Term test 2 Flashcards

1
Q

what does the right lymphatic duct drain

A
  • right arm
  • right side of the chest
  • right side of the chest
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2
Q

what does the left lymphatic duct drain

A

everything BUT the:

  • Right arm
  • Right side of the chest
  • right side of the head
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3
Q

what is edema

A

a local or general accumulation of fluid in the interstitial tissue spaces.

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4
Q

what are the early signs of lymphedema

A
  • subtle fullness in the limb,
  • a ring or shoe that is too tight,
  • skin feels unusually warm,
  • a reddish appearance to the skin,
  • an infection slow to heal, joint pain, or reduced range of motion.
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5
Q

what should people with lymphedema avoid

A

anything that would traumatize the affected limb:

IE

  • needle sticks,
  • blood pressure cuffs,
  • extreme temperatures
  • weighted repetitive motion activities on the affected side
  • Avoid straining the arm with heavy lifting.
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6
Q

how is lymphedema treated

A

Manual Lymphatic Drainage

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7
Q

steps to perform lymph drainage

A

1: elevate limb
2: encourage diaphragmatic breathing
3: ice limb
4: perform pimp on appropriate side of neck 5-7 times
5: pump shoulder or hip 5-7 times
6: do lymph drainage
7: reflex distal
8: GSM prox.

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8
Q

CI’S for MLD

A
  • chronic congestive heart failure
  • infections
  • pitted edema
  • recent thrombosis
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9
Q

how to do frictions

A

1: warm up tissue with effleurage
2: if long tendon: stretch. If short: relax
3: friction on Tendon for 30 sec
4: Drain + relax if long tendon, stretch if short
5: Repeat x3

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10
Q

CIs for frictions

A
  • Rheumatoid Arthritis
  • On anti-inflamatories
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11
Q

What is O:I technique

A

T,s

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12
Q

Why would you need to use O:I technique

A

if the muscle belly is too sore to work on

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13
Q

how long should you apply cold hydrotherapy

A
  • 10-15 minutes on + 10-15 off
  • Or 10-15 minutes every hour
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14
Q

how long should you apply heat hydrotherapy

A

30 minutes MAX

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15
Q

what are the the CI’s for cold

A

front nip, boney areas, circulator issues, abdominal issues

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15
Q

what are the CI’s for heat

A

infections, burns, pregnancy, diabetes, heart insufficiencies, kidney disease

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16
Q

how to perform a vascular flush

A

Begin with predominate temperature (heat for chronic, cold for subacute) for a 3 minute application, follow with one minute of contrast temperature. Repeat 3 times, end treatment with application of cold.

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17
Q

CI’s for vascular flush

A
  • decreased sensitivity to temperatures

-vascular pathologies

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18
Q

what are the uses and effects of vascular flush

A

use the effects of both heat and cold to create a vascular pump and thereby flushing an area of congestion or swelling

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19
Q

what are the uses of diaphragmatic breathing

A
  • helps client relax and break the pain cycle
  • gives the client control over uncomfortable techniques
  • promotes lymph flow for lymph drainage techniques
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20
Q

what are the CI’s of diaphragmatic breathing

A
  • long term diabetes
  • kidney disease
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21
Q

what are the symptoms of stress

A
  • fluid retention,
  • hypertension,
  • muscle weakness,
  • osteoporosis,
  • breakdown of connective tissue,
  • peptic ulcers,
  • impaired wound healing,
  • vertigo,
  • headaches,
  • reduced ability to deal with stress,
  • hypersensitivity,
  • weight gain,
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22
Q

What are the uses of an ice massage

A

muscle that has recently gone into spasm (no visible swelling)
painful muscle tissue that is in a state of chronic spasm (no visible swelling)
often used at sporting events
flare-up of chronic inflammatory condition such as tendinitis (no visible swelling)

23
Q

what are the CI’s for ice massage

A
  • areas where normal sensation is compromised (neuropathy, frostbite)
  • hypersensitivity to cold
  • vascular dysfunction

NEVER WHERE THERE IS VISIBLE SWELLING

24
Q

how long should you do ice massage for?

A

until they feel numbness. 10 minutes maximum

25
Q

what are the stages of ice massage

A

CBAN

  • Cold
  • Burning
  • Aching
  • Numbness
26
Q

what are the effects of jacobsons progressive relaxation

A

A contract–relax method which teaches client how to recognize tension

27
Q

what are alpha nerve fibers

A
  • transmits input from touch receptors, pressure receptors, muscle spindles, GTO’s, vibration sense, proprioception
  • sense vibration / proprioception
28
Q

what are delta nerve fibers

A

transmits input from pain receptors, temperature receptors

29
Q

what are c-fibers

A

Transmits input form somatic and visceral pain receptors.

30
Q

list the most sensitive to least sensitive nerves

A

Most Pain Sensitive: Periosteum, Cornea of eye, joint capsule

Moderately Sensitive: Subchondral bone, Tendons, Ligaments

Less Sensitive: Muscle, Cortical bone

Not Sensitive: Synovium, Articular cartilage, fibrocartilage ie. with cartilage erosion, synovitis or meniscal tears, pain is often “silent” until secondary tissue involvement occurs.

31
Q

what is sclerotome pain

A

pain is “experienced” as originating from all of the tissues that are innervated by the same nerve, or along the sclerotome.

32
Q

what is radicular pain

A

Pain is PROJECTED along course of nerve

33
Q

what is blood pressure

A

the strength at which the heart pumps the blood

34
Q

a BP of 115/75 is

A

normal

35
Q

a BP of 100/60 is

A

low

36
Q

a BP of 160/ 100 is

A

high

37
Q

what is the definition of diastole

A

pressure between contractions

38
Q

what is the definition of systole

A

pressure during contraction of the heart

39
Q

what is hypotension

A

low blood pressure

40
Q

what is hypertension

A

high blood pressure

41
Q

what are the symptoms of left ventricular heart failure

A

labored breathing, noisy wet breathing, profuse sweating

42
Q

what are the symptoms of right ventricular heart failure

A

edema distal to the heart, liver function

43
Q

for pregnancy how must the client be positioned

A

side lying

44
Q

what are the CI’s for pregnancy

A

Low back, abdomen, deep massage over varicose veins,

45
Q

what are the CIs for cancer

A

P/T may not feel deep pressure, be aware of tissue fragility, massage as whole is CI’ed unless approved by clients oncologist, massage over known or suspected tumor sites

46
Q

what are the effects of radiation on the skin

A

skin lesions, burns, tissue fragility

47
Q

what type of skin conditions are CI’ed

A

warts, athletes foot,

48
Q

what is the ABCDEF criteria

A

Asymmetric
Border
Color
Diameter
Elevation
Feeling

48
Q

how fast does tablet medications enter the blood stream

A

30 minutes

49
Q

how fast do injections and inhalants enter the blood stream

A

instantaneously

50
Q

how quickly do muscle relaxants enter the blood stream

A

peak in the blood 1-3 hours and last to 6-12 hours

51
Q

how quickly does aspirin enter the blood stream

A

peaks 1-2 hours lasts 24

52
Q

what are the CI’s to painkillers

A

deep pressure

53
Q

what are the CI’s to blood thinners

A

Deep pressure + repetitive muscle stripping

54
Q

what are the CI’s for antidepressants

A

Extreme hydrotherapy

55
Q

what are the CI’s for muscle relaxants

A

deep pressure, extreme stretches, extreme hydrotherapy