Term
| primary impairment of restrictive disorders |
|
Definition
| ventilatory pump causes decreased compliance |
|
|
Term
|
Definition
| the ability of the lung to expand |
|
|
Term
| RLD: characteristic in which an abnormal reduction of what results in diminished inspiratory reserve |
|
Definition
|
|
Term
| RLD: characteristic in which an abnormal reduction in pulmonary ventilation results in what |
|
Definition
| diminished inspiratory reserve |
|
|
Term
| RLD: what could cause an abnormal reduction in pulmonary ventilation (2) |
|
Definition
decreased chest wall motion
impaired diaphragm motions |
|
|
Term
| restrictive disorders result in what |
|
Definition
| increased work of breathing |
|
|
Term
|
Definition
short of breath
dyspnea
smothered/restricted |
|
|
Term
| when work of breathing is increased what can happen (2) |
|
Definition
labored breathing
extra accessory muscle use |
|
|
Term
| RLD: an increased work of breathing will eventually present as what in these pt's |
|
Definition
|
|
Term
|
Definition
|
|
Term
| tx considerations of RLD (2) |
|
Definition
is the condition reversible?
natural course and prognosis of the condition |
|
|
Term
| tx of an RL Dis determined by what |
|
Definition
| the nature and prognosis of the pathology |
|
|
Term
| tx interventions of RLD (7) |
|
Definition
positioning
bronchial hygiene
rib cage support
pain mgmt
muscle training
aerobic conditioning
energy conservation |
|
|
Term
| air in the pleural cavity aka |
|
Definition
|
|
Term
|
Definition
spontaneous
traumatic
iatrogenic
open
tension |
|
|
Term
| iatrogenic pneumothorax is a result of what |
|
Definition
| complication from dx test or surgery |
|
|
Term
| all types of pneumothorax present with these 3 s/s |
|
Definition
increased RR
decreased Volumes
hypoxemia |
|
|
Term
| majority type of pneumothorax |
|
Definition
|
|
Term
| pneumothorax which air can enter and leave the cavity |
|
Definition
|
|
Term
| an open pneumothorax will cause impairemnts with what (2) |
|
Definition
| pressure in cavity and lung |
|
|
Term
| pneumothorax which is considered life threatening |
|
Definition
|
|
Term
| danger of a tension pneumothorax |
|
Definition
| air can enter cavity but can't leave |
|
|
Term
| excess pressure in the cavity as a result of pneumothorax will do what |
|
Definition
| puts pressure on teh lung causing collapse and pushes mediastinum to the contralateral side |
|
|
Term
| a pneumothorax will deviate the mediastinum to which side |
|
Definition
|
|
Term
|
Definition
acute sob
pleurtic chest pain unilaterally
increased RR
traumatic pneumo may hear air entering and leaving cavity |
|
|
Term
| sign unique to a traumatic pneumothorax |
|
Definition
| hear air entering and leaving cavity |
|
|
Term
| interventions for pneumothorax (3) |
|
Definition
chest tube placement
deep breathing and timing exercises
activity and mobilization on stable pts |
|
|
Term
| whee is teh chest tube placed for the pneumothorax |
|
Definition
|
|
Term
| why is the cest tube placed on teh side of the pneumothorax injury |
|
Definition
| reestablish thoracic pressrue by decresaing the amount of fluid within the cavity |
|
|
Term
| anesthesia, drug OD, head injury: effects on respiration (3) |
|
Definition
decreased RR
decreased depth
decreased inspiratory lung volumes |
|
|
Term
| anesthesia, drug OD, head injury: s/s (5) |
|
Definition
decresaed endurance/activity tolerance
dizziness
confusion
SOB
difficulty taking a deep breath |
|
|
Term
| anesthesia, drug OD, head injury: intervention (3) |
|
Definition
supplemental O2
deep breathing ex
tx the reason/patholgoy |
|
|
Term
| decreased chest wall compliance: muscular conditions associated (6) |
|
Definition
muscular dystropy (MD)
amyotrophic lateral sclerosis (ALS)
