AAA repair Flashcards
1
Q
What is an AAA repair
A
- repair an mannerism, 8cm
2
Q
what is the incision site of an AAA repair
A
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
4
Q
what happens to the lung during surgery and why it’s capacity decrease
A
5
Q
types of general aesthetic
A
6
Q
treatment for someone who has had an AAA repair and been under prolonged surgery
A
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
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
9
Q
how does positioning increase FRC
A
10
Q
why is there increase secretions following surgery
A
- due to surgery and aesthetics
11
Q
consequences of a hyper inflated lung
A
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.
12
Q
cause of an hyper inflated lung after surgery
A
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.
13
Q
cause of an hyper inflated lung after surgery
A
14
Q
cause of an hyper inflated lung after surgery
A
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.
15
Q
cause of an hyper inflated lung after surgery
A
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.
16
Q
cause of an hyper inflated lung after surgery
A
17
Q
how do general anaesthetic work
A
17
Q
cause of an hyper inflated lung after surgery
A
18
Q
cause of an hyper inflated lung after surgery
A
18
Q
how do general anaesthetic work
A
19
how do general anaesthetic work
19
cause of an hyper inflated lung after surgery
20
how can an aneurism put one at risk of respiratory failure
20
how can an aneurism put one at risk of respiratory failure
21
how do general anaesthetic work
22
cause of an hyper inflated lung after surgery
23
how can an aneurism put one at risk of respiratory failure
23
cause of an hyper inflated lung after surgery
24
how do general anaesthetic work
25
example of a protelactic assisted cough machine
25
how can an aneurism put one at risk of respiratory failure
25
cause of an hyper inflated lung after surgery
26
how do general anaesthetic work
27
outcome measure to assisted cough treatment
- 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
28
what does FEV1/FVC ratio tells us
29
cause of an hyper inflated lung after surgery
29
example of a protelactic assisted cough machine
29
how can an aneurism put one at risk of respiratory failure
29
how do general anaesthetic work
30
how can an aneurism put one at risk of respiratory failure
30
example of a protelactic assisted cough machine
30
cause of an hyper inflated lung after surgery
31
what would you hear on auscultation with fluid retention
- course crackles
- would feel crackles moving
31
how do general anaesthetic work
32
example of a protelactic assisted cough machine
32
what would you hear on auscultation with fluid retention
- course crackles
- would feel crackles moving
32
how can an aneurism put one at risk of respiratory failure
32
how do general anaesthetic work
32
cause of an hyper inflated lung after surgery
33
how can an aneurism put one at risk of respiratory failure
34
cause of an hyper inflated lung after surgery
34
what would you hear on auscultation with fluid retention
- course crackles
- would feel crackles moving
35
example of a protelactic assisted cough machine
35
how do general anaesthetic work
36
cause of an hyper inflated lung after surgery
37
example of a protelactic assisted cough machine
37
how can an aneurism put one at risk of respiratory failure
37
how do general anaesthetic work
38
what would you hear on auscultation with fluid retention
- course crackles
- would feel crackles moving
39
example of a protelactic assisted cough machine
39
how can an aneurism put one at risk of respiratory failure
39
cause of an hyper inflated lung after surgery
40
how do general anaesthetic work
41
what would you hear on auscultation with fluid retention
- course crackles
- would feel crackles moving
42
example of a protelactic assisted cough machine
42
how can an aneurism put one at risk of respiratory failure
42
cause of an hyper inflated lung after surgery
43
what would you hear on auscultation with fluid retention
- course crackles
- would feel crackles moving
43
how do general anaesthetic work
44
functional test after surgery for aneurism
time up and go test, measurable and timed
45
what is lARS questionnaire score
- measure incontinence
46
respiratory assessment of AAA repair/ multi systems
- not self ventilating
- high heart rate is high
- breathing on 40% FIO2
neuro- awake and alert
issues prior to surgery TIA years ago
47
what is FiO2 and what does breathing on 40% of it means
48
example of a protelactic assisted cough machine
48
how can an aneurism put one at risk of respiratory failure
48
what would you hear on auscultation with fluid retention
- course crackles
- would feel crackles moving
48
cause of an hyper inflated lung after surgery
49
how do general anaesthetic work
50
what is a TIA and what are the long term effects of it
51
example of a protelactic assisted cough machine
51
cause of an hyper inflated lung after surgery
51
how can an aneurism put one at risk of respiratory failure
51
what would you hear on auscultation with fluid retention
- course crackles
- would feel crackles moving
51
how do general anaesthetic work
52
what is a TIA and what are the long term effects of it
53
example of a protelactic assisted cough machine
53
what would you hear on auscultation with fluid retention
