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Resp 7

breathing techniques

Purpose of pursed lip breathing to prevent the air trapping caused by bronchiolar airway collapse by increasing the back pressure and to aid with panic
How to do pursed lip breathing Take deep breathe in hold and then breath out with lips like blowing out a candle
Physiological effects of pursed lip breathing Will decrease patients resp rate by increasing the expiratory rate.
Diseases that are helped with pursed lip breathing COPD and emphysema
Purpose of abdominal diaphragmatic breathing exercises This promotes greater use of the diaphragm, decrease the work of breathing by slowing your breathing rate, Decrease oxygen demand, use less effort and energy to breathe, to prevent atelectasis
disease that will benefit from diaphragmatic breathing COPD
Lateral Costal breathing unilateral or bilateral costal breathing exercises increase ventilation to the lower lobes and aid diaphragmatic breathing
What patients use lateral costal breathing post surgery, pregnancy, or ascites
What are the purposes of breathing exercises 1.promote efficient use of the diaphragm,2.decrease use of the rib cage3. improve cough, medication, and effiency of ventilation
4 phases of cough irritation, inspiration, compression, and expulsion
What are causes of irritation stage Mechanical(foreign), chemical(gases),, thermal(cold air), or inflammatory(infection, or swelling)
direct cough diliberate maneuver that is taught, supervised, and monitored
forced expiratory techinique (huff cough) deep breath in and huff huff out, vibration will get mucuc out
Active cylcleof breathing (ACB) diaphragmatic breathing, thoracic breathig, and FET
Autogenic drainage self drainage by breathing in and out bringing the mucuc up and up
incentive spirometer technique using visual feedback to encourage patients to take a slow, deep sustained inspiration
sustained maximal inspiration stain (hold) the inspirtory effort as long a possible
volume and number of performances necessary for incentive spirometer to achieve results achieve 10 cc/kg of IBW or IC greater than about 1/3 of predicted. RR less than 25
Contraindications for IS obtunded, comatose, uncooperative, neuromuscular disorder, unable to breath effectively (asthma attack)
Hazards or complications for IS hyperinvilation and resp alkalosis, paresthesia, fatiuge, and pulmonary barotrauma (pressure held to long)
Physiological changes occuring with incentive breathing and the effect on PaO2 and PaCO2 Ventilation is increased to reach blood flow which is 1. PaO2 should increase
Normal V/Q .8
What V/Q will be after incentive breathing 1
Monitoring perfomance of an IS treatment Frequency of sessions, # of breaths/session, volume/flow goals acheived, breath hold maintained, vital signs/breath sounds cough results
Indicators that IS has improve atelectasis breath hold has maintained or risen since before, normal chest x-ray, breath sounds sound betteer
Created by: TnJFarrington12