Guillian Barre Syndrome (GB)
Polio
MS |
|
|
Term
| decreased chest wall compliance: neuromuscular changes d/t what |
|
Definition
injury to the phrenic nn (diaphgram)
injury to other trunk musculature |
|
|
Term
| decreased chest wall compliance: pt's with muscular changes will demonstrate these signs (4) |
|
Definition
decreased ability to take a deep inspiration
decreased ability to hold upright posture
decreased ability to cough
decreased ability to clear any fluid at all |
|
|
Term
| s/s with muscular weakness: decreased volume of what general category |
|
Definition
| decreased inspiratory volumes |
|
|
Term
| s/s with muscular weakness: which inspiratory volumes will be decreased (4) |
|
Definition
tidal
reserve
inspiratory reserve
total lung capacity |
|
|
Term
| s/s with muscular weakness: pt will demonstrate atropy of what mm (2) [general categories] |
|
Definition
|
|
Term
| s/s with muscular weakness: postural changes associated (3) |
|
Definition
kyphosis
rotatory
lateral shift |
|
|
Term
| s/s with muscular weakness: decreased breath sounds and cough, may hear these (2) |
|
Definition
|
|
Term
| s/s with muscular weakness: decreased breath sounds and cough may hear crackles or rales secondary to what |
|
Definition
| decreased ability to clear fluid |
|
|
Term
| s/s with muscular weakness: pt will have decreased endurance secondary to what |
|
Definition
|
|
Term
| intervention for pulmonary issues d/t mm weakness: maintain |
|
Definition
| upright posture with positioning as much as possible (dependent on condition: degenerative vs reversible) |
|
|
Term
| bony thorax changes examples (6) |
|
Definition
kyphoscoliosis
pectus excavatum
pectus carinatum
rib fx
flail chest
scarring from burn injuries |
|
|
Term
|
Definition
usually d/t rib fx
lower rib cage extends out anteriorly and laterally |
|
|
Term
| bony thorax pathologies cause what |
|
Definition
| decreased chest wall motion with a decreased ability to achieve full inspiration |
|
|
Term
| secondary symptoms with bony thorax changes |
|
Definition
| pain associated that will decrease ability to clear secretions with an effective cough |
|
|
Term
| s/s with bony changes: respiratory volumes |
|
Definition
| decreased inspiratory volumes (TV, RV, IRV, TLC) |
|
|
Term
| s/s bony thorax changes: breath sounds |
|
Definition
| decreased sounds, may have decreased cough |
|
|
Term
| s/s bony thorax changes: decreased cough will lead to what |
|
Definition
| cracklse or rales secondray to decresased ability to clear fluid |
|
|
Term
| s/s bony thorax changes: endurance changes |
|
Definition
| decreased secondary to inspiratory deficits |
|
|
Term
| s/s bony thorax changes: symptom associated with rib fx and scarring |
|
Definition
|
|
Term
| s/s bony thorax changes: changes as a result of the position of bone |
|
Definition
|
|
Term
| interventions for bony changes (5) |
|
Definition
positioniong (increase lung and rib cage expansion)
deep breathing, breath stacking
stretching and ex to maintain thoracic mobility
splinting for pain during coughing
maintain/improve functional endurance |
|
|
Term
| conditions associated with reduced lung compliance/volumes: (15) |
|
Definition
silicosis
BPD (bronchopulmonary dysplasia)
lung cancer
pulmonary fibrosis
inhalation injury (burns/toxic substance)
radiation therapy
lobectomy
asbestosis
TB
Sarcoidosis
Pleural Effusion
Pulmonary edema
Trauma
Atelectasis
Pulmonary Embolism |
|
|
Term
| inflmmation and fluid accumulation in the plerual space |
|
Definition
|
|
Term
| pleural effusion is d/t what (5) |
|
Definition
infection
trauma
CHF
cirrhosis
pericardial disease |
|
|
Term
| how does pleural effusion decrease lung compliance |
|
Definition