- course crackles
- would feel crackles moving
53
how do general anaesthetic work
54
how can an aneurism put one at risk of respiratory failure
54
cause of an hyper inflated lung after surgery
54
what is a TIA and what are the long term effects of it
55
example of a protelactic assisted cough machine
55
what would you hear on auscultation with fluid retention
- course crackles
- would feel crackles moving
55
cause of an hyper inflated lung after surgery
55
how can an aneurism put one at risk of respiratory failure
55
how do general anaesthetic work
56
what is a TIA and what are the long term effects of it
57
things you need to know for the multi systems assessment
- what is her BP and temperature like
58
example of a protelactic assisted cough machine
58
how can an aneurism put one at risk of respiratory failure
58
how do general anaesthetic work
59
what would you hear on auscultation with fluid retention
- course crackles
- would feel crackles moving
59
what is a TIA and what are the long term effects of it
59
things you need to know for the multi systems assessment
- what is her BP and temperature like
60
cause of an hyper inflated lung after surgery
61
what would be included in airway or the patients A-E assessment
62
how would BP affect this patient after surgery , heart rate
63
how would high temperature affect this patient what would be expected
64
things you need to know for the multi systems assessment
- 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
64
what would be included in airway or the patients A-E assessment
64
how would high temperature affect this patient what would be expected
64
how do general anaesthetic work
64
what would you hear on auscultation with fluid retention
- course crackles
- would feel crackles moving
65
how would BP affect this patient after surgery , heart rate
65
example of a protelactic assisted cough machine
66
how can an aneurism put one at risk of respiratory failure
66
cause of an hyper inflated lung after surgery
67
what would be included in airway or the patients A-E assessment
67
how do general anaesthetic work
67
example of a protelactic assisted cough machine
67
things you need to know for the multi systems assessment
- 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
68
how would high temperature affect this patient what would be expected
68
what would you hear on auscultation with fluid retention
- course crackles
- would feel crackles moving
69
how would BP affect this patient after surgery , heart rate
69
cause of an hyper inflated lung after surgery
69
how can an aneurism put one at risk of respiratory failure
70
how can an aneurism put one at risk of respiratory failure
70
example of a protelactic assisted cough machine
71
how would BP affect this patient after surgery , heart rate
71
how do general anaesthetic work
71
things you need to know for the multi systems assessment
- 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
71
how would high temperature affect this patient what would be expected
72
what would you hear on auscultation with fluid retention
- course crackles
- would feel crackles moving
72
what would be included in airway or the patients A-E assessment
72
cause of an hyper inflated lung after surgery
73
how does TIA and increase smoking put you at high risk of respiratory failure
73
example of a protelactic assisted cough machine
73
cause of an hyper inflated lung after surgery
74
how do general anaesthetic work
74
how does TIA and increase smoking put you at high risk of respiratory failure
74
what would you hear on auscultation with fluid retention
- course crackles
- would feel crackles moving
74
what would be included in airway or the patients A-E assessment
74
things you need to know for the multi systems assessment
- 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
75
how would BP affect this patient after surgery , heart rate
75
how can an aneurism put one at risk of respiratory failure
75
how would high temperature affect this patient what would be expected
76
example of a protelactic assisted cough machine
76
how can an aneurism put one at risk of respiratory failure
76
what would be included in airway or the patients A-E assessment
77
cause of an hyper inflated lung after surgery
77
what would you hear on auscultation with fluid retention
- course crackles
- would feel crackles moving
77
how do general anaesthetic work
77
how would high temperature affect this patient what would be expected
78
how does TIA and increase smoking put you at high risk of respiratory failure
78
things you need to know for the multi systems assessment
- 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)
78
how would BP affect this patient after surgery , heart rate
79
how can an aneurism put one at risk of respiratory failure
79
what would you hear on auscultation with fluid retention
- course crackles
- would feel crackles moving
79
example of a protelactic assisted cough machine
79
cause of an hyper inflated lung after surgery
80
what would be included in airway or the patients A-E assessment
80
how do general anaesthetic work
80
how does TIA and increase smoking put you at high risk of respiratory failure
80
how would BP affect this patient after surgery , heart rate
81
things you need to know for the multi systems assessment
- 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)
