is anything else

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14
Q

85% of dyspnea is due to what 4 things?

A

Asthma, Pneumonia, Interstitial lung disease, COPD

PACI

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15
Q

Name the 7 P’s

A

Pneumonia, Pulmonary Bronchial Constriction, Pump Failure, PE, Pneumothorax, Possible Foreign Body, Psyochogenic

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16
Q

Decreasing workload is a part of what model?

A

Metabolic-Hormonal Model

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17
Q

When do we give the influenza immunization?

A

When there is no other infection

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18
Q

How does chest percussion sound on a Pink Puffer?

A

Hyperresonance

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19
Q

Name 2 distinguishing factors for a blue bloater

A

Increased Hgb, Increased JVD

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20
Q

What rib do COPD patients have problems with/adjust to help with their breathing?

A

Rib 1 (mainly exhalation)

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21
Q

Scalene fascia is continuous with what fascia?

A

Sibson Fascia

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22
Q

What are the 3 most severe manifestations a COPD patient will have?

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A

SCM Hypertrophy, Rib Cage Compliance Reduced, Sternum Restricted

23
Q

What is Sampter’s Triad for COPD patients?

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A

Nasal Polyps, Asthma, and Aspirin Allergy findings

24
Q

What are 2 common findings in COPD patients upon observation and on a CXR?

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A

Accessory muscle hypertrophy and extended thoracic cavity with flat diaphragm

25
What can coughing cause?
Exhalation rib dysfunction
26
What OMT do we do for Upper Thoracic SD?
Seated T1-T4 and Thoracic inlet BLT
27
What bones make up the thoracic inlet?
T1-4; R1-2; manubrium
28
What are the 2 Clinical Goals for the Upper Thoracic treatment?
Normalize SYMPATHETICS to EENT & Lungs, Open FASCIAL PATHWAYS for drainage
29
What was Sutherland's quote?
“Ligamentous Articular Strains are treated by using Balanced Ligamentous Tension.”
30
What model do we use to Implement Respiratory-Circulatory Homeostasis?
Postural-Biomechanical Model
31
Are mechanical principles primary or secondary to respiration?
Secondary
32
Are the lungs governed more by mechanics or chemistry?
Mechanics
33
What is the driving force for the Respiratory-Circulatory Model?
Chest cage mechanics
34
Give the primary and secondary muscles of inspiration
Primary - external intercostals, diaphragm, and interchondral part of intercostals Secondary - SCM, scalenes
35
Name the muscles we use for conscious, forced exhalation
Transversus abdomninis, external oblique, abdominal muscles, rectus abdominis, internal oblique TEARI
36
Most signs of respiratory failure are actually signs of what?
Respiratory muscle fatigue
37
Muscular fatigue is the immediate factor leading to the demise of patients with what?
Acute asthma
38
Respiratory muscle fatigue has been implicated in what?
Pulmonary edema, lung shock & difficulty weaning patients off ventilators
39
Manubrium direction named for what?
Superior – anterior part of the structure is preferring
40
What ribs do the latissimus dorsi attach to?
Ribs 9-11
41
What ribs do the quadratus lumborum attach to?
Ribs (11) 12
42
What technique do we use for Ribs & Accessory Ms’s of Respiration?
Counterstrain
43
Are anterior ribs depressed or elevated?
Depressed (posterior are elevated)
44
What are the 3 clinical goals for seated counterstrain?
Affect CERVICOTHORACIC DIAPHRAGM; ⇓WORK of RESPIRATION Improve ability to BREATHE (Decrease DYSPNEA) Diminish COUGH and COUGH SEQUELAE
45
What technique do we use to treat the Head-Neck?
FPR/Still
46
Can we lie orthopnic patients down for short periods of time?
Yes
47
What are the 3 clinical goals for FPR/Still?
Improve PARASYMPATHETICS Enhance depth & rate of RESPIRATION (⇓DYSPNEA & work) Enhance THORACOABDOMINAL DIAPHRAGM function
48
Innervation of OA, AA and C2
Vagus
49
What do problems or treatment at C5-C7 affect?
Scalenes
50
What do we treat the diaphragm with?
Seated Direct MFR/MET
51
What are the 2 clinical goals for seated direct MFR/MET?
Counter FLATTENED DIAPHRAGM to reduce Paradoxical Respirations Enhance THORACOABDOMINAL DIAPHRAGM function
52
What treatment do we use to establish homeostasis?
Seated Soft Tissue (Shoulder Girdle & Quadratus Lumborum Ms’s)/ Articulatory (Seated Rib Raising)
53
What are the 4 clinical goals of establishing homeostasis with soft tissue and articulatory?
Affect SYMPATHETICs (Sympathetic Chain Ganglia) Affect THORACOABDOMINAL DIAPHRAGM (Resp-Circ Step 2) Enhance LYMPHATIC PUMP & MOBILIZE LOCAL FLUID from Mediastinum (Resp-Circ Steps 3-4) ⇓WORK of RESPIRATION

OPP Exam 3 (3 decks)

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