Restrictive Lung/MSK conditions Flashcards

1
Q

What is the treatment of Idiopathic Pulmonary Fibrosis?

A

-NOT CURABLE
-Slow progression with corticosteroids
-Lung transplant
-smoking cessation
-Nutrition, Oxygenation

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2
Q

What is asbestosis?

A

Accumulation of fibers that cause inflammation and scarring of the airways

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3
Q

Symptoms of asbestosis

A

Chronic coughing and chest pain

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4
Q

Treatment of asbestosis

A

NO CURE
Symptomatic support
Good nutrition
Breathing exercises

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5
Q

What are clinical manifestations of Asbestosis?

A
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6
Q

What does pneumonia begin as?

A

An infection in the lower respiratory tract

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7
Q

What is pneumonia?

A

Inflammatory process of the lung parenchyma (Bacterial & Viral)

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8
Q

Pneumonia causes an ______ of fluid in the alveoli.

A

Accumulation

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9
Q

What are some Clinical Manifestation of Pneumonia?

A
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10
Q

Treatment for Pneumonia

A

Drug therapy
O2 supplementation
-Postural drainage
-Airway clearance techniques
-Good nutrition
-Breathing exercises
-General functional and aerobic exercise

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11
Q

What is Bronchogenic Carcinoma?

A

Malignant growth of abnormal epithelial cells in the bronchus

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12
Q

Primary cause of Bronchogenic Carcinoma

A

Cigarette smoking

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13
Q

Most common type of lung cancer

A

Squamous cell carcinoma

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14
Q

Clinical manifestation of Bronchogenic Carcinoma

A
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15
Q

Treatment for Bronchogenic Carcinoma

A

-Surgery, radiation, chemotherapy
-Good nutrition
-Breathing exercises
-General functional and aerobic exercise
-Balance training

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16
Q

What is Pulmonary Edema

A

Restrictive lung disease caused by an increase in amount of fluid in lung

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17
Q

Clinical Manifestation of Pulmonary Edema

A
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18
Q

Treatment for Pulmonary Edema

A

Breathing exercises
General function and aerobic exercise

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19
Q

What is a neuromuscular cause of restrictive lung dysfunction?

A

Spinal cord injury

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20
Q

What do cervical spine injuries lead to?

A

Expiratory muscle paralysis

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21
Q

Spinal cord injuries can cause a ______ in inspiratory muscles as a result of _______

A

Inspiratory muscles
hypoventilation

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22
Q

Clinical manifestation of spinal cord injury

A
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23
Q

Treatment for spinal cord injury

A

-Clear secretions
-Breathing exercises
-Strengthen and increase the endurance of any remaining ventilatory muscles
-Active/passive chest wall stretch

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24
Q

What is ALS?

A

Progressive degenerative disease of the nervous system

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25
Q

What parts of the spinal cord does ALS involve?

A

Anterior horn cells of cervical, lower thoracic and lumbosacral spinal segments

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26
Q

Clinical manifestation of ALS

A
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27
Q

Treatment for ALS

A

-Supportive therapy
-Physical exertion is not recommended, but patient needs to be out of bed and mobile

28
Q

What is Poliomyelitis?

A

Viral disease that attacks the motor nerve cells of the spinal cord and brain stem

29
Q

Poliomyelitis results in ________.

A

Muscular paralysis

30
Q

Clinical manifestation of Poliomyelitis

A
31
Q

Treatment for Poliomyelitis

A

-Vaccine
-Airway Clearance
-Supportive therapy
-Energy Conservation
-Range of Motion
-Functional strength training

32
Q

What is post-polio syndrome?

A

Weakening in previously affected and unaffected muscles

33
Q

What is counterproductive with post-polio syndrome?

A

Intense resistive exercise and weight-lifting

34
Q

What is more effective than strengthening exercises with post-polio syndrome?

A

Cardiopulmonary endurance training

35
Q

What angles categorize pulmonary dysfunction in kyphoscoliosis?

A

70 to 120 degrees some pulmonary dysfunction;

> 120 degrees – severe RLD and respiratory failure

36
Q

Clinical manifestation of kyphoscoliosis

A
37
Q

Treatment for Kyphoscoliosis

A

-Surgical replacement
-orthotic devices and exercise
-Good nutrition
-General functional exercise and mild strength training

38
Q

What is Ankylosing Spondylitis?

A

Chronic inflammatory disease of the spine

39
Q

How is Ankylosing Spondylitis characterized?

A

By immobility of sacroiliac and vertebral joints and ossification of the paravertebral ligaments

40
Q

Treatment for ankylosing spondylitis

A

-NO CURE
-Maintain good body alignment and thoracic mobility

41
Q

What is Pectus Excavatum?

A

Funnel chest

42
Q

What does severe pectus excavatum cause?

A

Decreased TLC, VC and MVV

43
Q

What is Pectus Carinatum?

A

Pigeon breast

44
Q

What is pectus carinatum associated with?

A

Prolonged childhood asthma

45
Q

What is rheumatoid arthritis?

A

Chronic inflammation of peripheral joints

46
Q

Clinical manifestation of Rheumatoid Arthritis?

A
47
Q

Rheumatoid Arthritis treatment

A

-Corticosteroids and immunosuppressant
-Breathing exercises
-Regular physical activity

48
Q

What is Systemic Lupus Erythematosus?

A

Chronic inflammatory connective tissue disorder

49
Q

What is the most common lung dysfunction in pleurisy?

A

Systemic Lupus Erythematosus

50
Q

What is the main issue with systemic lupus erythematosus?

A

Diaphragmatic weakness

51
Q

Clinical manifestation of Systemic Lupus Erythematosus

A
52
Q

Restrictive lung dysfunction causes

A

A reduction in the volume of air being moved in and out

53
Q

What is lung compliance?

A

Lungs ability to stretch and expand

54
Q

How is lung compliance effected by Restrictive lung dysfunction?

A

-Lung compliance is decreased
-Resistance to lung expansion is increased

55
Q

Lung volumes and capacities are ________ with restrictive lung dysfunction

A

Decreased

56
Q

Signs of restrictive lung dysfunction

A

Tachypnea
Hypoxemia
Decreased breath sounds
Cor pulmonale

57
Q

Symptoms of restrictive lung conditions

A

Dyspnea
Cough
Weight loss
Muscle wasting

58
Q

What arteries are are arterial blood gas samples taken from?

A

Brachial artery
Radial artery
Femoral artery

59
Q

What is the normal range for PaO2?

A

90-100 mmHg

60
Q

What is the normal range for PaCO2?

A

35-45 mmHg

61
Q

What is the normal range for pH?

A

7.35 - 7.45

62
Q

What pH level is considered acidic?

A

<7.35

63
Q

What pH level is considered alkalotic?

A

> 7.45

64
Q

At what age does lung compliance begin to decrease?

A

20 years

65
Q

All restrictive lung conditions cause a decrease in ________

A

PaO2