Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Physiotherapy, Cardiorespiratory > cardiacthoracic surgery > Flashcards

cardiacthoracic surgery Flashcards

1
Q

surgical management

A

anohter growing area in surgery is lung volume reduction surgery - for those whith huge hyper inflation issues.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

common thoracic surgicsl procedures

A

lungs - theyre anatomy is in secgments and lobes which makes it esier to remove.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

lung carcinoma

A

mostcommon cells - sqaumous and adencarcinoma - can be improved from trearment before surgery. small cell spread very quickly.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

clinical signs ofthroraccic cancer

A

cough- becomes slightly different
bone or breast cancer can matistisize to lungs. so can get short breath
getting rid of luymph nodes helps stopping it from spreading and matestising

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

other clinical signs

A

plura fdvsv-most common symptom

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

investigations

A

BAL - sputum cytlogy to collect sample of sputum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

staging

A

TNM scoring sytem for how the score cancer for all types of cncer. T,N lymph node involvent, MT2 may mean tht the tumour is bigger.
so improtant frifor the MDT and planning treatment; good for research categorising; whi needs surgery? or needs treatent more thn surgery?

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

thoracotomy

A

on the side and in the middle to allow best access and space

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

thoracic surgicsal

A

b

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

lobectomy

A

sometimes were restricted on how far we ca move them cus theyre on suction, so may have to use pedals and be creative with how to mobilise. These chest darins are kept in till theres no air leak or fluid left in the lungs. get patient to cough to see if there is still an air leak.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

pneumonectomy

A

take whole lung out then sew up bronchial stump.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

physiotherapy - pneumon

A

high mortality - many die. claeful to prtect that stump

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

physiotherapy - pneumon

A

high mortality - many die. claeful to prtect that stump. these patients are very compicated. dont need pneumo for exam just good to know whst to do

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

lung volume redcution surgery

A

look at link.

strict criteria for this surgery and nice guidlines. very few procedures perfomred

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

copd patients

A

cant breath out. always hyper inflated. e.g breathe in thrugh a straw. little quality of life. no exercise tolerance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

x ray

A

left side - small diaghram, no space, restricted not enough lungvolume. Right side - healthy and spaced diaphram.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

pre op physiotherapy

A

select patients caefully as its such a risky surgery. Cant have any infections. can cuse numerthoracies from the high pressure as a pre op patient.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

post op physiotherapy

A

although have big volume now they have a lack of pulmoary reserve.
ABGs not nromal so find whats normal results fro them individually. Want to aim to send them out with a better quality of life.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

links

A

shows how thr specialists role as a physio need to do whats best or pateitns

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

chst wall surgery - pecus excavatum

A

Noramlly these patients have lung dieseas - as lung volumes small. resticed type of lung diease because no not enough space for lung to exand to - same with scolerosis. also after surgery there will be further loss of lung volume. often young and in pain patients, struggle to trsut. have big issues with sats.

21
Q

pecus carinatum / pigeon chest

A

Plastics get involved in these surgeries - changing shape of cartilage. often young and in pain patients, struggle to trsut. have big issues with sats.

22
Q

thoracoplasty

A

not done anymore, but shwos the role of evidence and evolving evidence base.

23
Q

pleural surgery

A

pleuradesis etc

24
Q

pleurodesis

A

iodise talc, stick the pleura together

25
Q

pleuroectomy

A

strip off perital pleura

26
Q

thoracic surgery complictions

A

risk of inflamatary response - in thoracotomies. Some patients comeback atrial fibrillation - comprimising there blood pressure. all these avoided trhough early rehab

27
Q

surgical emphysema

A
  • for patients whove had trauma, numathorax.
28
Q

thoracic trauma - classification

A

these patients have surgical emphysemas

29
Q

thoracic injuries

A

if break in more than one place you get a flail chest. fractures causes bruising of the lung tissure too.

30
Q

flail chest

A

when breahting in can go the wrong way

31
Q

x ray

A

all the ribs on left side are fractured and broken in more than one place, flail

32
Q

punctured lung

pulmonary contusions.

A

cant par take in gaseous exchange due to exidate around it when you have a punctured lung as so much brusing. pulmonaey enfusion - bruising of lungs. sometime hve to be intubated and ventilated if cant improve gaseous exchange. this will by them time for them to heal. called a blunt lung injury cus its a secondary problem - high risk of pneumonia. more white in x ray ( right) cuase more fluid.

33
Q

pneumothorax

A

other types of it too.

34
Q

cxr pneumothorax

A

starts to push and compress heart, pneumothroax tension which is when cardiac gets involved.

35
Q

haemothorax

A

cant hear anything.
need to drain, so chst drains. on CT scan left side - blsck bit is air in space and white bit at bottom isthe blood. normal lung in midddel but free aire haemopneumothrax in back oaboe as that is free air.

36
Q

haemothorax

A

cant hear anything.
need to drain, so chst drains. on CT scan left side - blsck bit is air in space and white bit at bottom isthe blood. normal lung in midddel but free aire haemopneumothrax in black, above lung, as that is free air.

37
Q

haemothorax

A

cant hear anything.
need to drain, so chst drains. on CT scan left side - blsck bit is air in space and white bit at bottom isthe blood. normal lung in midddel but free air, which is the haemopneumothrax, in black, above lung,

38
Q

what vids for explain how chest drains work. will come in in vivas of what to do when trying to mobilise while keeping safe when patents has chest drains.

A

vids

39
Q

physiotherpy managemtn in cardiothoracic sugey

A

on sheet on brown notes

40
Q

post op phydiotherpy

A

think about the shoulder!!!! when havinga thoracic patient!! dont want a frozen shoulder as patients can cure towards it if in pain etc.

41
Q

pre op

A

getting nurses and surgeons/doctors on board with your plan

42
Q

secretion clearance

A

a

43
Q

supported coughing

A

very important to teach them as patients dont want to cough.

44
Q

scj

A

dont let patient out of bed too much . do two tratemtsn a bit shorter as this will strength lung volume more but dont want to get them too tired

45
Q

physiotherapy key points

A

pc

46
Q

mangement

A

progressing patients

mobility!!!! rehab

47
Q

heart transplant

A

v

48
Q

lung transplant

A

v both transplants have all the same physiotherapy managemt as csrdiothoracic surgery management

Physiotherapy, Cardiorespiratory (5 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions