Review Auto/Surgical Pat. Flashcards
PASSS
Parasympathetic inervations Eye: Lacrimal, Palatine, Submandibular/Parotid Gland Cardiopulonary and GI Colon, Rectum/GU
Eye: CN III
Lacrimal, Palatine & Submandibular/Parotid Gland CN IX
Cardio/GI: CN X
Colon/Rectum, GU: S2- S4
What is faciliatation?
A pool of neurons that are kept a subthreshold and require less stimulation to discharge
What are some causes of Facilitation?
Sustained increase in afferent input
aberrant patterns of afferent input
changes w/in neurons themselves
What is the nerve responsible for the referred pain to the groin in patient with a kidney stone?
Genitofemoral N.
What are some Behavioral changes someone can make to avoid a Kidney stone? Note this could be considered in the 5 models!
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
To treat the Bladder you should consider treating what system?
GI
Constipation is closely linked with urinary issues
Example of Sensitization
Rub your arm for a prolonged period of time
How does sensitization differ from Habituation ?
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!!!
What are 5 good techniques to use on surgical patients?
MFR/FPR, direct inhibition still techique Soft tissue Lymphatics
How long should you wait for a surgical site?
Minimum of 2 weeks before any manipulation
In the first 1-3 days post op what is your goal?
Inflammatory phase want to focus treatment on
circulatory and Pulmonary
Treatments for 1-3 days post op
Diaphragm release, rib raising, lymphatic pump
In days 4-6 post op what is the focus?
Dieresis Phase: focus on Lymphatic, GI, ANS
Check that thoracic outlet!
Late Post op 1-3 weeks what does OMT do? (4) things
Enhances analgesia
- reduces compilations
- aids in recovery
- may decrease hospital stay length
How to prevent atalectasis?
MFR to Thoracic Inlet
Abdominal Diaphragm release
Rib raise/paraspinal inhibition
C3-5 dysfunction
What is Post op Ileus due to?
Overactive Autonomic Sympathetic innervation
Goal of OMT Hospitalized Patient?
Trt dysfunction that impedes homeostatoc process instead of long standing/unrelated probs.
Objective to OMT Hospt. Pt.
- 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
What are the 4 systems of focus for the Hospitalized patient?
ANS Resp. CV Lymphatic Neuromuscularkeletal
What are some issues to trt hospitalized patient?
Priv. Modesty TV Off Objects Incisions/dressing BIG Decubitus Ulcers
Spine what is Dr. N quick and dirty to assessment?
Too stiff: Type 2 flexed
Too squishy Type 2 Extended
What are three things to think about with treatment?
- Indiv. eval/trt
- treat mainly dysf. impeding homeostatic process
- understand why asked to provide
5 Reasons for Post OP OMT
Shorten hospital stay • Decrease morbidity and mortality • Decrease post-op pain • Facilitate lymphatic flow & improve diaphragmatic mobility • Increase patient satisfaction
Associations with Wind of 5’ W’s
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
