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OS CPA 3 > Exta > Flashcards

Exta Flashcards

1
Q

T3—> _________

T7–> ________

A

T3- spine of scapula

T7- bottom of scapula

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2
Q

Steps of Lymphatic Tx

A

Steps of Lymphatic Tx

  1. Open pathways to remove restriction to flow
    * a. THORACIC INLET MFR!!
  2. Maximize diaphragmatic fx
    * a. Doming the diaphragm
  3. Increase pressure differentials or transmit motion
    * a. Pectoral Traction, Rib Raising, Thoracic Pump…
  4. Mobilize targeted tissue fluids
  • a. Lungs→ Tapotement
  • b. Extremities→ Effleurage, Petrissage
  • c. Head/Neck→ Cervical Stroking, Submandibular Drainage, Auricular Drainage
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3
Q

Step 1. Thoracic inlet MFR

A
  1. Lay pt on back with the doc at the head of the table
  2. Use both hands to contact around of thoracic inlet
  3. Compress and turn both hands to L and R and feel for restriction of motion
  4. Hold in restriction until tissue creeps
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4
Q

Step 2: Doming the diaphram and the pelvic diaphram

A
  1. Pt lays down
  2. Stand to the side and place my thumbs under their last ribs, near the
  3. Tell pt to breathe in and out
  4. When patient breathes out, push in
  5. repeat 3-5 times

___________

  1. Hve patient lay on stomach
  2. Place my thumbs on ischial tuberosity
  3. tell patient to breath in and out
  4. apply force during exhalation
  5. Maintain on inhalation
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5
Q

NOW—we increase pressure differentials or transmit motion

A
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6
Q

Pectoral traction

A

Stand at head of the table

  • Pt is laying on back with knees flexed
  • put my hands in armpits
  • tell pt to breathe in and out
  • pull back when patient INHALES and not when exhale

- repeat 5-7 times

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7
Q

Rib raising (seated)

A
  • Pt seated at edge of table and doc stands in front.
  • cross arms on shoulders
  • lean on you
  • grab T12 on back and pull up and to you
  • move up T12-top
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8
Q

Raising ribs (supine)

A
  1. Pt is laying down
  2. Doct is sitting on tx side
  3. Grab ipsilateral ribs, starting at T12–> lift up–> all the way up ribs
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9
Q

Thoracic Pump: Repetitive/OScillatory

A
  1. Pt is laying down with doc at the head of the table
  2. Put hands in a fist and put thenar eminence below the clavicle
  3. Provide a rythmic oschillations 110-120xmin (your feet should be moveing rhymically)
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10
Q

Thoracic Pump Vacumm Atelaectasis Mod

A

Same position as before and contact same manner,

Resist respirations;

resist–>inhalation, exhale–> compress.

do this 4-5 cycles and increase pressure

LET GO IN THE MIDDLE OF INHALATION

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11
Q

abdominal pump

A
  • pt is on back and doc is on side, facing to pt
  • put fingers on abdomen, with fingers to head and thumbs side by side
  • pump 20-30x-min
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12
Q

Sacral rocking

A
  1. pt is laying on stomach
  2. Push hands on sacrum and push down and rock as they breathe; move toward abdomen when they exhale and then rock back
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13
Q

Pedal pump

A

pt is layin on back; doc is at the feet

contact the top of their feet and dorsiflex

-rhythmic force 120/min to 1- 2 minue

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14
Q

STEP 4 —-mobilize targeted tissue fluids—-

A
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15
Q

Tapotement

A

Pt lies on back

-karote chop their back–> cup the back--> slap

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16
Q

Effleurage and Petrissage

A

Pt on back

lift up leg–> raise affected leg and rest on shoulder–> stroke from ankle–> up

–> kneed and tesit

MOVES FLUID UP

17
Q

IT BAND EFFLEURAGE

A
  • pt lays lateral recumbant, lock top foot in the popliteal fossa
  • doc locks greater trochanter w one hand and makes a C with the other
  • start at mid IT band- push fluid up for a couple of times
  • then go to the knee and start to ppush up
18
Q

Anterior tracheal/Deep cervical ST

A

Pt lays on back while doc sits on side

-One hand under head, other hand with fingers lateral to trachea

–> Move trachea from side to side for 30 seconds or more

-

19
Q

Cervical stroking

A

Slide the paravertebral muscles to move fluid from head–> down

20
Q

Cervical chain drainage (SCM!!!!))

A

Put is laying down with doc at the head of the table

  • Turn patients head sideways, pinch the SCM from UP–>down until relaxation
  • do BILATERALLY
21
Q

submandibular drainage

A

Put fingers at the bottom of submanible

push fluid down into the duct

22
Q

Mandibular drainage (galbreeath technique)

A

pt laying on back

  • find the corner of your mandible, near ear
  • apply a slow, downward traction
23
Q

PRe and post auricular drainage

A
24
Q

Suprahyaoid and infrahyoid release

A

Pt is lying on back

- doc stands on side

-sandwich the hyoid bone

–> move back and forth

25
Q

Pre and post auricular drainage

A
  • pt on back and you to their side
  • make a star trek sign and place ear in middle

move in clockwise and counterclockwise motion for 30 seconds- 2 min

OS CPA 3 (7 decks)

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