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AAA repair Flashcards

1
Q

What is an AAA repair

A
  • repair an mannerism, 8cm
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2
Q

what is the incision site of an AAA repair

A
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3
Q

consequences of prolonged anaesthetic

A
  • decrease FRC
  • increase secretions, and inability to cough because of pain at incision site.
  • risk of hospital acquired infections due to open wounds
  • decrease lung capacity
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4
Q

what happens to the lung during surgery and why it’s capacity decrease

A
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5
Q

types of general aesthetic

A
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6
Q

treatment for someone who has had an AAA repair and been under prolonged surgery

A
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7
Q

problems list after surgery for an AAA repair after general anaesthetic

A
  • get the moving with heart rate monitor and
  • position to increase FRC
  • education around obesity , diet , exercise and smoking
  • increase supported cough through ACBT - there would be increase secretions without deep breathing exercises
  • breathing management, pacing and position of ease
  • monitor patient due to risk of respirator failure
  • ventilation or pro-lactic assisted cough machines
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8
Q

why should someone be aware of deep breathing exercises when using ACBT after surgery day 1

A
  • the lungs are already hyper inflated
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9
Q

how does positioning increase FRC

A
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10
Q

why is there increase secretions following surgery

A
  • due to surgery and aesthetics
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11
Q

consequences of a hyper inflated lung

A
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12
Q

consequences of a hyper inflated lung

A
  • can lead to emphysema when the alveolar collapse and stick onto each other or become hard.
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12
Q

cause of an hyper inflated lung after surgery

A
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13
Q

consequences of a hyper inflated lung

A
  • can lead to emphysema when the alveolar collapse and stick onto each other or become hard.
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13
Q

cause of an hyper inflated lung after surgery

A
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14
Q

cause of an hyper inflated lung after surgery

A
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14
Q

consequences of a hyper inflated lung

A
  • can lead to emphysema when the alveolar collapse and stick onto each other or become hard.
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15
Q

cause of an hyper inflated lung after surgery

A
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15
Q

consequences of a hyper inflated lung

A
  • can lead to emphysema when the alveolar collapse and stick onto each other or become hard.
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16
Q

cause of an hyper inflated lung after surgery

A
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17
Q

how do general anaesthetic work

A
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17
Q

cause of an hyper inflated lung after surgery

A
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18
Q

cause of an hyper inflated lung after surgery

A
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18
Q

how do general anaesthetic work

A
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19
Q

how do general anaesthetic work

A
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19
Q

cause of an hyper inflated lung after surgery

A
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20
Q

how can an aneurism put one at risk of respiratory failure

A
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20
Q

how can an aneurism put one at risk of respiratory failure

A
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21
Q

how do general anaesthetic work

A
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22
Q

cause of an hyper inflated lung after surgery

A
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23
Q

how can an aneurism put one at risk of respiratory failure

A
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23
Q

cause of an hyper inflated lung after surgery

A
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24
Q

how do general anaesthetic work

A
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25
Q

example of a protelactic assisted cough machine

A
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25
Q

how can an aneurism put one at risk of respiratory failure

A
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25
Q

cause of an hyper inflated lung after surgery

A
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26
Q

how do general anaesthetic work

A
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27
Q

outcome measure to assisted cough treatment

A
  • FEV1/FVC ratio
  • VAs for pain
  • dyspnea, show if the person is getting less oxygen or too much carbon dioxide due to ABGs
  • auscultation
  • palpation
  • functional test, time up and go
  • LARS questionnaire score
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28
Q

what does FEV1/FVC ratio tells us

A
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29
Q

cause of an hyper inflated lung after surgery

A
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29
Q

example of a protelactic assisted cough machine

A
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29
Q

how can an aneurism put one at risk of respiratory failure

A
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29
Q

how do general anaesthetic work

A
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30
Q

how can an aneurism put one at risk of respiratory failure

A
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30
Q

example of a protelactic assisted cough machine

A
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30
Q

cause of an hyper inflated lung after surgery

A
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31
Q

what would you hear on auscultation with fluid retention

A
  • course crackles
  • would feel crackles moving
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31
Q

how do general anaesthetic work

A
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32
Q

example of a protelactic assisted cough machine

A
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32
Q

what would you hear on auscultation with fluid retention

A
  • course crackles
  • would feel crackles moving
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32
Q

how can an aneurism put one at risk of respiratory failure

A
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32
Q

how do general anaesthetic work

A
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32
Q

cause of an hyper inflated lung after surgery

A
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33
Q

how can an aneurism put one at risk of respiratory failure

A
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34
Q

cause of an hyper inflated lung after surgery

A
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34
Q

what would you hear on auscultation with fluid retention

A
  • course crackles
  • would feel crackles moving
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35
Q

example of a protelactic assisted cough machine

A
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35
Q

how do general anaesthetic work

A
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36
Q

cause of an hyper inflated lung after surgery

A
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37
Q

example of a protelactic assisted cough machine

A
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37
Q

how can an aneurism put one at risk of respiratory failure

A
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37
Q

how do general anaesthetic work

A
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38
Q

what would you hear on auscultation with fluid retention

A
  • course crackles
  • would feel crackles moving
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39
Q