81
how would high temperature affect this patient what would be expected
82
how can an aneurism put one at risk of respiratory failure
82
what would be included in airway or the patients A-E assessment
82
how does TIA and increase smoking put you at high risk of respiratory failure
83
how would high temperature affect this patient what would be expected
83
how do general anaesthetic work
83
example of a protelactic assisted cough machine
84
cause of an hyper inflated lung after surgery
84
how would BP affect this patient after surgery , heart rate
84
things you need to know for the multi systems assessment
- 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)
85
what would you hear on auscultation with fluid retention
- course crackles
- would feel crackles moving
86
cause of an hyper inflated lung after surgery
86
how can an aneurism put one at risk of respiratory failure
86
what would be included in airway or the patients A-E assessment
86
how does TIA and increase smoking put you at high risk of respiratory failure
86
what would you hear on auscultation with fluid retention
- course crackles
- would feel crackles moving
86
how would BP affect this patient after surgery , heart rate
86
how do general anaesthetic work
87
example of a protelactic assisted cough machine
87
things you need to know for the multi systems assessment
- 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
how would high temperature affect this patient what would be expected
88
what would you hear on auscultation with fluid retention
- course crackles
- would feel crackles moving
88
how can an aneurism put one at risk of respiratory failure
88
things you need to know for the multi systems assessment
- 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
how would BP affect this patient after surgery , heart rate
88
cause of an hyper inflated lung after surgery
88
example of a protelactic assisted cough machine
88
what would be included in airway or the patients A-E assessment
89
how does TIA and increase smoking put you at high risk of respiratory failure
89
how do general anaesthetic work
89
how would high temperature affect this patient what would be expected
90
what would you hear on auscultation with fluid retention
- course crackles
- would feel crackles moving
90
example of a protelactic assisted cough machine
90
how do general anaesthetic work
90
how can an aneurism put one at risk of respiratory failure
91
things you need to know for the multi systems assessment
- 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
how would BP affect this patient after surgery , heart rate
91
what would be included in airway or the patients A-E assessment
91
cause of an hyper inflated lung after surgery
91
how does TIA and increase smoking put you at high risk of respiratory failure
92
how would high temperature affect this patient what would be expected
93
how can an aneurism put one at risk of respiratory failure
93
cause of an hyper inflated lung after surgery
93
how do general anaesthetic work
94
how would BP affect this patient after surgery , heart rate
94
what would you hear on auscultation with fluid retention
- course crackles
- would feel crackles moving
94
example of a protelactic assisted cough machine
94
things you need to know for the multi systems assessment
- 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
how does TIA and increase smoking put you at high risk of respiratory failure
94
what would be included in airway or the patients A-E assessment
95
how would high temperature affect this patient what would be expected
96
main clinical problems after AAA repair
- 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
effect of reduce lung compliance
98
how can an aneurism put one at risk of respiratory failure
98
cause of an hyper inflated lung after surgery
99
what would you hear on auscultation with fluid retention
- course crackles
- would feel crackles moving
99
what would be included in airway or the patients A-E assessment
99
how would BP affect this patient after surgery , heart rate
99
how does TIA and increase smoking put you at high risk of respiratory failure
99
things you need to know for the multi systems assessment
- 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
how do general anaesthetic work
100
how would high temperature affect this patient what would be expected
100
example of a protelactic assisted cough machine
101
upper chest breathing causes what
- air trapping and poor recruitment of alveoli
- poor ventilation and gas exchange
- low V/Q mismatch
102
result of low v/Q mismatch
type II respirator failure
103
how would BP affect this patient after surgery , heart rate
103
what would you hear on auscultation with fluid retention
- course crackles
- would feel crackles moving
104
how can an aneurism put one at risk of respiratory failure
104
result of low v/Q mismatch
type II respirator failure
104
how do general anaesthetic work
104
how would high temperature affect this patient what would be expected
104
things you need to know for the multi systems assessment
- 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
cause of an hyper inflated lung after surgery
104
example of a protelactic assisted cough machine
104
what would be included in airway or the patients A-E assessment
105
