wwallace rt test 2
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| show | 10 to 20 cmH2O
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| show | 10 to 25 cmH2O
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| What type Pt benefit most for IPV | show 🗑
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| What is an IVP | show 🗑
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| What is MIE | show 🗑
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| What pt benefits most from MIE | show 🗑
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| show | hypoxemia, increased intracranial press, hypotention, pulm hemorrhage, pain or injury to muscle ribs or spine, vomit or aspiration, bronchospasm and arrhythmias...follow 3 S rule, stop stabilize stay
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| show | admin higher FIO2
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| What action should be taken if a pt becomes hypoxic during CPT | show 🗑
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| show | stop, return to resting position, call doc
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| What action should be taken for a pt who has a pulm hemorrhage during CPT | show 🗑
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| show | stop, use care return to resting position, call doc
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| show | stop, clear airway (suction prn) admin O2, return to resting position, call doc
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| What action should be taken for a pt who has a bronchospasm during CPT | show 🗑
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| What action should be taken for a pt who has arrhythmias during CPT | show 🗑
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| 4 complications of PEP | show 🗑
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| show | 1. Full inspiration followed by breathing at low lung volume to unstuck periph 2. Breathing at low to middle volumes collects mucus in middle airways, 3 evacuation, middle to large volume then huff
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| 4 contraindications of PEP | show 🗑
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| Frequency range for high frequency chest wall oscillation | show 🗑
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| Frequency range for high frequency chest wall compression is | show 🗑
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| Describe directed cough | show 🗑
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| show | alternative to directive cough, used for pt who is to week for directive, RT uses pressure to help with expulsion
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| Describe staccado cough | show 🗑
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| show | open glottis, say huuufff, used in CF, bronchiectisis and emphysema
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| 4 phases of a cough and what happens in each phase | show 🗑
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| 4 mechanisms that hinder a cough and examples | show 🗑
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| show | pt vitals (HR RR SPO2) and auscultation to confirm outcome
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| How do you instruct a pt for PEP therapy | show 🗑
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| show | active cycle breathing 1. relax and control breathing then 3 or 4 expansion breaths, 2 repeat, 3 repeat then 1 or 2 huff coughs relax control and done
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| Major factor in contributing to retained secretions | show 🗑
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| Frequency when using IPV | show 🗑
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| show | (used with bland aerosol or meds) pt or rt controls
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| show | 30 mins
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| Vest therapy may not be as effective as postural drainage or percussion in what pt | show 🗑
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| show | dangling
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| clinical signs observed with retained secretions | show 🗑
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| Areas never to be percussed | show 🗑
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| show | patent (clear) airway, functioning mucociliary escalator (cilia) and effective cough
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| show | operates from respiratory bronchioles to larynx, we then swallow or spit
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| Ciliated epithelial cells move secretions | show 🗑
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| show | it is a protective reflex that keeps a patent airway
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| show | irritation (can be mechanical, chemical, thermal, inflammatory), inspiration (1 to 2 liters), compression (rapid rise in press), expulsion (500 mph displaces mucus from air walls)
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| Abnormal airway clearance is | show 🗑
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| show | increase WOB, air trapping, over distention, and V/Q mismatch (vent/perfusion imbalance)
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| show | all ￢ﾀﾓ retained secretions cause an ineffective clearance
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| Mechanisms impairing the cough irritation phase | show 🗑
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| show | pain, neuromuscular dysfunction, pulm or abdominal restriction
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| show | laryngeal nerve damage, artificial airway, abs muscle weakness, ab surgery
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| show | airway compression, airway obstruction, ab weakness, inadequate lung recoil (emphysema)
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| Diseases associated with abnormal clearance of mucus | show 🗑
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| show | ALS, muscular dystrophy, myasthenia gravis, poliomyelitis, cerebral palsy, and spinal muscular atrophy
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| The primary goal of bronchial hygiene therapy is | show 🗑
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| Acute conditions for bronchial hygiene therapy are | show 🗑
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| show | COPD, pneumonia and uncomplicated asthma
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| Chronic conditions that usually require bronchial hygiene therapy | show 🗑
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| When getting sputum production info from a patient, use language a pt like Chris can understand, how many buggers in a shot glass? | show 🗑
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| What are the best documented preventive uses of bronchial hygiene therapy | show 🗑
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| show | postural drainage and percussion vibration therapy
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| show | 1 postural drainage, 2 coughing and expulsive techniques, 3 PAP adjunct (PEP, CPAP and EPAP), 4 high frequency compression oscillation (vest and flutter) 5 mobilization and exercise
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| show | 1 turning 2 Percussion (on exhalation) 3 vibration
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| Turning | show 🗑
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| Relative contraindications of turning | show 🗑
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| Proning and acute lung injuries | show 🗑
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| show | always drain vent tubes first, caution with vent disconnection, accident extubation, accidental aspiration of vent condensation, , IV￢ﾀﾙs, and urinary catheters
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| Postural drainage is | show 🗑
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| show | 3 to 15 minutes
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| show | 25 -30 mL/day (1 fluid ounce or 1 shot glass)
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| Postural drainage technique | show 🗑
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| Initial assessment of need for bronchial hygiene therapy from medical records includes | show 🗑
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| Initial assessment of need for bronchial hygiene therapy from Patients include | show 🗑
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| Percussion and vibration refers to | show 🗑
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| Documentation and follow up includes | show 🗑
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| show | mimics spontaneous cough, helps voluntary control reflex, compensate for physical limits
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| What is the most effective way to clear the central airways | show 🗑
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| What is the most effective way to clear the peripheral airways | show 🗑
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| What are the three important factors for good patient teaching | show 🗑
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| show | place pt in sitting position, shoulders rotated inward, head and spine slightly flexed, forearms relaxed or supported, support feet (raise head of bed if needed)
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| show | good deep inspiration, bear down against glottis (straining like stool)
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| show | applying press to thorax coordinating with forced exhalation
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| show | (HUFF cough) a modification to the directed cough, one or two forced expirations of middle to low lung volumes with out closure of glottis, followed by diaphragmatic breathing and relaxation
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| Active cycle of breathing | show 🗑
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| ACB sequence | show 🗑
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| Thoracic expansion exercises | show 🗑
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| ACB breathing control involves | show 🗑
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| Autogenic drainage is | show 🗑
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| Mechanical insufflation exsuffation | show 🗑
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| show | mobilize secretions and treat atelectasis, CPAP, EPAP, PEP
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| show | positive expiratory pressure for post op atelectasis, good for cf and bronchiectisis exhale through valve at 10 to 20 cmh20
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| show | improves distribution of inspired volume, prevents airway collapse, generates pressure distal to mucus obstruction
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| show | sinusitis, ear infection, nose bleed or epitaxis facial or head surgery, active hempotysis
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| How long for PEP therapy | show 🗑
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| show | PEP
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| How do you clean a flutter valve | show 🗑
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Created by:
williamwallace
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