example of a protelactic assisted cough machine

A
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39
Q

how can an aneurism put one at risk of respiratory failure

A
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39
Q

cause of an hyper inflated lung after surgery

A
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40
Q

how do general anaesthetic work

A
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41
Q

what would you hear on auscultation with fluid retention

A
  • course crackles
  • would feel crackles moving
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42
Q

example of a protelactic assisted cough machine

A
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42
Q

how can an aneurism put one at risk of respiratory failure

A
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42
Q

cause of an hyper inflated lung after surgery

A
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43
Q

what would you hear on auscultation with fluid retention

A
  • course crackles
  • would feel crackles moving
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43
Q

how do general anaesthetic work

A
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44
Q

functional test after surgery for aneurism

A

time up and go test, measurable and timed

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45
Q

what is lARS questionnaire score

A
  • measure incontinence
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46
Q

respiratory assessment of AAA repair/ multi systems

A
  • not self ventilating
  • high heart rate is high
  • breathing on 40% FIO2
    neuro- awake and alert
    issues prior to surgery TIA years ago
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47
Q

what is FiO2 and what does breathing on 40% of it means

A
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48
Q

example of a protelactic assisted cough machine

A
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48
Q

how can an aneurism put one at risk of respiratory failure

A
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48
Q

what would you hear on auscultation with fluid retention

A
  • course crackles
  • would feel crackles moving
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48
Q

cause of an hyper inflated lung after surgery

A
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49
Q

how do general anaesthetic work

A
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50
Q

what is a TIA and what are the long term effects of it

A
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51
Q

example of a protelactic assisted cough machine

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51
Q

cause of an hyper inflated lung after surgery

A
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51
Q

how can an aneurism put one at risk of respiratory failure

A
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51
Q

what would you hear on auscultation with fluid retention

A
  • course crackles
  • would feel crackles moving
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51
Q

how do general anaesthetic work

A
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52
Q

what is a TIA and what are the long term effects of it

A
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53
Q

example of a protelactic assisted cough machine

A
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53
Q

what would you hear on auscultation with fluid retention

A
  • course crackles
  • would feel crackles moving
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53
Q

how do general anaesthetic work

A
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54
Q

how can an aneurism put one at risk of respiratory failure

A
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54
Q

cause of an hyper inflated lung after surgery

A
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54
Q

what is a TIA and what are the long term effects of it

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55
Q

example of a protelactic assisted cough machine

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55
Q

what would you hear on auscultation with fluid retention

A
  • course crackles
  • would feel crackles moving
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55
Q

cause of an hyper inflated lung after surgery

A
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55
Q

how can an aneurism put one at risk of respiratory failure

A
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55
Q

how do general anaesthetic work

A
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56
Q

what is a TIA and what are the long term effects of it

A
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57
Q

things you need to know for the multi systems assessment

A
  • what is her BP and temperature like
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58
Q

example of a protelactic assisted cough machine

A
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58
Q

how can an aneurism put one at risk of respiratory failure

A
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58
Q

how do general anaesthetic work

A
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59
Q

what would you hear on auscultation with fluid retention

A
  • course crackles
  • would feel crackles moving
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59
Q

what is a TIA and what are the long term effects of it

A
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59
Q

things you need to know for the multi systems assessment

A
  • what is her BP and temperature like
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60
Q

cause of an hyper inflated lung after surgery

A
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61
Q

what would be included in airway or the patients A-E assessment

A
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62
Q

how would BP affect this patient after surgery , heart rate

A
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63
Q

how would high temperature affect this patient what would be expected

A
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64
Q

things you need to know for the multi systems assessment

A
  • what is her BP and temperature like
  • auscultation looking for air entry and added sounds
  • consolidation and hyperinflation
  • ABG for increase risk of respiratory failure due to history
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64
Q

what would be included in airway or the patients A-E assessment

A
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64
Q

how would high temperature affect this patient what would be expected

A
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64
Q

how do general anaesthetic work

A
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64
Q

what would you hear on auscultation with fluid retention

A
  • course crackles
  • would feel crackles moving
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65
Q

how would BP affect this patient after surgery , heart rate

A
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65
Q

example of a protelactic assisted cough machine

A
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66
Q

how can an aneurism put one at risk of respiratory failure

A
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66
Q

cause of an hyper inflated lung after surgery

A
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67
Q

what would be included in airway or the patients A-E assessment

A
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67
Q

how do general anaesthetic work

A
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67
Q

example of a protelactic assisted cough machine

A
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67
Q

things you need to know for the multi systems assessment

A
  • what is her BP and temperature like
  • auscultation looking for air entry and added sounds
  • consolidation and hyperinflation
  • ABG for increase risk of respiratory failure due to history
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68
Q

how would high temperature affect this patient what would be expected

A
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68
Q

what would you hear on auscultation with fluid retention

A
  • course crackles
  • would feel crackles moving
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69
Q

how would BP affect this patient after surgery , heart rate

A
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69
Q

cause of an hyper inflated lung after surgery

A
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69
Q

how can an aneurism put one at risk of respiratory failure

A
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70
Q

how can an aneurism put one at risk of respiratory failure

A
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70
Q

example of a protelactic assisted cough machine

A
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71
Q

how would BP affect this patient after surgery , heart rate

A
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71
Q

how do general anaesthetic work

A
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71
Q

things you need to know for the multi systems assessment

A
  • what is her BP and temperature like
  • auscultation looking for air entry and added sounds
  • consolidation and hyperinflation
  • ABG for increase risk of respiratory failure due to history
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71
Q

