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Resp 7
breathing techniques
| Question | Answer |
|---|---|
| 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
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