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Main Physiotherapy Problems, EFfect of graity of Ventilation and perfusion…
Main Physiotherapy Problems
V/Q Mismatch
Perfusion
AAA haemorrhage/ blood loss/ hypovolaemia
Kidney has sustained prolonged cut blood flow
prolonged effects BP????? angiotensin systemn etc
Ventilation
Restrictive
Reduced Bi-basal Lung Expansion
Pain Post Surgery Limiting Expansion
Obstructive
Asthma Exacerbation / Broncoconstriction / Bronchospasm
Depressive Effect of Analgesia
Reduced respiratory drive
Surgery Cutting Through Muscles
Which muscles???
Potentially abdominal muscles could affect ability to Expire
if mucus is there and theres a cough the sugrical incision will impede ability to cough
Reduced Lung Volume
Compressive Effects of blood on diaphragm???
Potential Blood in Chest Cavity Restricting Expansion
Pain Post Surgery Limiting Expansion
Surgery Cutting Through Muscles
Sputum retention unlikely
/No palpable secretions
no mention of crackles on auscultation
Would still ask just to be sure
only mentions smoker cough which has had for a while
EFfect of graity of Ventilation and perfusion
Blood pooling in high sitting (only if in chest cavity)
high sitting iimproves Ventilation
Research effects of slumped posture
Infection from Right????