how would high temperature affect this patient what would be expected

A
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72
Q

what would you hear on auscultation with fluid retention

A
  • course crackles
  • would feel crackles moving
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72
Q

what would be included in airway or the patients A-E assessment

A
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72
Q

cause of an hyper inflated lung after surgery

A
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73
Q

how does TIA and increase smoking put you at high risk of respiratory failure

A
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73
Q

example of a protelactic assisted cough machine

A
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73
Q

cause of an hyper inflated lung after surgery

A
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74
Q

how do general anaesthetic work

A
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74
Q

how does TIA and increase smoking put you at high risk of respiratory failure

A
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74
Q

what would you hear on auscultation with fluid retention

A
  • course crackles
  • would feel crackles moving
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74
Q

what would be included in airway or the patients A-E assessment

A
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74
Q

things you need to know for the multi systems assessment

A
  • what is her BP and temperature like
  • auscultation looking for air entry and added sounds
  • consolidation and hyperinflation
  • ABG for increase risk of respiratory failure due to history
How well did you know this?
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75
Q

how would BP affect this patient after surgery , heart rate

A
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75
Q

how can an aneurism put one at risk of respiratory failure

A
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75
Q

how would high temperature affect this patient what would be expected

A
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76
Q

example of a protelactic assisted cough machine

A
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76
Q

how can an aneurism put one at risk of respiratory failure

A
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76
Q

what would be included in airway or the patients A-E assessment

A
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77
Q

cause of an hyper inflated lung after surgery

A
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77
Q

what would you hear on auscultation with fluid retention

A
  • course crackles
  • would feel crackles moving
How well did you know this?
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77
Q

how do general anaesthetic work

A
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77
Q

how would high temperature affect this patient what would be expected

A
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78
Q

how does TIA and increase smoking put you at high risk of respiratory failure

A
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78
Q

things you need to know for the multi systems assessment

A
  • what is her BP and temperature like
  • auscultation looking for air entry and added sounds
  • consolidation and hyperinflation
  • ABG for increase risk of respiratory failure due to history
  • diagnosis of COPD , exaggerations, change in sputum colour , other heart conditions , use of LTOT at home (long term oxygen therapy)
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78
Q

how would BP affect this patient after surgery , heart rate

A
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79
Q

how can an aneurism put one at risk of respiratory failure

A
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79
Q

what would you hear on auscultation with fluid retention

A
  • course crackles
  • would feel crackles moving
How well did you know this?
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79
Q

example of a protelactic assisted cough machine

A
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79
Q

cause of an hyper inflated lung after surgery

A
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80
Q

what would be included in airway or the patients A-E assessment

A
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80
Q

how do general anaesthetic work

A
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80
Q

how does TIA and increase smoking put you at high risk of respiratory failure

A
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80
Q

how would BP affect this patient after surgery , heart rate

A
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81
Q

things you need to know for the multi systems assessment

A
  • what is her BP and temperature like
  • auscultation looking for air entry and added sounds
  • consolidation and hyperinflation
  • ABG for increase risk of respiratory failure due to history
  • diagnosis of COPD , exaggerations, change in sputum colour , other heart conditions , use of LTOT at home (long term oxygen therapy)
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81
Q

how would high temperature affect this patient what would be expected

A
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82
Q

how can an aneurism put one at risk of respiratory failure

A
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82
Q

what would be included in airway or the patients A-E assessment

A
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82
Q

how does TIA and increase smoking put you at high risk of respiratory failure

A
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83
Q

how would high temperature affect this patient what would be expected

A
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83
Q

how do general anaesthetic work

A
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83
Q

example of a protelactic assisted cough machine

A
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84
Q

cause of an hyper inflated lung after surgery

A
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84
Q

how would BP affect this patient after surgery , heart rate

A
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84
Q

things you need to know for the multi systems assessment

A
  • what is her BP and temperature like
  • auscultation looking for air entry and added sounds
  • consolidation and hyperinflation
  • ABG for increase risk of respiratory failure due to history
  • diagnosis of COPD , exaggerations, change in sputum colour , other heart conditions , use of LTOT at home (long term oxygen therapy)
How well did you know this?
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85
Q

what would you hear on auscultation with fluid retention

A
  • course crackles
  • would feel crackles moving
How well did you know this?
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86
Q

cause of an hyper inflated lung after surgery

A
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86
Q

how can an aneurism put one at risk of respiratory failure

A
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86
Q

what would be included in airway or the patients A-E assessment

A
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86
Q

how does TIA and increase smoking put you at high risk of respiratory failure

A
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86
Q

what would you hear on auscultation with fluid retention

A
  • course crackles
  • would feel crackles moving
86
Q

how would BP affect this patient after surgery , heart rate

A
86
Q

how do general anaesthetic work

A
87
Q

example of a protelactic assisted cough machine

A
87
Q

things you need to know for the multi systems assessment

A
  • what is her BP and temperature like
  • auscultation looking for air entry and added sounds
  • consolidation and hyperinflation
  • ABG for increase risk of respiratory failure due to history
  • diagnosis of COPD , exaggerations, change in sputum colour , other heart conditions , use of LTOT at home (long term oxygen therapy)
87
Q

