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RES SUPPORT 1

RES SUPPORT 1

QuestionAnswer
DESCRIBE HOW THE PATIENT SHOULD BE INSTRUCTED TO BREATHE DURING ANY TYPE OF RESPIRATORY THERAPY TREATMENT SLOW DEEP INSPIRATION (FROM RESTING ENHALATION)
HOW SHOULD THE PATIENT BE POSITIONED TO ENHANCE OXYGENATION IF THE PATIENT HAS: UNILATERAL LUNG DISEASE GOOD LUNG DOWN FOR UNILATERAL LUNG DISEASE
LIST THE BENEFITS OF VENTILATORY MUSCLE TRAINING 1. VENTILATORY MUSCLE TRAINING BENEFITS PATIENTS BY INCREASING THEIR MUSCLE STRENGTH AND ENDURANCE, DECREASING DYSPNEA, THE NEED FOR MEDICATION AND HOSPITAL VISITS 2. TRAINING IS BASED ON THE CONCEPT OF PROGESSIVE RESISTANCE.
WHAT IS THE MAIN INDICATION FOR SUSTAINED MAXIMAL INSPIRATION? Prevention of Atelectasis
INSPIRATION SHOULD BE FROM RESTING
HOW OFTEN SHOULD SUSTAINED MAXIMAL INSPIRATION BE PERFORMED AND WHAT INFORMATION SHOULD BE INCLUDED IN THE DOCUMENTATION OF THE TREATMENT? should be performed hourly while the PT is awake for about 10 breaths
IF A PATIENT IS UNABLE TO GENERATE ENOUGH FLOW TO ACHIEVE THE SET GOAL WHEN USING A FLOW ORIENTED DEVICE, WHAT SHOULD THE RESPIRATORY THERAPIST DO? may need to lower goal to 1000ml and revaluate goal daily.
DESCRIBE FIVE DESIRABLE PHYSIOLOGIC EFFECTS OF IPPB THERAPY 1 2 3 4 5 Prevent/correct Atelectasis,Prevent/Decrease Pulmonary Edema,Decrease the work of breathing, Mechanical Bronchodilation,Distribute Aerosols,Removal of Airway Secrections
LIST THE FOUR CONTRAINDICATIONS FOR TH USE OF IPPB THERAPY Unskilled Users, Massive Pulmonary Hemorrhage Untreated Pneumothrax Dirty Equipment
HOW SHOULD THE PATIENT BE POSITIONED TO ENHANCE OXYGENATION IF THE PATIENT HAS:OBESITY LATERAL FOWLERS FOR THE OBESE PATIENT
HOW SHOULD THE PATIENT BE POSITIONED TO ENHANCE OXYGENATION IF THE PATIENT HAS: CHF FOWLERS POSITION FOR CHF
HOW SHOULD THE PATIENT BE POSITIONED TO ENHANCE OXYGENATION IF THE PATIENT HAS: ARDS PRONE POSITION FOR ARDS
What are the hazards of using IPPB therapy Hyperventilation, Impending Venous Return, Gastric Distention, Pneumothrax Excessive oxygenation and Increased Air Trappin in PT with COPD Acute Tuberculosis
What effects does increasing the flow have on inspiratory time? will decreased the Inspiratory Time
What percent oxygen is the PT receiving when the air -mix control is off and the machine is attached to a 50 psi source of oxygen? this setting will give a variable oxygen concentration between 40-80%
The volume delivered to the PT can be changed by adjusting which control? changed by adjusting the pressure limit
How would the respiratory therapist recognize that there is a leak in the circuit? the circuit will prevent normal cycling to exhalation
With the sensitivity set at -10cmH20, is it harder or easier for the PT to initiate a breath? Lower numbers indicate decreased PT effort (increased sensitivity)
What situation(s) would cause inspiration to end prematurely? Obstruction/coughing would
Which IPPB device should be recommended for a PT with CHRONIC HYPERCAPNEA?
Describe how each of the following control changes will affect the FIO2. (when the air-mix control is ON. and source gas is 100%) CONTROL INCREASE PRESSURE will increase Fi02
Describe how each of the following control changes will affect the FIO2. (when the air-mix control is ON. and source gas is 100%) CONTROL DECREASE PRESSURE
Describe how each of the following control changes will affect the FIO2. (when the air-mix control is ON. and source gas is 100%) CONTROL INCREASE FLOW
Describe how each of the following control changes will affect the FIO2. (when the air-mix control is ON. and source gas is 100%) CONTROL DECREASE FLOW
Describe how each of the following control changes will affect the FIO2. AIR MIX OFF will increase the Fi02 to 100%
Describe how each of the following control changes will affect the FIO2. (when the air-mix control is ON. and source gas is 100%) USE OF NEBULIZER will increase the Fi02 on PR-II
Describe how each of the following control changes will affect the FIO2. (when the air-mix control is ON. and source gas is 100%) USE OF TERMINAL FLOW on PR-II will decrease the Fi02
Describe how each of the following control changes will affect the FIO2. (when the air-mix control is ON. and source gas is 100%) SENSITIVITY has no effect on the Fi02
Describe how each of the following control changes will affect the volumed Delivered? CONTROL INCREASE PRESSURE will increase the volume
Describe how each of the following control changes will affect the volumed Delivered? CONTROL Air Mix and SENSITIVITY have no effect on Volume
Describe how each of the following control changes will affect the volumed Delivered? CONTROL INCREASE FLOW will increase the turbulence and decrease volume (decreased inspiratory time).
Describe how each of the following control changes will affect the volumed Delivered? CONTROL DECREASE FLOW will increase the volume (increased inspiratory time).
Describe how each of the following control changes will affect the Inspiratory Time? CONTROL INCREASE PRESSURE (increased tidal volume) will increase the inspiratory time
Describe how each of the following control changes will affect the Inspiratory Time? CONTROL DECREASE PRESSURE
Describe how each of the following control changes will affect the Inspiratory Time? CONTROL INCREASE FLOW will decrease the Inspiratory Time
Describe how each of the following control changes will affect the Inspiratory Time? CONTROL DECREASE FLOW
Describe how each of the following control changes will affect the I:E Ratio? CONTROL INCREASE PRESSURE
Describe how each of the following control changes will affect the I:E Ratio? CONTROL DECREASE PRESSURE
Describe how each of the following control changes will affect the I:E Ratio? CONTROL INCREASE FLOW
Describe how each of the following control changes will affect the I:E Ratio? CONTROL DECREASE FLOW
Created by: Cam1228