ribs, diaphragm, respiration Flashcards Preview

OPP I FINAL > ribs, diaphragm, respiration > Flashcards

Flashcards in ribs, diaphragm, respiration Deck (17):
1

what are the major muscles of inspiration

diaphragm
external intercostals
levator costarum

2

what are the major muscles of expiration

passive recoil of diaphragm
internal intercostals

3

how do ribs affect SNS

heads sit right near sympathetic chain

4

what are the motions of the ribs

1-5 pump handle
6-10 bucket handle
11-12 caliper

5

where does the diaphragm attach

lower 6 ribs b/l
xiphoid
crura L1-L3 on the right and L1-L2 on the left

6

what structures pass through the diaphragm

vena cava at 8
esophagus at 10
aorta at 12

7

during inhalation what happens to vena cava, esophagus?

vena cava dilates and the esophageal hiatus contracts

8

what are the tru ribs? false

true are 1-7 false 8-12

9

what are the typical ribs? atypical?

typical 2-9
atypical 1,10,11,12

10

what axis do the pump handle ribs move around

transverse

11

what axis do the bucket handle ribs move around

AP

12

wat axis do the caliper ribs move around

vertical

13

Describe characteristics of inhaled ribs? exhaled?

inhaled: anteriorly and divot posteriorly and resist exhalation (Up front, down in back)
exhaled: posteriorly and divot anteriorly and resist inhalation (Up in back, down in front)

14

What ribs do you treat 1st for inhaled? exhaled?

BITE
bottom inhaled (inhalation holds the ribs above it)
top exhaled (exhaled holds the ribs below it)

15

What vertebral level is the xiphoid process at

T9

16

what vertebral levels is the umbilicus at

L3-L4

17

contraindications of domin diaphragm

patient with drainage tubes and IV lines or recent thoracic incision
recent ingestion of large meal
isatal hernia
friability of liver or spleen
GERD