Term
| patients on the protocol that score >4 are reassessed how often |
|
Definition
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|
Term
| patient on the protocol that score 0-1 are reassessed how often. |
|
Definition
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|
Term
| patients on the protocol that score 2-4 are reassessed how often. |
|
Definition
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|
Term
| broncho hygiene with no broncho dilator is how often |
|
Definition
|
|
Term
| two absolute contraindications for manual cpt or other exterior broncho-hygiene |
|
Definition
head and neck injury - unstabilized
active hemorrhage or hemodynamic instability. |
|
|
Term
| absolute contraindications for internal pressure-related broncho-hygiene are (2) |
|
Definition
untreated pneumo
active hemoptysis |
|
|
Term
| absolute contraindication for cough assist |
|
Definition
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|
Term
| 4 mdi criteria that must be met to put a protocol patient on mdi instead of neb. |
|
Definition
1- able to use properly
2 - no copious amounts of sputum
3 - doesn't use nebulizer at home
4 - must use spacer |
|
|
Term
| dose of mdi substitute for unit dose neb - vented and non vented - |
|
Definition
non- 2 puffs
vented - 4 puffs |
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|
Term
| 3 meds that mdi's can be substituted for on the protocol |
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Definition
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|
Term
| what to do if a patient on the protocol has stridor |
|
Definition
| give 0.5ml racemic and call the dr. |
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|
Term
| 0-1 score = what med/frequency |
|
Definition
| no treatment or continue home regimen |
|
|
Term
| 2-4 score = what med/frequency |
|
Definition
|
|
Term
| 5-8 score = what med/frequency |
|
Definition
| duo q6 WA + albuterol Q4ATC PRN |
|
|
Term
| 9-11 score = what med/frequency |
|
Definition
| duo Q4 WA + albuterol Q2ATC PRN |
|
|
Term
| 12-16 score = what med/frequency |
|
Definition
| duo q4 ATC + albuterol Q2ATC PRN |
|
|
Term
| 17-20 score = what med/frequency |
|
Definition
| 5 mg albuterol and .5mg atrovent Q4 ATC and 5mg albuterol q2 PRN |
|
|
Term
| if a patient is also on spiriva what changes are made to the protocol| |
|
Definition
| substitute albuterol for duoneb |
|
|
Term
| true or false - the adult respiratory assessment/treatment protocol can be used by the rcp to assess and treat any adult patient currently ordered on therapy. |
|
Definition
| the protocol must be ordered by a physician. |
|
|
Term
| how often will a patient on protocol be reassessed if their bronchodilator acuity score is 5 or greater |
|
Definition
|
|
Term
| The frequency for bronchial hygiene/volume expansion therapy will be the same as the scheduled bronchodilator frequency. |
|
Definition
|
|
Term
| The frequency for bronchial hygiene/volume expansion therapy will be ____ if no bronchodilators are ordered or if the bronchodilator is ordered q4 prn |
|
Definition
|
|
Term
| True or False - A protocol assessment must be repeated prior to each treatment if the bronchodilator acuity score is greater than 16. |
|
Definition
|
|
Term
| how often will a patient on the assess and treat protocol be reassessed if their bronchodilator acuity score is in the 2-4 range |
|
Definition
|
|
Term
In addition to the initial assessmen or Qam assessment, the therapist may reassess a patient on the protocol when they feel it is clinically indicated.
|
|
Definition
|
|
Term
| The RCP can use the assess and treat protocol during a rapid response to assess and treat any adult patient who is in distress and has no current respiratory orders. |
|
Definition
| false - the protocol must be ordered by a physician. |
|
|
Term
| The ordering physician must be contacted if PRN treatment are given to a patient with an acuity score greater than 16. |
|
Definition
|
|
Term
| How often will a patient on this protocol be reassessed if their bronchodilator acuity score is in the 0-1 range |
|
Definition
|
|
Term
| A physician orders this protocol and in addition orders a duoneb treatment every 4 hours with CPT. The RCP must give the specific medication and therapy ordered by the physician. |
|
Definition
|
|
Term
| What medication and dose would you order if a patient's acuity score indicates the need for Duoneb and the patient is already receiving spiriva? |
|
Definition
| unit dose albuterol instead of duoneb |
|
|
Term
| The thoracic surgeoun must be consulted before starting any bronchial hygiene and/or volume expansion therapy for patients postop lobectomy or pneumonectomy |
|
Definition
|
|
Term
| A patient ordered on this protocol develops stridor after extubation. What intervention would you do? |
|
Definition
| 0.5ml racemic epi and call the dr. |
|
|
Term
| in the ER - you assess and treat a patient per their score and their adventitious breath sounds persist. What do you do? |
|
Definition
| Give one additional treatment with the same medication and dose, then notify the physician or PA. |
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