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sjvc rt12 cpg's
flash cards for all the stations
| Question | Answer |
|---|---|
| Postural Drainage Hazards & Complications: | Hypoxemia Increased ICP Acute hypotension Pulmonary hemorrhage Pain to muscles |
| Postural Drainage Contraindications: | Head and neck injury Active hemorrhage ICP > 20mmHg Empyema Pulmonary Embolism |
| Postural Drainage Indications: | Turning Evidence of difficulty with secretions Presence of Atelectasis Presence of foreign body Sputum production greater than 25-30 ml/day |
| Directed Cough Hazards & Complications: | Fatigue Bronchospasm Vomiting Chest pain |
| Directed Cough Contraindications: | NONE |
| Directed Cough Indications: | Aid in the removal of secretions Presence of Atelectasis Prophylaxis against post-op complications Routine part of bronchial hygiene therapy Obtain sputum samples |
| Airway Emergency Hazards & complications: | Failure to establish patency Trauma to nose/mouth/tongue/upper airway Aspirations/infection ET tube problems |
| Airway Emergency Contraindications: | NONE |
| Airway Emergency Indications: | Airway emergency/compromise Artificial airway obstruction Apnea Cardiopulmonary arrest/failure Aspiration/risk of aspiration |
| Aerosol Meds Hazards & Complications: | Device malfunction/underdosing Device malfunction/overdosing drug Complications Repeated exposure can produce asthmatic symptoms |
| Aerosol Meds Contraindications: | NONE |
| Aerosol Meds Indications: | Deliver aerosolized: Adrenergic Anticholinergic Anti-inflammitory Mucokenetic agents to the lower airway |
| Pulse OX Precautions: | Device limitations factors that may Affect the accuracy |
| Pulse OX Contraindications: | NONE |
| Pulse OX Indications: | Monitor adequacy of arterial Hb saturation Quantify the response of therapeutic intervensions Comply with mandated regulations |
| PAP Therapy Hazards & Complications: | Pulmonary barotrauma Increased ICP Cardiovascular compromise Air swallowing Increased WOB |
| PAP Therapy Contraindications: | ICP > 20mmHg Hemodynamic instability Acute sinusitis Active hemoptysis Untreated pneumothorax |
| PAP therapy Indications: | Reduce air trapping in asthma & COPD Aid in mobilization of secretions Prevent/reverse atelectasis Optimize delivery of bronchodilators |
| O2 Therapy Hazards & Complications: | NONE |
| O2 Therapy Contraindications: | NONE |
| O2 therapy Indications: | Documented hypoxemia Acute care with suspected hypoxemia Severe trauma Acute myocardial infraction Short-term therapy |
| Nasal Suctioning Hazards & Complications | Hypoxia/hypoxemia Nasal trauma Arrythmia/bradycardia Atelectasis Bronchospasm/bronchoconstriction ICP > 15mmHg |
| Nasal Suctioning Contraindications: | Occluded nasal passages Nasal bleeding Laryngospasm Bronchospasm Acute head/neck injury |
| Nasal Suctioning Indications: | Inability to clear secretions Audible eveidence of secretions Obtain sputum sample |
| IPPB: Hazards & Complications: | Increased airway resistance Barotrauma Hyperventilation Hemoptysis Gastric distension |
| IPPB Contraindications: | Tension Pneumothorax ICP > 15mmHg Hemodynamic instability Tracheoesophageal fistula Active hemoptysis |
| IPPB Indications: | Improve lung expansion Short-term noninvasive vent. support Deliver aerosol medication |
| Incentive Spirometry Hazards & complications: | Ineffective unless supervised Hyperventilation Bronchospasm hypoxia fatigue |
| Incentive Spirometry Contrainications: | PT can't be instructed PT can't cooperate Unable to take deep breaths |
| Incentive Spirometry Indications: | Predisposed to atelectasis Presence of atelectasis Restrictive lung defect |
| Bland Aerosol Therapy Hazards & Complications | Wheezing or bronchospasm Bronchoconstriction/ artificial Airway infection Over hydration PT discomfort |
| Bland Aerosol Therapy Contraindications: | Bronchospasm Hx of airway hyper-responsiveness |
| Bland Aerosol Therapy Indications | Upper airway edema LTB Subglottic edema post extubation edema need for sputum induction |
| Assessing Bronchodilator Therapy Hazards & Complications | Deep inhalation & forced exhalation Bronchoconstriction Airway collapse paroxysmal cough |
| Assessing Bronchodilator Therapy Contraindications: | PT in severe distress |
| Assessing Bronchodiltor Therapy Indications: | Confirm appropriateness of therapy Individualize PT's medication Determine status, acute/long-term Change therapeutic dose |
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sjvc12rt
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