ribs, diaphragm, respiration Flashcards
what are the major muscles of inspiration
diaphragm
external intercostals
levator costarum
what are the major muscles of expiration
passive recoil of diaphragm
internal intercostals
how do ribs affect SNS
heads sit right near sympathetic chain
what are the motions of the ribs
1-5 pump handle
6-10 bucket handle
11-12 caliper
where does the diaphragm attach
lower 6 ribs b/l
xiphoid
crura L1-L3 on the right and L1-L2 on the left
what structures pass through the diaphragm
vena cava at 8
esophagus at 10
aorta at 12
during inhalation what happens to vena cava, esophagus?
vena cava dilates and the esophageal hiatus contracts
what are the tru ribs? false
true are 1-7 false 8-12
what are the typical ribs? atypical?
typical 2-9
atypical 1,10,11,12
what axis do the pump handle ribs move around
transverse
what axis do the bucket handle ribs move around
AP
wat axis do the caliper ribs move around
vertical
Describe characteristics of inhaled ribs? exhaled?
inhaled: anteriorly and divot posteriorly and resist exhalation (Up front, down in back)
exhaled: posteriorly and divot anteriorly and resist inhalation (Up in back, down in front)
What ribs do you treat 1st for inhaled? exhaled?
BITE bottom inhaled (inhalation holds the ribs above it) top exhaled (exhaled holds the ribs below it)
What vertebral level is the xiphoid process at
T9
what vertebral levels is the umbilicus at
L3-L4
contraindications of domin diaphragm
patient with drainage tubes and IV lines or recent thoracic incision recent ingestion of large meal isatal hernia friability of liver or spleen GERD