| fluid and inflammation put pressure on the lung decreasing it's ability to inflate |
|
|
Term
| pleural effusion: volumes |
|
Definition
| decreased inspiratory reserve volumes |
|
|
Term
| pleural effusion: activity tolerance |
|
Definition
|
|
Term
| pleural effusion: additional symptom with inspiration |
|
Definition
|
|
Term
| pleural effusion: general s/s (3) |
|
Definition
diffiuclty with deep breathing
SOB
may have pain |
|
|
Term
| pleural effusion: x ray results |
|
Definition
| decreased lung expansion seen on x ray |
|
|
Term
| pleural effusion: breath sounds (2) |
|
Definition
bronchial breath sounds
decreased breath sounds |
|
|
Term
| pleural effusion: interventions (6) |
|
Definition
thoracocentesis or chest tube
antiobiotics
splinting
deep breathing ex as appropriate
mobility
positioning |
|
|
Term
| pleural effusion: purpose of thoracocentesis/chest tube |
|
Definition
|
|
Term
| pleural effusion: purpose of splinting |
|
Definition
| if there is painful coughing |
|
|
Term
| pleural effusion: purpose of positioning |
|
Definition
| increase lung expansion and increase PO2, whatever increases inspiration and PO2 |
|
|
Term
| Pulmonary Edema: can be d/t 5 factors |
|
Definition
increased pulmonary capillary pressure
increased negativity of interstitial pressure
altered alveolar/capillary permeability
lymphatic insuffiency
unknown etiologies |
|
|
Term
| Pulmonary Edema: can be d/t increased negativity of interstitial pressure such as in what condition |
|
Definition
|
|
Term
| Pulmonary Edema: can be d/t altered alveolar/capillary membrane permeability such as in what conditions (3) |
|
Definition
ARDS
pneumonia
interstitial inflammatory process |
|
|
Term
| what is pulmonary edema simply |
|
Definition
| factors cause fluid to leak from the pulmonary and lymphatic system interstitially and into the alveoli |
|
|
Term
| interstitial fluid reaching the alveoli causes ewhat |
|
Definition
| creates a barrier making gas exchange between the capillaries and alveoli difficult |
|
|
Term
| why does the heart have to work harder to gain sufficent levels of O2 for pulmonary edema |
|
Definition
| CO2 is more soluble than O2 |
|
|
Term
| PT's with little experience often misinterpret signs of pulmonary edema as what and do what as a result |
|
Definition
| misrecognoize it as secretion retention and try to perform bronchial hygiene |
|
|
Term
| why is it dangerous to perform bronchial hygiene with a pulmonary edema pt |
|
Definition
| external suction introduces a high negative intrathoraic pressure and can cause CHF |
|
|
Term
| S/S Pulmonary edema: general respiratory vitals (3) |
|
Definition
SOB
increased RR
decreased TV, IRV, TLC |
|
|
Term
| S/S Pulmonary edema: x ray |
|
Definition
|
|
Term
| S/S Pulmonary edema: heart signs |
|
Definition
|
|
Term
| S/S Pulmonary edema: auscultation (2) |
|
Definition
|
|
Term
| S/S Pulmonary edema: mediate percussion and fremitus |
|
Definition
|
|
Term
| S/S Pulmonary edema: activity tolerance |
|
Definition
|
|
Term
| S/S Pulmonary edema: PaO2 |
|
Definition
|
|
Term
| S/S Pulmonary edema: decreased PaO2 secondary to what |
|
Definition
|
|
Term
| S/S Pulmonary edema: decreased PaO2 secondary to what |
|
Definition
|
|
Term
| Interventions for pulmonary edema (4) |
|
Definition
CHF meds
Deep breathing
Positioning to allow greater accessory mm use and to increase PaO2
Mobility - GCE, amb, ADL |
|
|
Term
| What is ARDS a result of (7) |
|
Definition
trauma
aspiration of foreign object/fluid
Overdose
Inhaled toxin
Shock
Different metabolic reasons
severe infection |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
| Pulmonary impact of ARDS: decreased (3) |
|
Definition
lung volume and activity capacity
work of breathing
surfactant production |
|
|
Term