how would high temperature affect this patient what would be expected

A
88
Q

what would you hear on auscultation with fluid retention

A
  • course crackles
  • would feel crackles moving
88
Q

how can an aneurism put one at risk of respiratory failure

A
88
Q

things you need to know for the multi systems assessment

A
  • what is her BP and temperature like
  • auscultation looking for air entry and added sounds
  • consolidation and hyperinflation
  • ABG for increase risk of respiratory failure due to history
  • diagnosis of COPD , exaggerations, change in sputum colour , other heart conditions , use of LTOT at home (long term oxygen therapy)
88
Q

how would BP affect this patient after surgery , heart rate

A
88
Q

cause of an hyper inflated lung after surgery

A
88
Q

example of a protelactic assisted cough machine

A
88
Q

what would be included in airway or the patients A-E assessment

A
89
Q

how does TIA and increase smoking put you at high risk of respiratory failure

A
89
Q

how do general anaesthetic work

A
89
Q

how would high temperature affect this patient what would be expected

A
90
Q

what would you hear on auscultation with fluid retention

A
  • course crackles
  • would feel crackles moving
90
Q

example of a protelactic assisted cough machine

A
90
Q

how do general anaesthetic work

A
90
Q

how can an aneurism put one at risk of respiratory failure

A
91
Q

things you need to know for the multi systems assessment

A
  • what is her BP and temperature like
  • auscultation looking for air entry and added sounds
  • consolidation and hyperinflation
  • ABG for increase risk of respiratory failure due to history
  • diagnosis of COPD , exaggerations, change in sputum colour , other heart conditions , use of LTOT at home (long term oxygen therapy)
91
Q

how would BP affect this patient after surgery , heart rate

A
91
Q

what would be included in airway or the patients A-E assessment

A
91
Q

cause of an hyper inflated lung after surgery

A
91
Q

how does TIA and increase smoking put you at high risk of respiratory failure

A
92
Q

how would high temperature affect this patient what would be expected

A
93
Q

how can an aneurism put one at risk of respiratory failure

A
93
Q

cause of an hyper inflated lung after surgery

A
93
Q

how do general anaesthetic work

A
94
Q

how would BP affect this patient after surgery , heart rate

A
94
Q

what would you hear on auscultation with fluid retention

A
  • course crackles
  • would feel crackles moving
94
Q

example of a protelactic assisted cough machine

A
94
Q

things you need to know for the multi systems assessment

A
  • what is her BP and temperature like
  • auscultation looking for air entry and added sounds
  • consolidation and hyperinflation
  • ABG for increase risk of respiratory failure due to history
  • diagnosis of COPD , exaggerations, change in sputum colour , other heart conditions , use of LTOT at home (long term oxygen therapy)
94
Q

how does TIA and increase smoking put you at high risk of respiratory failure

A
94
Q

what would be included in airway or the patients A-E assessment

A
95
Q

how would high temperature affect this patient what would be expected

A
96
Q

main clinical problems after AAA repair

A
  • reduce lung compliance
  • weakened exercise tolerance
  • upper chest breathing secondary to air trapping and poor recruitment
  • smoking related problems, Tar build up
  • secretion rententsion, daily secretion load, increase load with surgery and anaesthetics- lead to increase infection due to poor MCT
97
Q

effect of reduce lung compliance

A
98
Q

how can an aneurism put one at risk of respiratory failure

A
98
Q

cause of an hyper inflated lung after surgery

A
99
Q

what would you hear on auscultation with fluid retention

A
  • course crackles
  • would feel crackles moving
99
Q

what would be included in airway or the patients A-E assessment

A
99
Q

how would BP affect this patient after surgery , heart rate

A
99
Q

how does TIA and increase smoking put you at high risk of respiratory failure

A
99
Q

things you need to know for the multi systems assessment

A
  • what is her BP and temperature like
  • auscultation looking for air entry and added sounds
  • consolidation and hyperinflation
  • ABG for increase risk of respiratory failure due to history
  • diagnosis of COPD , exaggerations, change in sputum colour , other heart conditions , use of LTOT at home (long term oxygen therapy)
99
Q

how do general anaesthetic work

A
100
Q

how would high temperature affect this patient what would be expected

A
100
Q

example of a protelactic assisted cough machine

A
101
Q

upper chest breathing causes what

A
  • air trapping and poor recruitment of alveoli
  • poor ventilation and gas exchange
  • low V/Q mismatch
102
Q

result of low v/Q mismatch

A

type II respirator failure

103
Q

how would BP affect this patient after surgery , heart rate

A
103
Q

what would you hear on auscultation with fluid retention

A
  • course crackles
  • would feel crackles moving
104
Q

how can an aneurism put one at risk of respiratory failure

A
104
Q

result of low v/Q mismatch

A

type II respirator failure

104
Q

how do general anaesthetic work

A
104
Q

how would high temperature affect this patient what would be expected

A
104
Q

things you need to know for the multi systems assessment

A
  • what is her BP and temperature like
  • auscultation looking for air entry and added sounds
  • consolidation and hyperinflation
  • ABG for increase risk of respiratory failure due to history
  • diagnosis of COPD , exaggerations, change in sputum colour , other heart conditions , use of LTOT at home (long term oxygen therapy)
104
Q

