RT Test 2 Test
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| A. tumor, abnormality, bronchospasm (asthma, bronchitis) CF, Dyskintic Syndrome (impaired cilia)bronchiectisis, poor cough reflex (ALS, MD, etc)B. relaxation and breathing control, 3 to 4 thoracic exercises, relax and bc, 3 to 4 thoracic exercise, relax and bc, 1 or 2 huff coughs, relax and breath controlC. instruction of proper positioning, instruction of breathing control, exercises to strengthen expiratory musclesD. danglingE. mobilize secretions and treat atelectasis, CPAP, EPAP, PEPF. irritation cns, inspiration pain or restriction, compression surgery or nerve damage, expulsion obstruction weakness copdG. 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 stayH. all ¬タモ retained secretions cause an ineffective clearanceI. 25 -30 mL/day (1 fluid ounce or 1 shot glass)J. mechanical insufflations exsufflation, artificial cough machine, used mostly for pts with neuromuscular, usually at home, press plus 30 to 50 1 to 3 secs then neg 30 to 50 2 to 3 secs, oral nasal mask or trachK. disassembled after each use and rinsed in water wash in soap every 2 days and disinfect by soaking in 1 to 3 solution of vinegar and water for 15 mins dry and reassembleL. increase WOB, air trapping, over distention, and V/Q mismatch (vent/perfusion imbalance)M. airway compression, airway obstruction, ab weakness, inadequate lung recoil (emphysema)N. 1.6 to 3.75 hzO. 15 hz for flutter and 1.6 to 3.75 hz for IPVP. acutely ill with copious secretions, acute respiratory failure with retained secretions, acute lobar atelectasis, and V/Q abnormalities caused by lung diseaseQ. stop, return to resting position, admin or increase O2, call doc, admin bronchodilatorsR. mimics spontaneous cough, helps voluntary control reflex, compensate for physical limitsS. tender areas, site of trauma or surgery or bony spotT. repeated cycles of breathing control, thoracic expansion and huff or FET |
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williamwallace
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