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2nd Competency 120
| Term | Definition |
|---|---|
| What are the indications for CPT? | Mobilize retained secretions, atelectasis, cystic fibrosis or bronchiectasis, and sputum production >30mL/day |
| What are the contraindications for CPT? | High ICP (>20 mmHg), recent spinal surgery or injury, active hemoptysis, empyema, bronchial fistulas, Rib fractures, pulmonary edema, large pleural effusions, subcutaneous emphysema, tuberculosis, lung contusions, Osteoporosis, tube feeding or recent meal |
| How do you assess for outcome/effectiveness of CPT? | Clear breath sounds, normal or significantly improved chest x-ray, ambulating well, strong cough, afebrile for 24 hours |
| How do we determine lobes and segments of the lungs that need to be drained? | Assessed by chest radiography, progress notes, and breath sounds |
| What is the goal for deep breathing and coughing treatments? | Clear secretions with less bronchial collapse |
| What type of patient would need cough and deep breathing treatments? | COPD, CF, Bronchiectasis |
| What are the indications for incentive spirometry? | Presence of pulmonary atelectasis presence of conditions predisposing to atelectasis (upper abdominal surgery, thoracic surgery surgery in patients with COPD) Presence of a restrictive lung defect associated with quadriplegia and dysfunctional diaphragm |
| What are the potential outcomes of Incentive spirometry? | Absence of/improvement in signs of atelectasis, decreased respiratory rate, normal pulse, normal breath sounds, normal or improved chest x-ray, improved PaO2 and decreased PaCO2, Increased SaO2, increased VC and peak expiratory flows |
| Continued outcomes for incentive spirometry | Restoration of preoperative FRC or VC, Improved inspiratory muscle performance and cough, Attainment of preoperative flow and volume levels, Increased FVC |
| What are the indications for NT suctioning? | For patients who retain secretions but do not have an artificial airway in place |
| What are the supplies needed for NT suctioning? | sterile gloves, suction catheter, suction setup, oxygen device and oxygen, water soluble lubricant and sterile water |
| What is the total suction time? | 15 seconds |
| What type of PPE should be used? | Sterile glove, goggles or face shield |
| How should the patient be positioned? | Fowlers in sniffing position |
| What is the adult pressure range for suctioning? | 120-150mmHg |
| What is the child pressure range for suctioning? | 100-120mmHg |
| What is the infant pressure range for suctioning? | 80-100mmHg |
| What are the three goals for the MetaNeb? | Open the airways, mobilize secretions, and aerosol delivery |
| What needs to be assessed following trach care? | Check for adequate breath sounds, check vital signs and oxygenation, confirm no adverse effects |
| What supplies are needed for trach care? | Sterile gloves, trach care kit, oxygen device and oxygen, hydrogen peroxide, sterile water, new ties and dressing |
Created by:
K.Moskowitz
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