Final Flashcards
STEMI also called
transmural infarction
NSTEMI also called
subendocardial wall infarction
external stimulation that increases lymph system pumping:
-muscle contraction
manual massage stimulation
-exercise
-deep breathing
lymph opening compared to blood capillaries:
lymph 4-6 times larger opening
rate of lymph flow
10x perminute
number of lymph nodes:
600-700 in body
- about 300 nipple up
- 218 in trunk
- 18 each arm
- 64 each leg
thoracic duct empties into :
left subclavian vein
fluid movement of lymph takes place in response to:
- pressure gradients - concentration gradients
5 corner stones of lymphedema treatment:
- manual lymphatic treatment/ MEM
- medical compression bandaging
- exercise (before, during, after)
- skin care
- compliance with daily self management program
MLT greatly minimize swelling which benefits by:
- speed recovery time
- ROM gains
- wound healing
- tissue health
- functional return
- other complications
initiate lymphatic treatment where?
area free of edema bordering proximal to lymphostatic region
**proximal first, then distal
collector lymphatics response to:
stretch of lymphangion and smooth muscle layer
- no pumping mechanism of their own
amount of uptake in involved limb when contralateral nodes emptied:
12-38%
lymph node massage
- firm pressure
- circular motion 10-20 times
leading cause of emergency visits, hospitalizations, missed school days
asthma
primary defect of cystic fibrosis
- primary defect is abnormal chloride conductance on epithelial cell (obstruction of mucus secreting exocrine glands)
- ciliary collapse leading to airway obstruction
what do you monitor in kids?
- HR
- Respirations
- Oxygen saturation
- children quickly go from respiratory distress to cardiac distress
normal development of heart and lungs complete by:
10th week of gestation
ductus-arteriosus closes within:
3 days
influence of demands on breathing on structure:
progress form vertical to more horizontal alignment of rib cage from increased abdominal activity
Prematurity effects:
- persistent pulmonary hypertension
- bronchial pulmonary dysplasia
- lack of surfactant leading to respiratory distress syndrome
meconium aspiration prognosis
dependent on brain damage secondary to hypoxic event and resultant illness or infection
leading cause of death among infants (1 mo - 1 yr)
sudden infant death syndrome (SIDS)
cardiac rehab reduces mortality rates by:
all cause mortality: 12-25%
cardiac related: 26-31%
moderate risk for patients with CVD
- ST segment depression <2 mm
- MET capacity <5
- symptoms only at high levels of exertion (>7 METs)
- Expected hemodynamic increases/decreases
highest risk for patients with CVD
- ST segment depression 2 mm or more
- symptoms at low levels of exertion (<5 METs)
- chronotropic incompetence, inotropic incompetence, sever post-exercise hypotension
healthcare acquired pneumonia
> 48 hours post admission
7010 days post d/c
ventilator associated
