CHF Coil - Lab/OSCE Flashcards
Avoid what positions in CHF pts?
Use what type of OMM tx in CHF pts?
Avoid supine.
Use indirect tx.
Goal of tx rib restriction.
To decrease the work of breathing.
Sympathetic facilitative changes likely found at which levels?
T1-5
What is NO LIP and what is it used for?
- NO LIP: Nitrates, O2, Loop diuretic, Inotropic drug, Positioning
- Used for CHF
OMT to improve thoracic cage compliance (3)
- Thoracic MFR
- Rib raising
- Tx rib dysfunction at the key lesion (exhalation dysfunctions)
OMT for lymphatics (5)
- START WITH THE THORACIC INLET
- Pec traction
- CV-IV
- Soft tissue to thoracolumbar junction
- Effleurage and petrissage
OMT to maximize efficiency of diaphragm (3)
- Thoracolumbar soft tissue release
- Redome the diaphragm
- Ischiorectal Fossa Release
OMT to normalize autonomic tone
- Rib raising
- MFR to thoracic and lumbar paraspinal mm
- Tx OA somatic dysfunctions
- Suboccipital release
- Collateral Ganglia Inhibition (Celiac, Superior, and Inferior Mesenteric)
In a pt with CHF, tx of what are would most likely decrease excessive cardiac sympathetic tone?
T2-4
Do you focus on top or bottom rib of an exhalation dysfunction?
Top rib bc rib stuck DOWN.
What muscles are being affected with rib ME:
1) Rib 1 pump
2) Rib 1 bucket (**What is special about pt position?)
1) anterior scalene
2) middle scalene m (**rotate head 30 degrees away)
What muscles are being affected with rib ME:
1) Rib 2-10 pump
2) Rib 2-10 bucket (**What is special about pt position?)
1) Pec and serratus anterior
2) Lateral part of serratus anterior m (**Pt raises hand toward ceiling and laterally at 45deg)
What muscles are being affected with rib ME: Rib 11-12
What is special about positioning?
- Lat dorsi and quadratus lumborum
- Pt is prone
What is the purpose of MFR thoracic outlet?
To move lymph centrally
When do you NOT perform thoracic (lymphatic) or pedal pump?
Not in acute exacerbation.