| Pulmonary impact of ARDS: increased (1) |
|
Definition
|
|
Term
| Pulmonary impact of ARDS: presence of lung sounds (2) |
|
Definition
|
|
Term
|
Definition
tx teh cause of ARDS (Rx, surgery, fluids)
Supplemental O2
Maintain/achieve electrolyte balance
Positioning
Mobility as appropriate |
|
|
Term
| Pulmonary impact of a Rib fx: decreased (2) |
|
Definition
respiratory depth
chest wall motion/expansion |
|
|
Term
| Pulmonary impact of a rib fx: presence of (2) |
|
Definition
|
|
Term
| What happens to the alveoli as a result of a lung contusion |
|
Definition
| RBC and plasma move into the alveoli d/t the damage. essentially fluid in the lungs that will cause an issue with V/Q matching |
|
|
Term
|
Definition
| inspiratory lung volumes decreased |
|
|
Term
| Rib fx: pain with what action |
|
Definition
|
|
Term
|
Definition
|
|
Term
| Rib fx: problem with what chest exam techniques (2) |
|
Definition
|
|
Term
| Rib fx: breath sounds and ventilation on x ray |
|
Definition
|
|
Term
| Lung contusion: inspiratory lung volumes |
|
Definition
|
|
Term
| Lung contusion: breath sounds |
|
Definition
|
|
Term
| Lung contusion: x ray findings (2) |
|
Definition
poor ventilation
possible clotted area visible |
|
|
Term
| Interventions for Rib fx: (3) |
|
Definition
splinting for coughing
deep breathing and coughing within pt tolerance
Mobility |
|
|
Term
| importance for mobility with a Rib fx |
|
Definition
| more movement means less fluid build up, less of a chance for infection |
|
|
Term
| Lung contusion interventions: (4) |
|
Definition
possible ventilator at first
deep breathing and positioning to increase PaO2
Mobility
Need to watch fluid volume, don't overload |
|
|
Term
| Air sac collapse, similar to pneumothorax, except only a segment/generalized area collapses |
|
Definition
|
|
Term
| What are the V/q Issues in atelectasis d/t |
|
Definition
| part of the lobe/segment is not being ventilated |
|
|
Term
| atelectasis is generally in related to what |
|
Definition
|
|
Term
| Examples of conditions that could result in atelectasis (5) |
|
Definition
phrenic nn injury
SCI
Post-surgical decrease in inspiration
Trauma/pain decrease in inspiration
Muscular/bony change or other pathology that causes a decrease in inspiration |
|
|
Term
| When atelectasis is being treated what needs to be done to make sure the tx is always effective |
|
Definition
| there is enough pressure to keep the airways open while making sure there is enough volume to keep the airways open as well |
|
|
Term
|
Definition
decreased breath sounds
decreased lung ventilation on x-ray
rib excursion: decreased if d/t pain or mm weakness, could be normal
decresaed activity tolerance
SOB |
|
|
Term
| Atelectasis interventions (6) |
|
Definition
deep breathing, breath stacking, diaphragmatic breathing, segmental breathing
positioning to increase PO2 and coughing ability
Coughing techniques as appropriate
Increase Physical Activity
CT as needed to drain fluid
Pain meds if result of pain |
|
|
Term
| how does a pulmonary embolism start |
|
Definition
| thrombus from a clot travels through the vv system into the R side of the heart |
|
|
Term
| after the thrombus reaches the right side of the heart where does it go next |
|
Definition
| lodges in a pulmonary artery |
|
|
Term
| the thrombus has lodged into a pulmonary artery, what happens next |
|
Definition
| blockage of blood flow at an area of the lung so no perfusion there, completel lack of gas exchange |
|
|
Term
| A pulmonary embolism can also cause what (3) things to happen |
|
Definition
edema and hemorrhage at the site of blockage
edema triggers inflammatory process
could alveolar collapse causing regional atelectasis |
|
|
Term
| what ratio is disturbed as a result of a Pulmonary Embolism |
