11) Interventions

Question 1

Explain how a PEP works.

Answer 1

1) Pt exhales through positive pressure
2) Stabilizes peripheral AW’s & promotes distal collateral ventilation
3) Aids in mobilization into larger AW’s

Question 2

W/what intervention can the Acapella be used w/?

Answer 2

TBP

Question 3

What is the only position that a Flutter will work in?

Answer 3

Sitting upright

Question 4

Who is the only type of pt a Cough Assist Device is used for?

Answer 4

End stage pt’s who don’t want to be on a vent.

Question 5

What are other interventions that can be done?

Answer 5

• Ventilatory movement strategies
• TBP
• Positioning for dyspnea
• Energy conservation
• Relaxation techniques

Question 6

What is the Breather IMT used for & why?

Answer 6

SCI injuries to strengthen abs

Question 7

Who is the Threshold IMT used for?

Answer 7

Pt’s w/severe COPD

Question 8

How does the Threshold IMT work?

Answer 8

Set it to a pt-specific pressure to strengthen their respiratory muscles

Question 9

What are the effects of glossopharyngeal breathing?

Answer 9

• Augment cough effectiveness
• Provide internal mobilization of the chest wall
• Improve QOL by allowing periods of independence

Question 10

How does glossopharyngeal breathing work?

Answer 10

Pt swallows air into the lungs to incr VC

Question 11

Who is glossopharyngeal breathing used for?

Answer 11

Pt’s w/high level tetraplegia