Term
| What is the ideal breathing pattern |
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Definition
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"slow, deep inspiration; pause (hold), exhale passively, relax - volume and not speed"
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Term
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Definition
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"sitting up is the ideal for most, modifications in some instances could help enhance oxygenation, i.e. prone position for ARDS, fowler's for CHF, lateral fowler's for obese, good lung ""down"" for unilateral lung disease"
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Term
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Definition
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sustained maximal inspiration same thing as incentive spirometry
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Term
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Definition
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Term
| Which type of IS equipment the best |
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Definition
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volume - want to see how much and not how fast
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Term
| How often is IS/SMI therapy performed |
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Definition
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"hourly for 10 breaths, date time and volume is charted but not duration, do not set goals too high or too low - set post op goal of about half of pre-op."
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Term
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Definition
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"can be used if incoherent or uncooperative patient in lieu of IS/SMI - will prevent and correct atelectasis. If IPPB is a choice, think about reversing, preventing, confused post op patients"
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Term
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Definition
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noninvasive positive pressure ventilation
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Term
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Definition
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inspiratory is always the greater pressure i.e. 15/5. IPAP is inspiratory that controls ventilation (CO2) and EPAP is oxygenation (PO2)
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Term
| IPAP/EPAP and PO2 is too high |
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Definition
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decrease EPAP - expiratory pressures/oxygenation therefore EPAP
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Term
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Definition
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"ventilation problem, increase ventilation therefore, increase IPAP"
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Term
| IPAP/EPAP and ventilation is good but hypoxic |
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Definition
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"raise EPAP and IPAP - i.e. if IPAP/EPAP is 15/5 - difference is 10 which is ventilation; therefore, change 5 to 8; then change 15 to 18 to maintain the ventilation"
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