|
Definition
|
|
Term
| S/S of pulmonary embolism (3) PT/pt accessible |
|
Definition
Acute SOB usually unexplained
Feeling of fatigue/malaise
Breath sound decreased at location of PE and some potential wheezing |
|
|
Term
| S/S pulmonary embolism: lab tests |
|
Definition
| x ray and lab tests are normal |
|
|
Term
| What is used to dx a pulmonary emoblism (3) |
|
Definition
V/Q scan
pulmonary angio
Spiral CT |
|
|
Term
| what are the most important dx tests used to dx a pulmonary embolism |
|
Definition
|
|
Term
| S/s of a pulmonary embolism: PMH (3) |
|
Definition
syncope
LE pain
pleuritic CP |
|
|
Term
| Intervention for pulmonary embolism |
|
Definition
|
|
Term
| pulmonary embolism prevention (4) |
|
Definition
anti coagulatns
early mobility
compression stockings
intermittent compression devices |
|
|
Term
|
Definition
| acute inflammation of the lungs d/t bacteria virus or fugus |
|
|
Term
|
Definition
|
|
Term
|
Definition
| inflammatory process starts to try and combat the pathogen |
|
|
Term
|
Definition
| inflammatory process increases amount of fluid for pathogen to multiply in |
|
|
Term
|
Definition
| increase in fluid also limits body's ability to fight the pathogen |
|
|
Term
| Pneumonia fluid accumulation has 2 steps |
|
Definition
| infiltrates into consolidation |
|
|
Term
| dx test used to determine type of pneumonia |
|
Definition
|
|
Term
| Pneumonia will cause what mismatch throughout the area |
|
Definition
|
|
Term
| Non modifiable risk factors for pneumonia (3) |
|
Definition
age
immune system
respiratory system |
|
|
Term
| medical risk factors for pneumonia (2) |
|
Definition
prolonged use of ventilator
surgery/trauma to head, neck, or chest |
|
|
Term
| risk factors for pneumonia: habit related (2) |
|
Definition
smoking
increased exposure to pathogens |
|
|
Term
|
Definition
fever
prodcutive cough (yellow green)
increased WBC count
complaints: fatigue, dyspnea, weight loss, tachypnea |
|
|
Term
| Pneumonia interventions (4) |
|
Definition
antibiotics if bacterial
supplemental O2 only as needed
maintain functinoal mobility and endurance
breath time and control exercises esp inspiration |
|
|
Term
| restrictive patholgoy specific to infants |
|
Definition
| bronchopulmonary dysplasia |
|
|
Term
| how does Brochopulmonary Dysplasia develop (BPD) |
|
Definition
| in infants with respiratory distress syndrome or meconium aspiration |
|
|
Term
| specific infant population at risk for BPD (2) |
|
Definition
infants on ventilator
long term O2 |
|
|
Term
| BPD pulmonary impact: internal/non visible (3) |
|
Definition
decreased surfactant
high surface tension resulting in alveolar cells collapsing (atelectasis)
Fibrosis of the airways |
|
|
Term
| BPD pulmonary impact: visible/signs (5) |
|
Definition
Hypertrophy of mm
Increased RR
Cyanosis
Rales
Grunting |
|
|
Term
| BPD can cause this condition (not atelectasis) |
|
Definition
| cor pulmonale (right sided CHF) |
|
|
Term
| good news for children with BPD |
|
Definition
| may regain normal pulmonary function. |
|
|
Term
|
Definition
diuretics, bronchodilators, and surfactant replacement
pulmonary PT for airway clearance |
|
|
Term
|
Definition
| idiopathic pulmonary fibrosis |
|
|
Term
| mean survival time after dx of IPF |
|
Definition
| 3 years unless transplant |
|
|
Term
|
Definition
inflammation
scarring and fibrosis to the alveolar walls |
|
|
Term
|
Definition
corticosteriods (questionable)
supplemental O2
Possibly lung transplant |
|
|
Term
| 8 combination impairments |
|
Definition
aging
ankylosing spondylitis
RA
SLE
Scleroderma
Polymyositis
Pneumothorax
Hemothorax |
|
|
Term
| combination impairments cause the 3 changes |
|
Definition
| muscular, bony, or tissue changes |
|
|
Term
| combination impairments cause a decrease in what (2) |