cause of an hyper inflated lung after surgery

A
104
Q

example of a protelactic assisted cough machine

A
104
Q

what would be included in airway or the patients A-E assessment

A
105
Q

how does TIA and increase smoking put you at high risk of respiratory failure

A
106
Q

what would you hear on auscultation with fluid retention

A
  • course crackles
  • would feel crackles moving
106
Q

what would be included in airway or the patients A-E assessment

A
106
Q

things you need to know for the multi systems assessment

A
  • what is her BP and temperature like
  • auscultation looking for air entry and added sounds
  • consolidation and hyperinflation
  • ABG for increase risk of respiratory failure due to history
  • diagnosis of COPD , exaggerations, change in sputum colour , other heart conditions , use of LTOT at home (long term oxygen therapy)
106
Q

example of a protelactic assisted cough machine

A
106
Q

how does TIA and increase smoking put you at high risk of respiratory failure

A
106
Q

how can an aneurism put one at risk of respiratory failure

A
107
Q

cause of an hyper inflated lung after surgery

A
107
Q

how do general anaesthetic work

A
107
Q

how would BP affect this patient after surgery , heart rate

A
107
Q

how would high temperature affect this patient what would be expected

A
108
Q

example of a protelactic assisted cough machine

A
108
Q

cause of an hyper inflated lung after surgery

A
108
Q

how do general anaesthetic work

A
108
Q

what would you hear on auscultation with fluid retention

A
  • course crackles
  • would feel crackles moving
108
Q

how does TIA and increase smoking put you at high risk of respiratory failure

A
108
Q

things you need to know for the multi systems assessment

A
  • what is her BP and temperature like
  • auscultation looking for air entry and added sounds
  • consolidation and hyperinflation
  • ABG for increase risk of respiratory failure due to history
  • diagnosis of COPD , exaggerations, change in sputum colour , other heart conditions , use of LTOT at home (long term oxygen therapy)
108
Q

how would BP affect this patient after surgery , heart rate

A
108
Q

what would be included in airway or the patients A-E assessment

A
108
Q

how can an aneurism put one at risk of respiratory failure

A
109
Q

how would high temperature affect this patient what would be expected

A
109
Q

effect of smoking on lungs

A
  • tar buildup
  • causes poor MCT and poor lung compliance
    ventilation / perfusion mismatch
110
Q

how can an aneurism put one at risk of respiratory failure

A
110
Q

example of a protelactic assisted cough machine

A
110
Q

cause of an hyper inflated lung after surgery

A
110
Q

how do general anaesthetic work

A
110
Q

what would you hear on auscultation with fluid retention

A
  • course crackles
  • would feel crackles moving
110
Q

what would be included in airway or the patients A-E assessment

A
110
Q

things you need to know for the multi systems assessment

A
  • what is her BP and temperature like
  • auscultation looking for air entry and added sounds
  • consolidation and hyperinflation
  • ABG for increase risk of respiratory failure due to history
  • diagnosis of COPD , exaggerations, change in sputum colour , other heart conditions , use of LTOT at home (long term oxygen therapy)
110
Q

how would BP affect this patient after surgery , heart rate

A
111
Q

how does TIA and increase smoking put you at high risk of respiratory failure

A
111
Q

how would high temperature affect this patient what would be expected

A
112
Q

how can an aneurism put one at risk of respiratory failure

A
112
Q

what would you hear on auscultation with fluid retention

A
  • course crackles
  • would feel crackles moving
112
Q

how do general anaesthetic work

A
113
Q

how does TIA and increase smoking put you at high risk of respiratory failure

A
113
Q

how would BP affect this patient after surgery , heart rate

A
113
Q

example of a protelactic assisted cough machine

A
114
Q

cause of an hyper inflated lung after surgery

A
114
Q

what would be included in airway or the patients A-E assessment

A
114
Q

things you need to know for the multi systems assessment

A
  • what is her BP and temperature like
  • auscultation looking for air entry and added sounds
  • consolidation and hyperinflation
  • ABG for increase risk of respiratory failure due to history
  • diagnosis of COPD , exaggerations, change in sputum colour , other heart conditions , use of LTOT at home (long term oxygen therapy)
114
Q

how would high temperature affect this patient what would be expected

A
115
Q

example of a protelactic assisted cough machine

A
115
Q

how can an aneurism put one at risk of respiratory failure

A
115
Q

cause of an hyper inflated lung after surgery

A
115
Q

what would you hear on auscultation with fluid retention

A
  • course crackles
  • would feel crackles moving
116
Q

how do general anaesthetic work

A
116
Q

what would be included in airway or the patients A-E assessment

A
116
Q

things you need to know for the multi systems assessment

A
  • what is her BP and temperature like
  • auscultation looking for air entry and added sounds
  • consolidation and hyperinflation
  • ABG for increase risk of respiratory failure due to history
  • diagnosis of COPD , exaggerations, change in sputum colour , other heart conditions , use of LTOT at home (long term oxygen therapy)
116
Q

how does TIA and increase smoking put you at high risk of respiratory failure

A
116
Q

how would high temperature affect this patient what would be expected

A
116
Q

how would BP affect this patient after surgery , heart rate

A
117
Q

how can an aneurism put one at risk of respiratory failure

A
117
Q

how do general anaesthetic work

A
117
Q

what would you hear on auscultation with fluid retention

A
  • course crackles
  • would feel crackles moving
118
Q

what would be included in airway or the patients A-E assessment

A
118
Q

how would high temperature affect this patient what would be expected

A
119
Q

cause of an hyper inflated lung after surgery

A
119
Q

things you need to know for the multi systems assessment

A
  • what is her BP and temperature like
  • auscultation looking for air entry and added sounds
  • consolidation and hyperinflation
  • ABG for increase risk of respiratory failure due to history
  • diagnosis of COPD , exaggerations, change in sputum colour , other heart conditions , use of LTOT at home (long term oxygen therapy)
119
Q