how does TIA and increase smoking put you at high risk of respiratory failure
106
what would you hear on auscultation with fluid retention
- course crackles
- would feel crackles moving
106
what would be included in airway or the patients A-E assessment
106
things you need to know for the multi systems assessment
- 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
example of a protelactic assisted cough machine
106
how does TIA and increase smoking put you at high risk of respiratory failure
106
how can an aneurism put one at risk of respiratory failure
107
cause of an hyper inflated lung after surgery
107
how do general anaesthetic work
107
how would BP affect this patient after surgery , heart rate
107
how would high temperature affect this patient what would be expected
108
example of a protelactic assisted cough machine
108
cause of an hyper inflated lung after surgery
108
how do general anaesthetic work
108
what would you hear on auscultation with fluid retention
- course crackles
- would feel crackles moving
108
how does TIA and increase smoking put you at high risk of respiratory failure
108
things you need to know for the multi systems assessment
- 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
how would BP affect this patient after surgery , heart rate
108
what would be included in airway or the patients A-E assessment
108
how can an aneurism put one at risk of respiratory failure
109
how would high temperature affect this patient what would be expected
109
effect of smoking on lungs
- tar buildup
- causes poor MCT and poor lung compliance
ventilation / perfusion mismatch
110
how can an aneurism put one at risk of respiratory failure
110
example of a protelactic assisted cough machine
110
cause of an hyper inflated lung after surgery
110
how do general anaesthetic work
110
what would you hear on auscultation with fluid retention
- course crackles
- would feel crackles moving
110
what would be included in airway or the patients A-E assessment
110
things you need to know for the multi systems assessment
- 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
how would BP affect this patient after surgery , heart rate
111
how does TIA and increase smoking put you at high risk of respiratory failure
111
how would high temperature affect this patient what would be expected
112
how can an aneurism put one at risk of respiratory failure
112
what would you hear on auscultation with fluid retention
- course crackles
- would feel crackles moving
112
how do general anaesthetic work
113
how does TIA and increase smoking put you at high risk of respiratory failure
113
how would BP affect this patient after surgery , heart rate
113
example of a protelactic assisted cough machine
114
cause of an hyper inflated lung after surgery
114
what would be included in airway or the patients A-E assessment
114
things you need to know for the multi systems assessment
- 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
how would high temperature affect this patient what would be expected
115
example of a protelactic assisted cough machine
115
how can an aneurism put one at risk of respiratory failure
115
cause of an hyper inflated lung after surgery
115
what would you hear on auscultation with fluid retention
- course crackles
- would feel crackles moving
116
how do general anaesthetic work
116
what would be included in airway or the patients A-E assessment
116
things you need to know for the multi systems assessment
- 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
how does TIA and increase smoking put you at high risk of respiratory failure
116
how would high temperature affect this patient what would be expected
116
how would BP affect this patient after surgery , heart rate
117
how can an aneurism put one at risk of respiratory failure
117
how do general anaesthetic work
117
what would you hear on auscultation with fluid retention
- course crackles
- would feel crackles moving
118
what would be included in airway or the patients A-E assessment
118
how would high temperature affect this patient what would be expected
119
cause of an hyper inflated lung after surgery
119
things you need to know for the multi systems assessment
- 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
how does TIA and increase smoking put you at high risk of respiratory failure
119
example of a protelactic assisted cough machine
119
how would BP affect this patient after surgery , heart rate
120
how can an aneurism put one at risk of respiratory failure
120
example of a protelactic assisted cough machine
120
how do general anaesthetic work
121
what would you hear on auscultation with fluid retention
- course crackles
- would feel crackles moving
121
cause of an hyper inflated lung after surgery
121
what would be included in airway or the patients A-E assessment
121
things you need to know for the multi systems assessment
- 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
how does TIA and increase smoking put you at high risk of respiratory failure
122
how would BP affect this patient after surgery , heart rate
122
how would high temperature affect this patient what would be expected
123
example of a protelactic assisted cough machine
123
cause of an hyper inflated lung after surgery
123
how can an aneurism put one at risk of respiratory failure
123
how do general anaesthetic work