|
Definition
| decreased compliance therefore decrease ventilatory capabilities |
|
|
Term
| S/S of combination impairments: the definites (2) |
|
Definition
decreased inspiratory volumes
decreased breath sounds d/t decreased inspiration |
|
|
Term
| s/s of combination impairments that are possible (2) |
|
Definition
SOB
dependent on pathology and its presentation |
|
|
Term
| interventions for combo impairments: pathology depedendent |
|
Definition
| treat the main impairment |
|
|
Term
| interventions for combo impairments: regardless of impairment (2) |
|
Definition
deep breathing techniques as needed
positioning to increase PO2 |
|
|
Term
| interventions for combo impairments: if pneumothorax/hemothorax |
|
Definition
| Chest tube to re-establish pressure gradient |
|
|
Term
| 2 categories of injuries with burns |
|
Definition
|
|
Term
| Burns: thermal injuries such as heat and smoke being inhaled result in what |
|
Definition
|
|
Term
| why is the mucocilliary esclator effected with burns |
|
Definition
| particles within the smoke latch onto the esclator and the cilia can't funciton properly |
|
|
Term
| increased production of what with Burns |
|
Definition
|
|
Term
| perfusion problem with burns |
|
Definition
| CO2 binds to HgB, so O2 can't bind as readily |
|
|
Term
| s/s with burns: lung voluems |
|
Definition
|
|
Term
|
Definition
SOB
ventilator may be required
edema |
|
|
Term
| s/s with burns: rib excursion |
|
Definition
| decreased esp with skin burn d/t pain |
|
|
Term
| s/s with burns: increased body temp problem |
|
Definition
| increased body temp increases O2 dissociation |
|
|
Term
| acute intervention for burns: (4) |
|
Definition
supplemental O2
maintain ventilation, improve as able
Positioning for skin healing and PO2
Mobility as appropriate |
|
|
Term
| Subacute interventions for burns (4) |
|
Definition
stretching and positioning
pressure garments for scar healing
increase exercise ability/tolerance
mobility |
|
|
Term
| Positioning Techniques to improve PO2 (6) |
|
Definition
upright
sidelying
Fowler's position
Use of an abdominal binder
Lean forward position/prone abdomen free
adapted seating |
|
|
Term
| how does an upright position improve PO2 |
|
Definition
| maximizes V/Q. Airways more open, diaphragm in a better position |
|
|
Term
| Sidelying for fluid accumulation/pain |
|
Definition
|
|
Term
| sidelying for issues with decreased compliance |
|
Definition
|
|
Term
| how does sidelying on the unaffected side in pathologies with fluid accumulation or pain improve PO2 |
|
Definition
| optimal V/Q in unaffected lung |
|
|
Term
| how does sidelying on the affected side improve PO2 in issues with decreased compliance |
|
Definition
| increase V/Q due to dependent position |
|
|
Term
| what is Fowler's position |
|
Definition
| long sitting with trunk supported at approximately 60 degrees |
|
|
Term
| which populations does Fowler's position benefit (2) |
|
Definition
|
|
Term
| populaiton that would use an abdominal binder |
|
Definition
|
|
Term
| purpose of an abdominal binder in SCI pt's |
|
Definition
| sets diaphgragm to fullest excursion |
|
|
Term
| The lean forward position/prone abdomen free is for what pt population |
|
Definition
|
|
Term
| Lean forward position/prone abdomen free for advanced COPD pts supports what |
|
Definition
|
|
Term
| purpose of adapted seating for increase PaO2 |
|
Definition
| maximally support upper thorax |
|
|
Term
| adapted seating would be seen in what population |
|
Definition
| significant proximal neuromuscular impairement as presented in advanced MD or ALS |
|
|
Term
| Exercises to encourage inspiration (7) |
|
Definition
deep breathing
exercises for diaphgragm
lateral costal
breath stacking
