ACBT Flashcards

1
Q

ACBT CYCLE

A
  1. Breathing control 20-30 seconds
  2. Huffing followed by cough if needed (FET)
  3. Breathing control
  4. 3-4 deep breaths (TEE)
  5. Breathing control
  6. 3-4 deep breaths (TEE)
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2
Q

breathing control

A

Tidal breathing
Encourage:
* Relaxation of upper chest
* Diaphragmatic breathing
* Use of proprioceptive
facilitation can be helpful. (push into my hand)
* Continue until patient is
ready to progress

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3
Q

Diaphragmatic breathing coaching through (breathing control)

A
  1. One hand on stomach and one hand on chest, breathe in through your nose.
  2. You’ll feel your stomach expand against your hand and your chest should barely move
  3. Breath out through your mouth and you’ll feel your stomach sink back down.
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4
Q

THORACIC EXPANSION EXERCISES

A
  • Simply - deep breathing
    exercises (DBEs)
  • Encouraging lateral chest
    expansion — hands on for
    proprioceptive feedback
  • Can add a 3’s hold and a ‘sniff’
  • Increases collateral ventilation
  • Monitor - patients can become ightheaded, 3-5 +/-
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5
Q

thoracic expansion hold

A

shown to decrease collapsed lung tissue and may be good for those with lung pathology as air will first fill in the unobstructed area and the hold may give time for ventilation of collateral pathways.

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6
Q

thoracic expansion hold resistance equilibrium

A
  • Air travels in direction of least resistance
  • Air will go in to region of least resistance, incomplete equilibrium.
  • Add a pause or insp hold, allows air to move into more regions and recreating equilibrium
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7
Q

FORCED EXPIRATORY TECHNIQUE (FET)

A
  • Forcefully expelling air through an open throat and
    mouth
  • “fogging up a mirror ‘
  • Also known as a “huff’
  • Helps move sputum from small to larger airways
  • Don’t do too many — can cause bronchospasm
  • May initiate a cough
  • Can be challenging with surgical pain — + supported
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8
Q

medium volume huff

A

Medium moves from more peripheral airways
* normal breath in and long huff out

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9
Q

high volume huff

A

High moves from more central airways
* deep breath, short sharp huff out

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10
Q

breathing control helps with

A

work of breathing

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11
Q

thoracic expansion exercises hold and sniff help with

A

lung volume

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12
Q

forced expiratory techniques help with

A

high and low volumes help with sputum clearance

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13
Q

FET contraindication

A

bronchospasm- care with FET may need bronchiodialators prior to maximise effects

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