124
how does TIA and increase smoking put you at high risk of respiratory failure
124
what would be included in airway or the patients A-E assessment
124
what would you hear on auscultation with fluid retention
- course crackles
- would feel crackles moving
124
how would BP affect this patient after surgery , heart rate
124
how would high temperature affect this patient what would be expected
124
things you need to know for the multi systems assessment
- 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
how can an aneurism put one at risk of respiratory failure
125
cause of an hyper inflated lung after surgery
125
example of a protelactic assisted cough machine
126
how does TIA and increase smoking put you at high risk of respiratory failure
126
things you need to know for the multi systems assessment
- 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
how would BP affect this patient after surgery , heart rate
126
what would be included in airway or the patients A-E assessment
126
how do general anaesthetic work
126
what would you hear on auscultation with fluid retention
- course crackles
- would feel crackles moving
127
how would high temperature affect this patient what would be expected
128
how can an aneurism put one at risk of respiratory failure
128
cause of an hyper inflated lung after surgery
128
example of a protelactic assisted cough machine
128
what would you hear on auscultation with fluid retention
- course crackles
- would feel crackles moving
128
how do general anaesthetic work
128
what would be included in airway or the patients A-E assessment
129
how does TIA and increase smoking put you at high risk of respiratory failure
129
how would BP affect this patient after surgery , heart rate
129
things you need to know for the multi systems assessment
- 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
what is pre op rehabilitation
129
how would high temperature affect this patient what would be expected
130
how can an aneurism put one at risk of respiratory failure
130
how do general anaesthetic work
130
cause of an hyper inflated lung after surgery
130
what would you hear on auscultation with fluid retention
- course crackles
- would feel crackles moving
131
things you need to know for the multi systems assessment
- 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
how does TIA and increase smoking put you at high risk of respiratory failure
131
what would be included in pre op
- 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
example of a protelactic assisted cough machine
132
how would high temperature affect this patient what would be expected
132
how would BP affect this patient after surgery , heart rate
132
what would be included in airway or the patients A-E assessment
133
how can an aneurism put one at risk of respiratory failure
133
example of a protelactic assisted cough machine
133
cause of an hyper inflated lung after surgery
133
how do general anaesthetic work
134
what would you hear on auscultation with fluid retention
- course crackles
- would feel crackles moving
134
things you need to know for the multi systems assessment
- 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
what would be included in airway or the patients A-E assessment
134
how would BP affect this patient after surgery , heart rate
134
how does TIA and increase smoking put you at high risk of respiratory failure
134
how would high temperature affect this patient what would be expected
135
example of a protelactic assisted cough machine
135
how can an aneurism put one at risk of respiratory failure
135
cause of an hyper inflated lung after surgery
135
what would you hear on auscultation with fluid retention
- course crackles
- would feel crackles moving
136
things you need to know for the multi systems assessment
- 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
how do general anaesthetic work
136
what would be included in airway or the patients A-E assessment
136
how does TIA and increase smoking put you at high risk of respiratory failure
136
how would BP affect this patient after surgery , heart rate
137
describe components of ACBT
137
how would high temperature affect this patient what would be expected
138
example of a protelactic assisted cough machine
138
how can an aneurism put one at risk of respiratory failure
138
how do general anaesthetic work
138
cause of an hyper inflated lung after surgery
138
what would you hear on auscultation with fluid retention
- course crackles
- would feel crackles moving
138
what would be included in airway or the patients A-E assessment
139
things you need to know for the multi systems assessment
- 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
how does TIA and increase smoking put you at high risk of respiratory failure
139
how would BP affect this patient after surgery , heart rate
139
how would high temperature affect this patient what would be expected
140
benefit of deep breathing and meditation exercises
- help with BP and pain meds
141
example of a protelactic assisted cough machine
141
cause of an hyper inflated lung after surgery
141
how do general anaesthetic work
141
what would you hear on auscultation with fluid retention
- course crackles
- would feel crackles moving
142
how does TIA and increase smoking put you at high risk of respiratory failure
142
