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Resp 2.3

Positive Airway Pressure Therapy

QuestionAnswer
Define IPPB short term breathing treatment in which pressure above Atmospheric pressure are delivered to pt lung via a pressured cycled ventilator
Goals of IPPB deeper breath, promote cough, improve distribution of ventilation, better ABGs
indications of IPPB hypoventilation, atelectasis not responsive to other tx, reduced cough effort, increased airway resistance, increased WOB, accumulation of secretions, the inablility to inspire adequately
General pt who can benefit from IPPB therapy pt that can not take a deep breath
hazards of IPPB hypoventilation (to much O2), hyperventilation, pneumothorax, gastric distinction, decreased venous return exept with pt with pulmonary edema
medication side effects dizziness, tingling, numbness
contraindications for IPPB facial surgery, hypotension, TE fistula, bleb, hemoptysis
Physiological effects decrease WOB, increase tidal volume (ventilation), decrease CO2, increase O2 normal pH
What should be included in an IPPB order duration, treatment, frequency, and medication
what should be monitored during IPPB treatment appearance (color), BS, vitals
Bird Mark 7 Pressure cycled, with assist and assist/control modes, requires 50 psi gas source
Pressure chamber contain the pt pressure until the beginning of inspiration and houses the pressure control
ambient chamber exposed to room air and is the side that houses the sensitivity control
alternative therapy to IPPB EzPAP, IS, or pursed lip breathing
Information to chart after delivery of IPPB drug used, pre and post vitals, adverse reactions or responses
assist mode machine breath is delivered only when on inspiratory effort by the pt is sensed by the ventilator (PT IS TRIGGERING BREATH)
assist/control mode a machine breath is delivered when an inspiratory effecy by the patient is sensed by the ventilator (assist) or at set time intervals if the rate occurrence of insp effort fails below a set rate (control)
control mode machine breaths are delivered at preset intervals (MACHINE BREATH)
Factors that determine the length of inspiration in a pressure cycled ventilator pressure setting, flowrate, pt ventilator pattern, pt lung compliance and airway resistance
How flow adjustment affects insp and exp time When increase flow it decreases insp time When decrease flow it increases insp time
What is the ideal I:E ratio when delivering IPPB you want more expiratory time
Purpose of EzPAP prevention and treatment of atelectasis and for lung expansion therapy, recommended for pt with a decreased FRC
Contraindications for EzPAp none
adverse reactions for EzPAP increased WOB that may lead to hypoventilation, increased cranial pressure, cardiovascular compromise, decreased venous return, air swallowing, and pulmonary barotrauma
Therapeutic outcomes of EzPAP decrease atelectasis
Created by: TnJFarrington12