how does TIA and increase smoking put you at high risk of respiratory failure

A
119
Q

example of a protelactic assisted cough machine

A
119
Q

how would BP affect this patient after surgery , heart rate

A
120
Q

how can an aneurism put one at risk of respiratory failure

A
120
Q

example of a protelactic assisted cough machine

A
120
Q

how do general anaesthetic work

A
121
Q

what would you hear on auscultation with fluid retention

A
  • course crackles
  • would feel crackles moving
121
Q

cause of an hyper inflated lung after surgery

A
121
Q

what would be included in airway or the patients A-E assessment

A
121
Q

things you need to know for the multi systems assessment

A
  • what is her BP and temperature like
  • auscultation looking for air entry and added sounds
  • consolidation and hyperinflation
  • ABG for increase risk of respiratory failure due to history
  • diagnosis of COPD , exaggerations, change in sputum colour , other heart conditions , use of LTOT at home (long term oxygen therapy)
121
Q

how does TIA and increase smoking put you at high risk of respiratory failure

A
122
Q

how would BP affect this patient after surgery , heart rate

A
122
Q

how would high temperature affect this patient what would be expected

A
123
Q

example of a protelactic assisted cough machine

A
123
Q

cause of an hyper inflated lung after surgery

A
123
Q

how can an aneurism put one at risk of respiratory failure

A
123
Q

how do general anaesthetic work

A
124
Q

how does TIA and increase smoking put you at high risk of respiratory failure

A
124
Q

what would be included in airway or the patients A-E assessment

A
124
Q

what would you hear on auscultation with fluid retention

A
  • course crackles
  • would feel crackles moving
124
Q

how would BP affect this patient after surgery , heart rate

A
124
Q

how would high temperature affect this patient what would be expected

A
124
Q

things you need to know for the multi systems assessment

A
  • what is her BP and temperature like
  • auscultation looking for air entry and added sounds
  • consolidation and hyperinflation
  • ABG for increase risk of respiratory failure due to history
  • diagnosis of COPD , exaggerations, change in sputum colour , other heart conditions , use of LTOT at home (long term oxygen therapy)
125
Q

how can an aneurism put one at risk of respiratory failure

A
125
Q

cause of an hyper inflated lung after surgery

A
125
Q

example of a protelactic assisted cough machine

A
126
Q

how does TIA and increase smoking put you at high risk of respiratory failure

A
126
Q

things you need to know for the multi systems assessment

A
  • what is her BP and temperature like
  • auscultation looking for air entry and added sounds
  • consolidation and hyperinflation
  • ABG for increase risk of respiratory failure due to history
  • diagnosis of COPD , exaggerations, change in sputum colour , other heart conditions , use of LTOT at home (long term oxygen therapy)
126
Q

how would BP affect this patient after surgery , heart rate

A
126
Q

what would be included in airway or the patients A-E assessment

A
126
Q

how do general anaesthetic work

A
126
Q

what would you hear on auscultation with fluid retention

A
  • course crackles
  • would feel crackles moving
127
Q

how would high temperature affect this patient what would be expected

A
128
Q

how can an aneurism put one at risk of respiratory failure

A
128
Q

cause of an hyper inflated lung after surgery

A
128
Q

example of a protelactic assisted cough machine

A
128
Q

what would you hear on auscultation with fluid retention

A
  • course crackles
  • would feel crackles moving
128
Q

how do general anaesthetic work

A
128
Q

what would be included in airway or the patients A-E assessment

A
129
Q

how does TIA and increase smoking put you at high risk of respiratory failure

A
129
Q

how would BP affect this patient after surgery , heart rate

A
129
Q

things you need to know for the multi systems assessment

A
  • what is her BP and temperature like
  • auscultation looking for air entry and added sounds
  • consolidation and hyperinflation
  • ABG for increase risk of respiratory failure due to history
  • diagnosis of COPD , exaggerations, change in sputum colour , other heart conditions , use of LTOT at home (long term oxygen therapy)
129
Q

what is pre op rehabilitation

A
129
Q

how would high temperature affect this patient what would be expected

A
130
Q

how can an aneurism put one at risk of respiratory failure

A
130
Q

how do general anaesthetic work

A
130
Q

cause of an hyper inflated lung after surgery

A
130
Q

what would you hear on auscultation with fluid retention

A
  • course crackles
  • would feel crackles moving
131
Q

things you need to know for the multi systems assessment

A
  • what is her BP and temperature like
  • auscultation looking for air entry and added sounds
  • consolidation and hyperinflation
  • ABG for increase risk of respiratory failure due to history
  • diagnosis of COPD , exaggerations, change in sputum colour , other heart conditions , use of LTOT at home (long term oxygen therapy)
131
Q

how does TIA and increase smoking put you at high risk of respiratory failure

A
131
Q

what would be included in pre op

A
  • deep breathing and meditation exercises to help with BP and pain meds
  • control anxiety to decrease BP increase
  • exercise with consideration of patient tolerance and HR window , below risk of provoking aneurism
  • education around smoking and diet , food general, smoke patches
132
Q

