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HUC Therapy Orders

HUC Studies: Therapy Orders

TermDefinition
ABG Arterial Blood Gases
ADL Activities of Daily Living
AROM Active Range of Motion
AV Arteriovenous
BiPAP Bi-level Positive Airway Pressure
CPAP Continuous Positive Airway Pressure
CPT Chest Physical Therapy
EMG Electromyogram
EPC Electronic Pain Control
ET Endotracheal
FiO2 Fraction of Inspired Oxygen
FWB Full Weight Bearing
HBO Hyperbaric Oxygen
IPPB Intermittent Positive Pressure Breathing
IS Incentive Spirometer
Ipm Liters per Minute
MDI Metered-Dose Inhaler
nc Nasal Cannula
NCS Nerve Conduction Study
NWB Non-Weight Bearing
O2 Oxygen
OT Occupational Therapy
Peep Positive End Expiratory Pressure
PFT Pulmonary function test
PM Physical Medicine and Rehabilitation
PROM Passive Range of Motion
PT Physical Therapy
Pulse ox Pulse Oximetry
PWB Partial Weight Bearing
RR Respiratory Rate
RT Recreational Therapy
SaO2 Arterial Oxygen Saturation
ST Speech Therapy
TCDB Turn, Cough, Deep Breath
TENS Transcutaneous Electrical Nerve Stimulation
TV Tidal Volume
vent Ventilator
VT Total Volume
Respiratory Care provides therapy, treatments & tests related to breathing & lung function. department w/in a health care facility/it may be stand-alone health care facility that provides care to outpatients. respiratory therapy, inhalation therapy & pulmonary function.
Oxygen Therapy If pt isnot getting enough O2 naturally thru breathing/respiration, supplemental oxygen may be administered.
Different devices that fit on the patient to administer oxygen nasal cannula (nc), single face mask, open face tent, reservoir mask, and venture mask.
Oxygen is measured by percentage or liters per minute. The air one breathes naturally (room air) is about 23% oxygen.
Respiratory Care Treatments given to patient to facilitate adequate respiration and lung function
Incentive Spirometer (IS) a device to teach the patient to breath deeply. Often ordered for the postoperative patient to encourage deep breathing to open airways after receiving a general anesthetic.
Chest Physical Therapy (CPT) technique in which the patient is placed in various positions that aid in the removal of lung secretions. Positioning is combined with percussions to the chest wall.
Intermittent positive pressure breathing (IPPB) device that forces air into the patient's lungs and allows the patient to breathe out. Device can also be used to administer meds in an aerosol form
Nebulizer type of inhaler that sprays a fine, liquid mist of medication, delivers thru a mask worn over nose and mouth. Mist is delivered using O2 or air under pressure or an ultrasonic machine.
Metered-dose inhaler (MDI) delivers a specific amount of medicine in aerosol form.
Continuous Positive Airway pressure (CPAP) administering positive pressure to airways by having the patient breathe thru pressurized tubing.
Bilevel Positive Airway pressure (BiPAP) an alternative form of ventilation in which the ventilator reduces air pressure during exhalation.
Intubation insertion of an endotracheal (ET) tube into patient's windpipe to introduce aire when the patient is unable to breathe on his or her own. Artificial airway. Required to place patient on breathing machine/ventilator
Ventilator (vent) a machine that assists or controls the patient's breathing.
The HUC may transcribe orders for the regulation of ventilator settings and controls *Tidal volume (TV or VT) *Fraction of inspired oxygen (FiO2) *Respiratory rate (RR) *Positive end expiratory pressure (Peep) *Continuous positive airway pressure (CPAP)
Induced Sputum Sputum is required for some lab tests. Sputum specimen may be obtained by respiratory care. Helps patient to produce sputum or suction may be needed.
Arterial blood gases (ABG) test that measures the concentration of oxygen and carbon dioxide in the blood which shows how efficient gas exchange is in the lungs. Respiratory care may collect arterial blood specimen.
pulse oximetry (pulse ox) noninvasive method of measuring arterial blood oxygen saturation (SaO2). Device that is attached to the patient's finger has a photon sensor that measures the amount of light absorbed by oxygenated and unoxygenated hemoglobin
pulmonary function tests (PFT) a group of tests that measure how the lungs are working. may be done to diagnose and confirm diseases or before surgery to make sure lungs will tol anesthesia & surgery: spirometry, lung volume measurement; diffusion capacity
Spirometry Patient breathes into a mouthpiece connected to spirometer. It records amt of air and the rate of air that is breathed in & out over a specified time. Obtained by quiet normal breathing. Other tests require forced inhalation/exhalation after deep breath.
Lung volume measurement 1. person to sit in a body plethymograph, sealed transparent box. changes in pressure inside box allow determination of lung volume. 2. patient breathes nitrogen or helium gas thru tube for specified time. Concentration of gas in chamber is measured.
diffusion capacity measured when a person breathes carbon monoxide for a very short time Concentration of carbon monoxide in exhaled air is then measured. Difference in the amount of CO inhaled and the amount exhaled - how rapidly gas travel from lungs into blood.
Focus of physical medicine and rehabilitation (PM&R) is to restore function and improve the quality of life. Care is provided to patients who have had a stroke, amputation, paralysis, orthopedic injuries, and neurological injuries, to name a few
PM&R may consist of a variety of divisions Physical therapy (PT) Occupational therapy (OT) Speech Therapy (ST) Recreational Therapy (RT)
Hydrotherapy water therapy provided by PT.
Heat and light treatments PT may provide treatments to muscles and joints with heating pads, wax, ultrasound, or ultraviolet and infrared light.
Exercise PT provides a wide variety. Orders may indicate range of motion. AROM, PROM, CPM
Ambulation and assistive device training parallel bars, crutches, canes, walkers. Order my indicate how much of his own weight pt can bear: NWB, PWB, FWB
PT uses electricity for treatment and tests. Electrical nerve stimulation or electronic pain control (EPC), also called transcutaneous electrical nerve stimulation (TENS)
Electromyogram (EMG) electrical recording of muscle activity. may be ordered to diagnose neuromuscular disease.
Occupational therapy helps people regain and develop skills that are important for self-care and self-sufficiency. Most common OT ordered is "activities of daily living" ADL
Activities of Daily Living (ADL) self-care skills such as dressing, bathing, preparing meals, and driving.
Speech Therapy provides services for patients with language and speech difficulties; also with dysphagia (swallowing disorder)
Videofluorographic a swallowing study
Recreational therapy provides recreation and leisure services to patients with disabilities and illnesses. May asses past leisure activities and create goals for new recreational activities that suit patient's abilities and interests.
Dialysis treatment given to patients when their kidneys are unable to remove wastes and impurities from the blood.
Peritoneal Dialysis works by using the peritoneal membrane inside the abdomen as the semipermeable membrane. Can be performed at home.
Hemodialysis works by circulating blood through special filters the blood flows across a semipermeable membrane along with solutions that help remove toxins.
Radiation therapy treatment that uses radioactive substances to destroy cancer cells.
Hyperbaric oxygen therapy (HBO) uses a pressure chamber to enable patient to breath 100% oxygen. May be used for wound healing, tissue infections smoke inhalation and burns
wound, ostomy and continence care Ostomy is surgical opening created for discharge of body wastes. special care given to skin around ostomy to prevent irritation and infection. Also treat chronic wounds, pressure ulcers bedsores