2.29 SCI 4 Flashcards
1
Q
some SCI respiratory characteristics
A
- ind in airway clearance
- weak functional cough
- nonfunctional cough
2
Q
independent in airway clearance
A
- forceful, loud, 2 or more coughs per exhalation
- get stuff out of the mouth
3
Q
weak functional cough
A
- soft, less functional
- 1 per exhalation
- ind for clearing throat
- assistance needed to clear secretions
4
Q
nonfunctional cough
A
- sigh
- trying, but don’t have negative pressure
- no true cough
- need assistance their entire life for airway clearance
5
Q
SCI pts and lung function
A
they lose a lot of lung function depending on level of injury
6
Q
treatment for respiratory issues
A
- incentive spirometry
- teach them how to use accessory muscles to breathe
- quad cough
- abdominal bracing may help so the diaphragm works against some resistance
- some percussion therapy or postural drainage etc
7
Q
teaching how to use accessory muscles to breathe
A
- act like a frog trying to suck up a big
- “sniff” and feel what happens to your neck
8
Q
quad cough causes
A
forceful expiration
9
Q
Why are SCI pts at risk for decubitus ulcers?
A
- sedentary
- lack of sensation
- poor circulation
- initial weight loss (lose muscle mass and cushioning over bony prominences)
- nutrition, etc
10
Q
Positioning with an SCi pt
A
- positioning is huge: need to offload all the time
- full weight shift off of the surface
11
Q
pressure ulcers put pts at risk for
A
infection
12
Q
PT treatment of SCI pts with ulcers
A
- positioning
- padding
- changing positions
- specialized beds
- watch skin
13
Q
s/s orthostatic hypotension
A
- dizzy
- lightheaded upon changing from supine to sitting
- happens a lot with SCI pts
14
Q
SCI pts at risk for passing out
- sequelae
A
- lose color top down
- may have blank stare
- may only make short answer
- steps become very slow, etc
15
Q
important things to prevent orthostatic hypotension
A
- TED hose
- hydration
