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RES SUPPORT 1
RES SUPPORT 1
Question | Answer |
---|---|
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 |