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OMS III > Review Auto/Surgical Pat. > Flashcards

Review Auto/Surgical Pat. Flashcards

PASSS

1
Q 
Parasympathetic inervations
Eye: 
Lacrimal, Palatine, Submandibular/Parotid Gland
Cardiopulonary and GI 
Colon, Rectum/GU
A

Eye: CN III
Lacrimal, Palatine & Submandibular/Parotid Gland CN IX
Cardio/GI: CN X
Colon/Rectum, GU: S2- S4

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2
Q

What is faciliatation?

A

A pool of neurons that are kept a subthreshold and require less stimulation to discharge

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3
Q

What are some causes of Facilitation?

A

Sustained increase in afferent input
aberrant patterns of afferent input
changes w/in neurons themselves

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4
Q

What is the nerve responsible for the referred pain to the groin in patient with a kidney stone?

A

Genitofemoral N.

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5
Q

What are some Behavioral changes someone can make to avoid a Kidney stone? Note this could be considered in the 5 models!

A

Minimum 2L of H2O per day
Avoid strick vegeterian diets
Avoid excess animal proteins, salt, Vit C/D, soda
Consume phylate risch foods such as bran, legumes, beans, wild rice

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6
Q

To treat the Bladder you should consider treating what system?

A

GI

Constipation is closely linked with urinary issues

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7
Q

Example of Sensitization

A

Rub your arm for a prolonged period of time

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8
Q

How does sensitization differ from Habituation ?

A

Differs in that the neurons will continually fire and ramp up in sensitization, whereas Habitutation you will tune things out and tone down response
BOTH will return to baseline with removal of stimulus!!!

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9
Q

What are 5 good techniques to use on surgical patients?

A 
MFR/FPR, 
direct inhibition
still techique
Soft tissue
Lymphatics
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10
Q

How long should you wait for a surgical site?

A

Minimum of 2 weeks before any manipulation

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11
Q

In the first 1-3 days post op what is your goal?

A

Inflammatory phase want to focus treatment on

circulatory and Pulmonary

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12
Q

Treatments for 1-3 days post op

A

Diaphragm release, rib raising, lymphatic pump

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13
Q

In days 4-6 post op what is the focus?

A

Dieresis Phase: focus on Lymphatic, GI, ANS

Check that thoracic outlet!

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14
Q

Late Post op 1-3 weeks what does OMT do? (4) things

A

Enhances analgesia

  • reduces compilations
  • aids in recovery
  • may decrease hospital stay length
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15
Q

How to prevent atalectasis?

A

MFR to Thoracic Inlet
Abdominal Diaphragm release
Rib raise/paraspinal inhibition
C3-5 dysfunction

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16
Q

What is Post op Ileus due to?

A

Overactive Autonomic Sympathetic innervation

17
Q

Goal of OMT Hospitalized Patient?

A

Trt dysfunction that impedes homeostatoc process instead of long standing/unrelated probs.

18
Q

Objective to OMT Hospt. Pt.

A
  • Reduce Reflex Activity -> improve visceral response to stress
  • relieve congestion and improve circulation
  • stabiliza Auto funct.
  • Enhanse removal of waste from tissues
  • restore bowl fct.
  • enhanse pulm vent/O2
19
Q

What are the 4 systems of focus for the Hospitalized patient?

A 
ANS
Resp.
CV
Lymphatic
Neuromuscularkeletal
20
Q

What are some issues to trt hospitalized patient?

A 
Priv. 
Modesty
TV Off
Objects
Incisions/dressing
BIG Decubitus Ulcers
21
Q

Spine what is Dr. N quick and dirty to assessment?

A

Too stiff: Type 2 flexed

Too squishy Type 2 Extended

22
Q

What are three things to think about with treatment?

A
  • Indiv. eval/trt
  • treat mainly dysf. impeding homeostatic process
  • understand why asked to provide
23
Q

5 Reasons for Post OP OMT

A 
Shorten hospital stay
• Decrease morbidity and mortality
• Decrease post-op pain
• Facilitate lymphatic flow & improve diaphragmatic mobility
• Increase patient satisfaction
24
Q

Associations with Wind of 5’ W’s

A

Atelectasis = fever, tachypnea, tachycardia, elevated diaphragm, decreased breath sounds, CXR shows linear densities
– Pneumonia = fever, leukocytosis, decreased breath sounds, dullness to percussion, CXR shows opacified infiltrate

25
Q

Associations with Water of 5’ W’s

A

UTI (cystitis) = increased frequency, painful urination, malodorous urine

26
Q

Associations with Walking of 5’ W’s

A

DVT/PE = unilateral LE swelling/erythema, hypoxia, SOB, pleuritic chest pain, tachycardia, tachypnea, diaphoretic

27
Q

Associations with Wound of 5’ W’s

A

Wound infection = fever, erythema, warmth, tenderness, fluctuance, serosanguinous drainage

28
Q

Associations with Wonder Drugs of 5’ W’s

A

– Antimicrobials, anesthetic, etc = generalized maculopapular rash, bradycardia

29
Q

OMT Management of Atelectasis

A

– Rib raising
– Thoracoabdominal diaphragmatic release (Doming the diaphragm)
– Pectoral traction
– Soft tissue & myofascial release to C3-5 for phrenic n. stimulation
– Tapotement (chest percussion)
– Lymphatic pumps
– Viscerosomatic = T1-6/T2-7 & CNX

30
Q

Pretebial edema managment with OMT

A 
– Lymphatic treatments
• Open thoracic inlet
• Petrissage & effleurage
• Rib raising
• Lymphatic pumps if allowed
– Viscerosomatic = T10-L2 & S2-4

OMS III (6 decks)

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