PTY2031 Flashcards
(99 cards)
What is Stridor?
Abnormal, high pitched musical sound with breathing
Due to obstruction in trachea or larynx
Most common cause of wheeze
bronchospasm secondary to asthma
In subjective Cardio Ax, why would asking about gastro-oesophageal reflux be relevant?
aggravated by some airway clearance techniques (cystic fibrosis, COPD, bronchiectasis)
Indications for Abdominal surgery (6)
- Cancer
- Inflammatory Bowel Disease (Chron’s, Ulcerative colitis)
- Trauma
- Bowel obstruction (carcinoma, diverticular, volvulus)
- Biliary Obtruction/Jaundice
- Vascular tears/Bleeding
5 common types of abdominal surgery
Colorectal resection
Liver resection (Hepatectoy)
Whipples (pancreaticodiodenectomy)
Gastrectomy
Cholecystectomy
Post-operative complications (5)
Atelectasis/pneumonia/PPC
Pain
Wound infection
Nausea/Vom
Anaemi/Blood loss
Example of peripheral line and function
Intravenous drip
Injected in vein to prevent dehydration
Purpose of Nasogastric tube?
A tube that is inserted through the nose, down the throat and esophagus, and into the stomach
carries food and medicine to the stomach
Central venous catheter function (CVC)
ube that doctors place in a large vein in the neck, chest, groin, or arm to give fluids, blood, or medications or to do medical tests quickly.
Tube that drains the air or fluid from the pleural space
Intercostal catheter
What restriction is common post abdominal surgery?
nil by mouth
Device that allows air or fluid to be removed from the pleural cavity, while also preventing backflow of air or fluid into the pleural space
Underwater seal drain
PT contraindications/precautions post oesophageal surgery
Treat with head up ~30° (2 pillows)
No CPAP/BiPAP – unless NGT and no air leak
Avoid suctioning the lungs
Avoid manual techniques
Avoid neck extension
Considerations for Oesophageal surgery?
Often malnourished, marked weight loss, dysphagia
-Associated with poor survival - usually palliative
Indication for oesophageal surgery?
Cancer
Indications for vascular surgery
-aneurysm
-Trauma
-Embolism
- Peripheral vascular disease
-Chronic limb ischaemia
Post-op vascular surgery complications
Haemorrhage
Reduced blood supply
Gangrene
Hypotension
Cardiac dysfunction
Renal impairment
Wound infection
Post-op management for vascular surgery?
Short period immobilisation
Reduced WBing (limb surgery
Post-op complications of transplant operations?
Rejection
Immunosuppression
Infection
Haemorrhage
Non-function of transplanted organ Osteoporosis
PPC / pneumonia
Reduced exercise tolerance
PT treatment post UAS?
Early mobilisations/positioning
Re-enforcement of pre-op regimine/edu
Respiratory techniques (TEE, DB & C, SMI, ACBT, PEP)
O2 therapy, humidificaiton, nebulisation
NIV-CPAP
According to evidence, is there beneficial effect of adding DBEs to early mobilisation to reduce PPCs?
NO. Early mobilisation can reduce PPC if pts exerted at moderate level of exertion.
What surgery is there no current PT research for incidence of ppc?
LAPAROSCOPIC SURGERY
What are common types of transplants?
Kidney
Liver
Heart
Lung
Pancreas
Post-op complication of laryngectomy?
Atelectasis / pneumonia / PPC
Wound infection
Haematoma
Airway obstruction
Aspiration / swallowing difficulties Cosmetic deformity