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The Pocketbook of Chest Physiotherapy
Gitesh Amrohit
1:
Respiratory Anatomy Illustrations
2:
Surface Marking of the Lungs
APEX
ANTERIOR BORDER OF RIGHT LUNG
INFERIOR BORDER OF RIGHT LUNG
POSTERIOR BORDER OF RIGHT LUNG
ANTERIOR BORDER OF LEFT LUNG
INFERIOR AND POSTERIOR BORDER OF LEFT LUNG
FISSURES
Oblique
Horizontal
TRACHEAL BIFURCATION
DIAPHRAGM
Left
Right
3:
Muscles of Respiration
QUIET BREATHING
FORCED BREATHING
4:
Respiratory Movements
INSPIRATION
EXPIRATION
APPLIED ANATOMY
5:
Respiratory Volumes and Capacities
LUNG VOLUMES
LUNG CAPACITIES
6:
Respiratory Assessment
DATABASE
SUBJECTIVE EXAMINATION
Main Symptoms
From Chart's
On Observation
On Palpation
Percussion
Auscultation
Investigation
On Examination
Measurement's
Postural Deformity
Functional Ability/Exercise Tolerance
7:
Drugs in Respiratory Diseases (In Alphabetical Order)
ACETYL CYSTEINE
AMINOPHYLLINE
AMMONIUM EXPECTORANT
ASTEMIZOLE
BECLOMETHASONE
BETAMETHASONE
BROMHEXINE
CETRIZINE
CODEINE
CYPROHEPTADINE
DEXAMETHASONE
DEXTROMETHORPHAN
DIPHENHYDRAMINE
EPINEPHRINE
ETOPHYLLINE-ETHYTENE DIAMINE
FEXOFENADINE
FORMOTEROL
HYDROCARTISONE
ISOPROTERENOL
KERTOTIFEN
LORATIDINE
MONTELUCAST
NOSCAPINE
ORCIPRENALINE
PANCREATIC DORNASE
PHENIRAMINE
POTASSIUM CITRATE VAXICINE
POTASSIUM IODIDE
PREDNISOLONE
PROMETHAZINE
SALBUTAMOL
SALMATEROL
TERBUTALINE
TERFENADINE
THEOPHYLLINE
8:
Cardiorespiratory Monitoring
ARTERIAL BLOOD PRESSURE (ABP)
CARDIAC OUTPUT
STROKE VOLUME
MINUTE VOLUME
CARDIAC INDEX
HEART RATE
CENTRAL VENOUS PRESSURE
CEREBRAL PERFUSION PRESSURE (CPP)
INTRACRANIAL PRESSURE
PULMONARY ARTERY PRESSURE (PAP)
RESPIRATORY RATE
EJECTION FRACTION
9:
Blood Values and their Interfering Factors
WHITE BLOOD CELL (WBC)
NEUTROPHIL
EOSINOPHIL
RED BLOOD CELLS (RBCs)
ESR
BLOOD UREA NITROGEN (BUN)
URIC ACID
10:
Difference between Central and Peripheral Cyanosis
11:
Sputum Analysis
12:
General Appearances of the Patient and their Implications
13:
Chest Movement Measurements
14:
Chest Shapes and Dimensions
COMMON CHEST DEFORMITY
Alar Chest (Pterygoid Chest; ‘Winged’ Chest)
Pthinoid Chest (Pre Tuberculous Chest)
Pigeon Breast (Pectus Carinatum)
Visceroptotic Chest
Funnel Chest (Pectus Excavatum)
Barrel Chest (Emphysematous Chest)
15:
Readings of the Chest X-rays
DEFINITION
INDICATIONS
VIEW APPEARANCES
DATABASE
PRECAUTIONS
PREPARATION OF CHEST X-RAYS
CHECKLIST
VIEWS
Posteroanterior (PA)
Anteroposterior (AP)
Lateral
Lateral Decubitus
Apicogram or Lardotic
Expiratory Film
Trendelenburg
Oblique
NORMAL CHARACTERISTICS OF A CHEST X-RAY PA VIEW (Fig 15.1)
16:
Percussion Note
TECHNIQUE
BELL TYMPANY
17:
Auscultation
ABNORMAL BREATH SOUNDS
Causes
VOCAL RESONANCE
Normal
Abnormal
ADVENTITIOUS SOUNDS
Rhonchi Or Wheezes
Crepitation or Crackles
