ribs, diaphragm, respiration

Question 1

what are the major muscles of inspiration

Answer 1

diaphragm
external intercostals
levator costarum

Question 2

what are the major muscles of expiration

Answer 2

passive recoil of diaphragm

internal intercostals

Question 3

how do ribs affect SNS

Answer 3

heads sit right near sympathetic chain

Question 4

what are the motions of the ribs

Answer 4

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

Question 5

where does the diaphragm attach

Answer 5

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

Question 6

what structures pass through the diaphragm

Answer 6

vena cava at 8
esophagus at 10
aorta at 12

Question 7

during inhalation what happens to vena cava, esophagus?

Answer 7

vena cava dilates and the esophageal hiatus contracts

Question 8

what are the tru ribs? false

Answer 8

true are 1-7 false 8-12

Question 9

what are the typical ribs? atypical?

Answer 9

typical 2-9

atypical 1,10,11,12

Question 10

what axis do the pump handle ribs move around

Answer 10

transverse

Question 11

what axis do the bucket handle ribs move around

Answer 11

AP

Question 12

wat axis do the caliper ribs move around

Answer 12

vertical

Question 13

Describe characteristics of inhaled ribs? exhaled?

Answer 13

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)

Question 14

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

Answer 14

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

Question 15

What vertebral level is the xiphoid process at

Answer 15

T9

Question 16

what vertebral levels is the umbilicus at

Answer 16

L3-L4

Question 17

contraindications of domin diaphragm

Answer 17

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