Breathe Deeply
Abnormal reduction in pulmonary ventilation
What is the dysfunction in Restrictive Lung Disorders?
Usually caused from another disease to the pulmonary system, not a disease but a dysfunction
What is Restrictive Lung Dysfunction5?
Caused by defect in visceral pleura or chest wall
Air enters pleural cavity, separating visceral & parietal pleura causing atelectasis
Build up of air in the pleural space btw the lung and chest wall
What is a pneumothorax?
increased permeability of the alveolar capillary membrane and severe hypoxemia causing rapid fluid into the lung tissue
What is ARDS characterized by?
Compliance of both lung and chest wall= decreased
Lung volumes and capacities= decreased
The work of breathing= increased
What are the three major aspects of the pathophysiology of RLD
Pulmonary Fibrosis, Occupational Hazards, Pneumothorax, Atelectasis, Chest Wall Trauma or Lung Injury, ARDS, Cystic Fibrosis, Pulmonary Edema, Lung CA, Pulmonary Embolism
What are some causes of RSD?
Blockage of bronchus or bronchiole
Compression from pneumothroax, pleural effusion (hydrothorax) or a space occupying lesion (tumor)
Postanesthetic
What causes atelectasis?
Blood clot lodged in pulmonary artery
Most common cause of sudden death in hospitalized pts.
What is a PE, Pulmonary Embolism?
using 25 % of O2 consumption to breathe
What is the work of breathing O2 consumption for a person with RLD?
AKA Interstitial Lung Disease
What is Pulmonary fibrosis?
2 or more adjacent rib fx.
Inward/paradoxical movement. of fx. ribs
What do you see with a Flail Chest?
Breathing exercises
Diaphragmatic controlled breathing
Pursed lip-breathing, Deep breathing (DB)
Inspiratory hold, Incentive spirometry
What does Pulmonary PT treatment include?
Tachypnea
Hypoxemia, ventilation-perfusion mismatch
Decreased breath sounds
Decreased lung volumes/capacities
What are some clinical manifestations or signs of a person with RLD?
PTA implications for PF of peripheral conditioning & motor control for effective O2 usage for function and QOL
What is Tertiary Prevention?
Blood & air in pleural cavity
What is a Hemopneumothorax?
Cough and Huffing
Postural Drainage
Flutter valve
What are ACT's Airway clearance techniques?
Dyspnea; shortness of breath
Irritating, dry, non-productive cough
Emaciated appearance; work of breathing and eating difficult
What are some symptoms of a person with RLD?
The inflammatory process involving all of the components of the alveolar wall
What is causes decreased lung compliance, lung volumes & decreased surface area for gas exchange in PF?
Deep-breathing & coughing exercises /TENS for pain
May need rib mobilization/soft tissue work once fx. Healed
Mobs. Friction rubs, vibration coughing can cause rib fx
Manual secretion removal, positioning
Semi fowler position may help lung expansion
What are some PTA Implications for Chest Trauma?
hereditary disease (autosomal recessive) that affects all exocrine glands, most common problems are bronchopulmonary infection and pancreatic insufficiency
What is cystic fibrosis?