CPA 3 - COPD with Pneumonia Flashcards
What are 2 components of the Biomechanical model for COPD with Pneumonia?
Inhalation pump handle SD in ribs 1-6 - Tx to decrease AP diameter
BLT ribs - decrease tension on ribs
What are 2 components of the Respiratory/Circulatory model for COPD with Pneumonia?
Doming diaphragm - increase pressure gradient and lymph flow (thoracic inlet first)
Rib raising - increase lymph flow
What are 3 components of the Neurologic model for COPD with Pneumonia?
Rib raising - normalize SNS tone
Paraspinal inhibition - C3-5 = normalize SNS to diaphragm
Paraspinal inhibition - T1-6 = normalise SNS to lungs
What are 2 components of the Metabolic/Energy model for COPD with Pneumonia?
ABX to Tx pneumonia
Give O2 - increase energy supply to cells
What are 2 components of the Behavioral model for COPD with Pneumonia?
Smoking cessation (if smoking) or education Incentive spirometry - increase lung capacity
What is the first area to assess and what are the TART findings?
Ribs
Tenderness
Asymmetry
Erythema, swelling, ecchymosis
What is the second area to assess and what are the TART findings?
T-spine
Tenderness
Asymmetry
Erythema, swelling, ecchymosis
What is the third area to assess and what are the TART findings?
C-spine/Neck Tenderness Asymmetry Erythema, swelling, ecchymosis Cervical ROM
How would diagnose an SD of ribs 1-6 in a pt with COPD with Pneumonia?
BLT
Pump/Bucket handle ROM
How would you diagnose an SD of the T-spine in a pt with COPD with Pneumonia?
Evaluate SB/R of PTP’s in N, F, E
How would you Tx an SD of ribs 1-6 and is it an indirect or direct Tx?
ME for inhalation SD
Direct
How would you Tx an SD of the T-spine and is it an indirect or direct Tx?
MFR to T1-6
Indirect
What is an OMM ANS Tx for a pt with COPD and Pneumonia?
Paraspinal inhibition to T1-6
What is an OMM lymphatic Tx for a pt with COPD and Pneumonia?
Rib raising
*Open thoracic inlet first