Pleural Rub
Stridor
18:
Palpation of Pulses
COMMON LOCATIONS
19:
Lung Function Test
USES
TESTS
20:
Ambu Bag (Ambulatory Manual Breathing Unit)
21:
Mechanical Ventilations
INDICATIONS
CRITERIA
VENTILATIONS
Synchronized Intermittent Mandatory Ventilation (SIMV)
Intermittent Mandatory Ventilation (IMV)
Continuous Positive Airway Pressure (CPAP)
Positive End Expiratory Pressure (PEEP)
Controlled Mechanical Ventilation (CMV)
Biphasic Positive Airway Pressure (BiPAP)
High Frequency Ventilation (HFV)
Types
Assist Control Mode Ventilation (A/C MODE)
Pressure Controlled Ventilation (PCV)
Pressure Support (PC)
Non-invasive Ventilation (NIV)
Intermittent Positive Pressure Ventilation (IPPV)
Model – Bird mark 7 respirator, Bennett
Indication
Contraindications
22:
Chest Physiotherapy: Overview
DEFINITION
Aims
Indications
Precautions
Complications of Chest Physiotherapy
Responses after Chest Physiotherapy
Techniques used in Chest Physiotherapy
Signs of Respiratory Distress
23:
Suctioning
24:
Tracheostomies
FUNCTIONS
Indications
Contraindication
TYPES OF TRACHEOSTOMY
TYPES OF TUBE
POSTOPERATIVE ADVICE
COMPLICATIONS
25:
Postural Drainage
DEFINITION
AIM
CONTRAINDICATIONS
GENERAL CONSIDERATIONS
PATIENT PREPARATIONS
POSTURAL DRAINAGE TROLLY
TREATMENT SEQUENCE
Treatment Duration
POSITIONS (FIGS 25.1 TO 25.14)
ALTERNATIVE METHODS OF POSTURAL DRAINAGE
CONCLUDING THE TREATMENT
CRITERIA FOR DISCONTINUING POSTURAL DRAINAGE
26:
Manual Chest Clearance Techniques
AIMS
PRECAUTIONS
27:
Coughing
TECHNIQUES OF EFFECTIVE COUGH
Procedure
Precautions
MANUAL ASSISTED COUGHING (FIG. 27.1)
Types
COUGH WITH SPLINTING (FIG. 27.2)
Indication
Techniques
COUGHING WITH HUMIDIFICATION
Indication
Techniques
TRACHEAL STIMULATION TRACHEAL TICKLE
Indications
Techniques
28:
Chest Percussion
PATIENT'S POSITION
Technique
Duration
29:
Shaking
PROCEDURE
Contraindications
Complications
30:
Vibration
PROCEDURE
Dosage
Thing to Avoid
Contraindications
31:
Breathing Exercises
DIAPHRAGMATIC BREATHING/BELLY BREATHING (FIG 31.1)
Techniques
Progression
Diaphragmatic Training Using Weights
Technique
LOCALIZED BASAL EXPANSION (FIG. 31.2)
Aims
Patients Position
Techniques
APICAL EXPANSION
Indications
Patient Position
Techniques
POSTERIOR BASAL EXPANSION
Indication
Patient Position
Techniques
GLOSSOPHARYNGEAL BREATHING
Indications
Techniques
PURSED LIP BREATHING
Aims
Indication
Patient Position
Techniques
32:
Chest Mobilization Exercises
33:
Manual Hyperinflation
34:
Forced Expiratory Techniques
35:
Incentive Spirometer
36:
Humidification
PATIENT'S POSITION
Uses
Hazards
37:
Relaxation
AIM
Positions (Figs 37.1 to 37.4)
38:
Respiratory Pathologies
ATELECTASIS
Causes
C/F (Clinical Features)
Examinations/Investigations
PHYSIOTHERAPY MANAGEMENT
Aims
Means
BRONCHIAL ASTHMA