example of a protelactic assisted cough machine

A
132
Q

how would high temperature affect this patient what would be expected

A
132
Q

how would BP affect this patient after surgery , heart rate

A
132
Q

what would be included in airway or the patients A-E assessment

A
133
Q

how can an aneurism put one at risk of respiratory failure

A
133
Q

example of a protelactic assisted cough machine

A
133
Q

cause of an hyper inflated lung after surgery

A
133
Q

how do general anaesthetic work

A
134
Q

what would you hear on auscultation with fluid retention

A
  • course crackles
  • would feel crackles moving
134
Q

things you need to know for the multi systems assessment

A
  • what is her BP and temperature like
  • auscultation looking for air entry and added sounds
  • consolidation and hyperinflation
  • ABG for increase risk of respiratory failure due to history
  • diagnosis of COPD , exaggerations, change in sputum colour , other heart conditions , use of LTOT at home (long term oxygen therapy)
134
Q

what would be included in airway or the patients A-E assessment

A
134
Q

how would BP affect this patient after surgery , heart rate

A
134
Q

how does TIA and increase smoking put you at high risk of respiratory failure

A
134
Q

how would high temperature affect this patient what would be expected

A
135
Q

example of a protelactic assisted cough machine

A
135
Q

how can an aneurism put one at risk of respiratory failure

A
135
Q

cause of an hyper inflated lung after surgery

A
135
Q

what would you hear on auscultation with fluid retention

A
  • course crackles
  • would feel crackles moving
136
Q

things you need to know for the multi systems assessment

A
  • what is her BP and temperature like
  • auscultation looking for air entry and added sounds
  • consolidation and hyperinflation
  • ABG for increase risk of respiratory failure due to history
  • diagnosis of COPD , exaggerations, change in sputum colour , other heart conditions , use of LTOT at home (long term oxygen therapy)
136
Q

how do general anaesthetic work

A
136
Q

what would be included in airway or the patients A-E assessment

A
136
Q

how does TIA and increase smoking put you at high risk of respiratory failure

A
136
Q

how would BP affect this patient after surgery , heart rate

A
137
Q

describe components of ACBT

A
137
Q

how would high temperature affect this patient what would be expected

A
138
Q

example of a protelactic assisted cough machine

A
138
Q

how can an aneurism put one at risk of respiratory failure

A
138
Q

how do general anaesthetic work

A
138
Q

cause of an hyper inflated lung after surgery

A
138
Q

what would you hear on auscultation with fluid retention

A
  • course crackles
  • would feel crackles moving
138
Q

what would be included in airway or the patients A-E assessment

A
139
Q

things you need to know for the multi systems assessment

A
  • what is her BP and temperature like
  • auscultation looking for air entry and added sounds
  • consolidation and hyperinflation
  • ABG for increase risk of respiratory failure due to history
  • diagnosis of COPD , exaggerations, change in sputum colour , other heart conditions , use of LTOT at home (long term oxygen therapy)
139
Q

how does TIA and increase smoking put you at high risk of respiratory failure

A
139
Q

how would BP affect this patient after surgery , heart rate

A
139
Q

how would high temperature affect this patient what would be expected

A
140
Q

benefit of deep breathing and meditation exercises

A
  • help with BP and pain meds
141
Q

example of a protelactic assisted cough machine

A
141
Q

cause of an hyper inflated lung after surgery

A
141
Q

how do general anaesthetic work

A
141
Q

what would you hear on auscultation with fluid retention

A
  • course crackles
  • would feel crackles moving
142
Q

how does TIA and increase smoking put you at high risk of respiratory failure

A
142
Q

how would BP affect this patient after surgery , heart rate

A
142
Q

how would high temperature affect this patient what would be expected

A
142
Q

benefit of deep breathing and meditation exercises

A
  • help with BP and pain meds
143
Q

how can an aneurism put one at risk of respiratory failure

A
143
Q

example of a protelactic assisted cough machine

A
143
Q

cause of an hyper inflated lung after surgery

A
143
Q

how do general anaesthetic work

A
143
Q

how would BP affect this patient after surgery , heart rate

A
144
Q

what would you hear on auscultation with fluid retention

A
  • course crackles
  • would feel crackles moving
144
Q

what would be included in airway or the patients A-E assessment

A
144
Q

how does TIA and increase smoking put you at high risk of respiratory failure

A
144
Q

benefit of deep breathing and meditation exercises

A
  • help with BP and pain meds
145
Q

how can an aneurism put one at risk of respiratory failure

A
145
Q

what would be included in airway or the patients A-E assessment

A
146
Q

things you need to know for the multi systems assessment

A
  • what is her BP and temperature like
  • auscultation looking for air entry and added sounds
  • consolidation and hyperinflation
  • ABG for increase risk of respiratory failure due to history
  • diagnosis of COPD , exaggerations, change in sputum colour , other heart conditions , use of LTOT at home (long term oxygen therapy)
147
Q

things you need to know for the multi systems assessment

A
  • what is her BP and temperature like
  • auscultation looking for air entry and added sounds
  • consolidation and hyperinflation
  • ABG for increase risk of respiratory failure due to history
  • diagnosis of COPD , exaggerations, change in sputum colour , other heart conditions , use of LTOT at home (long term oxygen therapy)
147
Q

how would high temperature affect this patient what would be expected

A
148
Q

what would happen if the patient’s HR window is not considered during exercise of the Pre op phase