scoop technique
costophrenic assist
upper chest inhibition |
|
|
Term
| purpose of deep breathing exercises (5) |
|
Definition
improve VC
improve regional re-expansion,
lung expansion
rib expansion
Segemental expansion |
|
|
Term
| pt cue for Deep breathing |
|
Definition
| hand on belly and 1 hand on chest. the belly needs to move more than the chest |
|
|
Term
| 4 diaphragm inspiratory exercises |
|
Definition
deep breath with inspiratory hold
P flex (or other resistive device)
incetive spirometer
Sniffing |
|
|
Term
| how often should an incentive spirometer be used |
|
Definition
|
|
Term
| How often should a P flex or other resistive device be used |
|
Definition
|
|
Term
| what position should sniffing be taught in (2) |
|
Definition
sidelying
semi folwer's position |
|
|
Term
| what does lateral costal (segmental) breathing do |
|
Definition
| facilitates diaphragmatic excursion |
|
|
Term
| breath stacking can be done how (2) |
|
Definition
voluntary
manual assist with ambu bag |
|
|
Term
| take caution with what population when teaching breath stacking |
|
Definition
|
|
Term
| exercises to encourage expiration (3) |
|
Definition
UE PNF exercises
CPAP
PUrsed lip breathing |
|
|
Term
| pursed lip breathing is good for what population |
|
Definition
| COPD/obstructive pathologies |
|
|
Term
| Exercises to combine inspiraotin and expiraiton (3) |
|
Definition
blowing pin wheels, bubbles
diaphragmatic inhibition
glossopharyngela breathing |
|
|
Term
| purpose of blowing pin wheels or bubbles |
|
Definition
| increase ventilatory capacity |
|
|
Term
| purpose of diaphragmatic inhibitoin |
|
Definition
| when there's a risk of paradoxical pattern or pectus excavatum |
|
|
Term
| purpose of glossopharyngeal breathing |
|
Definition
| when pt has extreme loss of ventilatory mm control |
|
|
Term
| relative contraindicaitons to deep breathing (2) |
|
Definition
advanced COPD or acute asthma where the problem is primarily overinflation
recent displaced rib fx (within voluntary control) |
|
|
Term
| solute contraindications to deep breathing (4) |
|
Definition
critically high IC pressure >18-20 mmHg
potential for spontaneous pneumothorax
bullae rupture in advanced COPD
lung penetration in presence of rib fx |
|
|
Term
| relative contraindicaitons to forceful coughing (4) |
|
Definition
recent hemoptysis
esophageal varices
recent rib fx
advanced osteoporosis |
|
|
Term
| absoulte contraindicatinos to forceful coughing (4) |
|
Definition
critically high IC pressure >18-20 mmhg
potential of spontaneuous pneumothorax
bullae rupture in advanced COPD
risk of rib pentration in presence of rib fx |
|
|
Term
| suctioning should never be used when what primary patholgoy |
|
Definition
| CHF, increased negative pressure will increase fluid movement into the alveoli |
|
|
Term
| 6 contraindicaitons to manual percussion |
|
Definition
cardiac
orthopedic
pulmonary
cancer
recent skin graft
trendelenburg position |
|
|
Term
| cardiac contraindicaitons to manual percussion (5) |
|
Definition
unstable angina
hemodynamic instability
low platelet count
CHF exacerbation
unstable anti coagulation |
|
|
Term
| pulmonary contraindications to manual percussion (8) |
|
Definition
acute bronchospasm
hemoptosis (blood in sputum)
severe dyspnea
untreated lung abcess
pneumothorax
pulmonary embolism
acute pneumonia
following chest tube removal |
|
|
Term
| trendelenburng position contraindications (2) |
|
Definition
head truma
increased intracranial pressure |
|
|
Term
| in case of presecne of manual percussion contraindcations, what are your choices |
|
Definition
|
|
Term
| relaxtion exercises are good for what pt populations (3) |
|
Definition
advanced COPD
agitation d/t confinement/pain
bronchoconstrictive problems |
|
|
