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Incentive Spirometry

Fundamentals

QuestionAnswer
List 3 categories of patients that are at high risk for developing atelectasis neuromuscular patients, heavily sedated patients, upper abdominal or thoracic surgery, spinal cord injusry, bed ridden patients and post-op
Indentify the major contributing factors in the development of postoperative atelectasis smoking, history of lung disease, ^ mucous prdxn, chronic bronchitis, inadequate nutritional intake
Identify indications for incentive spirometry treatment of existing atelectasis and when conditions exist that make the development of atelectasis likely
Indentify which situations contraindicate IS patient cannot be intructed,Vt less than 10ml/kg and IC less than 1/3 predicted
Describe the effects that may be seen in patients that experience of hyperventilation dizziness, \drop in BP, pneumothorax, gastric distention
Describe IS devices and categorized two different types used primarily as a preventative in a propholactic treatment; two types: volume oriented devices; measure and display amnt of air patient inhaled & flow oriented devices; display inspiratory flowrate and may attempt to estimate amnt of air inhaled
Describe flow-oriented IS devices only display inspiratory flowrate and may attempt to estimate the amnt of air inhaled.
Identify which parameters should be monitored in patients using IS device within reach of patient, periodic observation of patient compliance w/technique, new and increasing inspiratory volumes established each day
Choose the ideal time a high-risk surgical patient should be oriented to IS 5-10 breaths per session every hour while awake
Describe the proper technique of breathing when teaching a patient to perform the sustained maximal inspiration (SMI) maneuver slow deep inhalation from FRC up to TLC, sustaining the inflation for a 5-10 sec. min of 3sec.
List critical steps involved in correct instruction in the technique of IS
Describe the ideal frequency a patient should performed an IS 5-10 breaths every hour
Demo and identify methods to monitor patient's response and progress
IC calculated for males 20.72-(0.084xage)x(height in cm)
IC calculated for females 16.34-(.075xage)x(height in cm)
Created by: 1197414121