A
  • risk of aneurism
149
Q

what factors place this patient at risk of post op pulmonary complications

A
  • smoking
  • age patient is 73 years old
  • weakened exercise tolerance- from effect of anaesthesia
  • obesity
150
Q

why does smoking place this patient at risk of post op pulmonary complications

A
  • smoking impairs mucocillary transport- lead to emphysema
    -likely to have a long term of chronic bronchitis and long term secretion load –> more likely to have infections or exaggerations
  • poor VQ from damage caused by smoking , tar scarring and emphysema
151
Q

how does age place patient at risk of post op pulmonary complications

A
  • older and would have decrease FRC, lead to reduce lung compliance and higher closing volume
152
Q

consequences of decrease FRC

A
153
Q

what is high closing volume

A
154
Q

how can weakened exercise tolerance put you at risk for post I-pulmonary complications

A
  • increase risk of respiratory failure and fatigue more quickly in response distress
155
Q

how can obesity put you at risk of post pulmonary complications

A
  • reduce FRC at baseline, second to compression atelectasis , reduce lung compliance
156
Q

two facts of the case that reduces FRC

A

age
obesity

157
Q

advice for pre operative

A
  • explain post prognosis, one problem would be fixed put will cause others
  • encourage change in beahvior regarding smoking
  • importance of mobilising early to control pain, positioning in bed to decrease risk of post operative complications
  • pulmonary rehab referral post surgery
  • breathing technique, teaching to breathe from the diagram
158
Q

benefit of breathing from the diaphragm

A
  • reduce work of breathing
159
Q

advice to prepare for the surgery

A
  • increase exercise tolerance
  • reduce stress
  • reduce risk of infection
  • monitor sputum
  • ACBT prior to manage secretion load / reduce risk of infection
  • monitor positioning to ensure no pressure sores
  • dietiain referrel pre and post op
  • teach diaphragmatic breathing
160
Q

what are the components of diaphgramtic breathing show

A
161
Q

main role of physiotherapist after AA repair

A
  • improve lung volume
  • mobilize to recruit alveolar deep in the base of the lung
  • teach supported cough and ACBT
  • set functional goals
  • lifestyle changes
162
Q

role of mobilising early

A
  • ## recruit alveoli back into the base of the lung
163
Q

why would you want to recruit alveoli more in the base of the lung

A
163
Q

why would you want to recruit alveoli more in the base of the lung

A
164
Q

benefit of teaching a supported cough with ACBT

A
  • help with pain over the incision
    -aveolar recruitment and clearing secretions
165
Q

types of additional equipment to support respiratory functions

A
  • high flow oxygen
    -BIRD machine
  • equipment for home living rails etc.
166
Q

members of multidisciplinary team

A
167
Q

components of a multi systems assessment

A
  • resp
  • cardio
    -neuro
  • renal
  • auscultation
    -palpation
    O/E
168
Q

techniques to improve lung volume

A
  • position - improve FRC
    mobilising
    supported cough -
    pacing advice , to help mobilise and be more active
169
Q

what would be included in the respirator segment of multi system approach

A
  • breathing on 40% SpiO2
  • sputum analysis - check for infection
    -RR - 35 , high12-20
170
Q

what does a high RR following AAA repair main

A
171
Q

what does a high RR following

A
172
Q

normal RR rate

A
173
Q

what would be included in the cardio segment of multi systems approach

A

temp
HR - 103, high
blood pressure

174
Q

how does HR affect body temperature

A
175
Q

how does HR affect blood pressure

A
176
Q

what would be in the near section of the multi system approach

A

GCS
is she responding to voice

177
Q

what is the GCS

A
178
Q

what would be seen in the palpation portion of the multi systems approach

A
  • use of the accessor muscles
  • excessive movement in UL to compensate , tactile fremits in UL
  • reduce expansion in bases of LL
179
Q

what is tactile remits

A
180
Q

conditions that can cause chest infections

A
181
Q

treatment for infection patient

A
  • mobilisation of the patient - increase air entry and secretions and increase chest expansion so more air rushes into the lungs
182
Q

problem list for the patient with chest infection

A
  • has a hard time getting oxygen into th elung- hyperventilating, and a slower rate hence blood pressure is low , hence they will fatigue quickly
183
Q

complications of PCD

A
  • chronic cough
  • respiratory distress
    -atlectasis
  • bronchitis’s
184
Q

outcome measure for patient with PCD

A
185
Q

what is PCD and its symptoms

A
186
Q

pathophysiology of PCD

A
187
Q

signs of PCD

A
188
Q

physiotherapy management of PCD

A
  • osculatory and PEP to mobilise secretions
  • help to keep the airways open
189
Q

how does a aCapella device work

A
190
Q

how the mucocillary transport system work in normal patient

A
191
Q

airway clearance technique for PCD

A
  • percussion, Manuel chest physiotherapy
    -positive expiratory pressure
    osculating PEP therapy
  • ACBT and autogenic drainage
192
Q

how’d oes autogenic drainage work

A
193
Q

how is osculating PEP different from positive expiratory pressure

A
194
Q

explain concept of hypoxic drive

A

rest case studies (6 decks)

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