Exam review

Exam review

4. IS enhances lung expansion via a spontaneous and sustained decrease in Ppl. Positive airway pressure techniques increase P alv in an effort to expand the lungs. IPPB inspiration only, PEP expiratory positive airway pressure, EPEP,CPAP during both inspiration and expiration
5. CPAP- Patient breaths spontaneously without mechanical assistance against threshold
IPPB- Short term Applying Positive pressure to a patient for 10-20 mins
Incentive Spirometry- encouraging the patient to take deep breaths to avoid atelectics.
PEP- a technique used to clear the airways sercreations via fixed orfiace airway resistor
6.Indications for IS: Predispose conditions (surgery, COPD)
i.Presence of atelectasis
ii.Lung defect (quadriplegia or dysfunctional diaphram)
7.Contractions for IS:
a)Instructions and or cooperation
b)Unconsicious
c)Unable to generate a strong enough breath
d)If a stoma is exsistant then a addpater is needed
8.Hazards of IS:
a)Hyperventation
b)Discomfort and pain
c)Fatigue
d)Bronco-spasms
e)Barotrauma
9.Different types of IS:
a)Voldyne: 1-4000ml
b)TrifloII: 3 chambers 800-1000ml, 1000ml, 1200ml
c)Monaghan Spirocare: Batteries
10. Diaphragmatic breathing at slow and moderate breaths
11. CPAP mechanisms:
a)the recruitment of collapsed alveoli via an increase in FRC
b)a decreased WOB
c)an improved distribution of ventilation Kohn pores,
d)an increase in the efficiency of secretion removal.
12.CPAP:
Contradiction:
I.does not ensure ventilation
II.Hypoventilation, nausea, facial trauma, untreated pneumorthorax, and elevated intracranial pressure (ICP)
Indications:
I.Post-op
Hazards:
II.Hypoventilation and hypercapnia
III.barotrauma
IV.Emphysema
V.gastric distension lead to vomiting and aspiration w/ pt w/ gag reflex

PEP:
Indications:
a.Needed aid in mobilation secreations
b.Prevent and reverse Atelectasis
c.Air Trapping

Contraindications:
A.Unable to tolarate increase WOB
B.Active hemoptysis...

Similar Essays