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Resp 2.3 II
Questions for IPPB and EzPAP
Question | Answer |
---|---|
What to write on order of IPPB | duration, treatment, frequency, medication, |
What to monitor | appearance, BS, vitals |
explain to pt | why the doctor ordered it, and how it's going to feel and how to use it |
Definition of IPPB | delivery of slow deep inspiratory by device, short intermittent non -invasive therapy |
Indications for IPPB | pt can't take a deep breath, to improve lung expansion, non-responsive to other treatments |
Benefits | Pt that can't take a deep breath, prevent or treat atelectasis |
Goals | deeper breath, promote cough, improve distribution of ventilation |
Hazards | hypoventilation (to much O2), hyperventilation, gastric distinction, decrease venous return except with pt with pulmonary edema |
How to minimize hazards | lower pressures, lower flows |
Contraindications | facial surgery, bleb, TE fistula, hemoptysis |
Assist mode | pt starts breath |
control mode | timer |
IPPB | decrease WOB, increase ventilation, decrease CO2 which increases pH, decrease venous return |
Pt with greatest risk to pneumothorax | pt with emphysema ( you want to use lowest pressure possible) |
Absolute contraindication | untreated pneumothorax |