how would BP affect this patient after surgery , heart rate
142
how would high temperature affect this patient what would be expected
142
benefit of deep breathing and meditation exercises
- help with BP and pain meds
143
how can an aneurism put one at risk of respiratory failure
143
example of a protelactic assisted cough machine
143
cause of an hyper inflated lung after surgery
143
how do general anaesthetic work
143
how would BP affect this patient after surgery , heart rate
144
what would you hear on auscultation with fluid retention
- course crackles
- would feel crackles moving
144
what would be included in airway or the patients A-E assessment
144
how does TIA and increase smoking put you at high risk of respiratory failure
144
benefit of deep breathing and meditation exercises
- help with BP and pain meds
145
how can an aneurism put one at risk of respiratory failure
145
what would be included in airway or the patients A-E assessment
146
things you need to know for the multi systems assessment
- 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
things you need to know for the multi systems assessment
- 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
how would high temperature affect this patient what would be expected
148
what would happen if the patient's HR window is not considered during exercise of the Pre op phase
- risk of aneurism
149
what factors place this patient at risk of post op pulmonary complications
- smoking
- age patient is 73 years old
- weakened exercise tolerance- from effect of anaesthesia
- obesity
150
why does smoking place this patient at risk of post op pulmonary complications
- 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
how does age place patient at risk of post op pulmonary complications
- older and would have decrease FRC, lead to reduce lung compliance and higher closing volume
152
consequences of decrease FRC
153
what is high closing volume
154
how can weakened exercise tolerance put you at risk for post I-pulmonary complications
- increase risk of respiratory failure and fatigue more quickly in response distress
155
how can obesity put you at risk of post pulmonary complications
- reduce FRC at baseline, second to compression atelectasis , reduce lung compliance
156
two facts of the case that reduces FRC
age
obesity
157
advice for pre operative
- 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
benefit of breathing from the diaphragm
- reduce work of breathing
159
advice to prepare for the surgery
- 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
what are the components of diaphgramtic breathing show
161
main role of physiotherapist after AA repair
- 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
role of mobilising early
- recruit alveoli back into the base of the lung
-
163
why would you want to recruit alveoli more in the base of the lung
163
why would you want to recruit alveoli more in the base of the lung
164
benefit of teaching a supported cough with ACBT
- help with pain over the incision
-aveolar recruitment and clearing secretions
165
types of additional equipment to support respiratory functions
- high flow oxygen
-BIRD machine
- equipment for home living rails etc.
166
members of multidisciplinary team
167
components of a multi systems assessment
- resp
- cardio
-neuro
- renal
- auscultation
-palpation
O/E
168
techniques to improve lung volume
- position - improve FRC
mobilising
supported cough -
pacing advice , to help mobilise and be more active
169
what would be included in the respirator segment of multi system approach
- breathing on 40% SpiO2
- sputum analysis - check for infection
-RR - 35 , high12-20
170
what does a high RR following AAA repair main
171
what does a high RR following
172
normal RR rate
173
what would be included in the cardio segment of multi systems approach
temp
HR - 103, high
blood pressure
174
how does HR affect body temperature
175
how does HR affect blood pressure
176
what would be in the near section of the multi system approach
GCS
is she responding to voice
177
what is the GCS
178
what would be seen in the palpation portion of the multi systems approach
- use of the accessor muscles
- excessive movement in UL to compensate , tactile fremits in UL
- reduce expansion in bases of LL
179
what is tactile remits
180
conditions that can cause chest infections
181
treatment for infection patient
- mobilisation of the patient - increase air entry and secretions and increase chest expansion so more air rushes into the lungs
182
problem list for the patient with chest infection
- 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
complications of PCD
- chronic cough
- respiratory distress
-atlectasis
- bronchitis's
184
outcome measure for patient with PCD
185
what is PCD and its symptoms
186
pathophysiology of PCD
187
signs of PCD
188
physiotherapy management of PCD
- osculatory and PEP to mobilise secretions
- help to keep the airways open
189
how does a aCapella device work
190
how the mucocillary transport system work in normal patient
191
airway clearance technique for PCD
- percussion, Manuel chest physiotherapy
-positive expiratory pressure
osculating PEP therapy
- ACBT and autogenic drainage
192
how'd oes autogenic drainage work
193
how is osculating PEP different from positive expiratory pressure
194
explain concept of hypoxic drive