Types
C/F
Examinations/Investigations
PHYSIOTHERAPY MANAGEMENT
Aims
Means
Physiotherapy Management during an Attack
Aims
Means
BRONCHIECTASIS
Causes
Types
C/F
Examinations/Investigations
Complications
PHYSIOTHERAPY MANAGEMENT
Aims
Means
BRONCHITIS
Types
C/F
Examinations/Investigations
PHYSIOTHERAPY MANAGEMENT
Aims
Means
CYSTIC FIBROSIS
C/F
Examinations/Investigations
Complications
PHYSIOTHERAPY MANAGEMENT
Aims
Means
EMPHYSEMA
Type
C/F
Examinations/Investigations
PHYSIOTHERAPY MANAGEMENT
Aims
Means
EMPYEMA
C/F
Examination/Investigations
PHYSIOTHERAPY MANAGEMENT
Aims
Means
LUNG ABSCESS
C/F
Examinations/Investigations
PHYSIOTHERAPY MANAGEMENT
Aim
Means
PLEURAL EFFUSION
Types
C/F
Examinations/Investigations
PHYSIOTHERAPY MANAGEMENT
Aims
Means
PNEUMONIA
type
C/F
Examinations/Investigations
PHYSIOTHERAPY MANAGEMENT
Aims
Means
Complications of Pneumonia
PNEUMOTHORAX
Causes
Types
C/F
Examinations/Investigations
PHYSIOTHERAPY MANAGEMENT
Aims
Means
PULMONARY EMBOLISM
C/F
Risk Factors
Examinations/Investigations
PHYSIOTHERAPY MANAGEMENT
Aims
Means
PULMONARY EDEMA
Cause
C/F
Examinations/Investigations
PHYSIOTHERAPY MANAGEMENT
Aims
Means
PULMONARY TUBERCULOSIS
Sites
Types
C/F
Examination/Investigation
PHYSIOTHERAPY MANAGEMENT
Aims
Means
39:
Role of Physiotherapist in ICU Care
PATIENT CASE NOTE READINGS
PATIENT ASSESSMENT
AIMS OF TREATMENT
40:
Physiotherapy Techniques for Infants and Children
CHEST PERCUSSION
Contraindications
VIBRATION AND SHAKING
Precautions
Contraindications
POSTURAL DRAINAGE
Precautions
MANUAL HYPERINFLATION
Flow Rate
Precautions
BREATHING EXERCISE
COUGHING
SUCTION
Vacuum Suction
Catheters
Agents
Instilled Amount
Risk and Complications
EXERCISE
PEDIATRIC INTENSIVE CARE
NEONATAL INTENSIVE CARE
GENERAL PROBLEMS OF INFANTS IN THE NICU
PHYSIOTHERAPY
Indications
Contraindications
41:
Pulmonary Surgery
INDICATIONS
TYPE OF OPERATIONS
PREOPERATIVE INVESTIGATIONS
INCISIONS
Lateral Incisions
Anterior Incisions
Vertical (Median Sternotomy)
Thoracolaparotomy Incision
COMPLICATIONS
DRAINAGE OF THE CHEST
PNEUMONECTOMY
Indications
Incision
Preoperative Physiotherapy
Aims
Means
Postoperative Problems
Aims
Means
LOBECTOMY
Indications
Incision
Preoperative Physiotherapy
Postoperative Physiotherapy
THORACOPLASTY
Indications
Incisions
Complications
PREOPERATIVE PHYSIOTHERAPY
Aims
Means
POSTOPERATIVE PHYSIOTHERAPY
Aims
Means
OPERATION OF THE PLEURA
42:
Normal Values References/Lab Values
43:
Chemical Pathology
44:
Other Body Fluid Values
URINE EXAMINATION
STOOL EXAMINATION
CEREBROSPINAL FLUID (CSF)
BODY VOLUME
45:
Glossary of Cardiorespiratory Terms
46:
Abbreviations used in Daily Prescription Writing and Notes
47:
Abbreviations
Bibliography
INDEX
TOC
Index
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