Breathing Exercises Flashcards
In what type of breathing is the patient instructed to “breathe in slowly through your nose so that your stomach moves out against your hand. The hand on your chest should remain as still as possible. Feel you abdomen gently rise into your hand. Exhale through pursed lips, let the hand on your abdomen descend, while the hand on your upper chest remains still”
Diphragmatic breathing
What breathing pattern may assist with Dyspnea (sob)?
Diaphragmatic breathing
What is a good position to start diaphragmatic breathing in?
Semi-fowler position (HOB elevated ~30 degrees)
What breathing exercise is used for impaired inspiratory muscle strength and/or a ventilatory limitation to exercise performance?
Inspiratory Muscle Training (IMT)
What are the two types of Inspiratory Muscle Training (IMT)?
Flow Resistive Breathing
Threshold Loading
What inspiratory muscle trainer (IMT) increases resistance to breathing as the patient inspires?
Flow Resistive Breathing
What inspiratory muscle trainer(IMT) requires a build up of negative pressure before flow occurs through a valve that opens at a critical pressure?
Threshold Training?
What are the brand names for the Threshold and flow resistive breathing Inspiratory Muscle Trainers?
Threshold - Threshold IMT
Flow Resistive Training - PFLEX IMT
How is training load calculated for Inspiratory Muscle Training (IMT)?
By measuring the patient’s maximum inspiratory pressure (MIP)
At what percent of MIP (maximum inspiratory pressure) should the PFLEX and Threshold IMT be set to to start training?
30-40% level of MIP
what is a strategy to decrease the work of breathing and prevent dyspnea during activity and allows anyone with SOB to become less fearful of activity and exercise?
Paced Breathing
What strategy focuses on timing activities with breathing and exhaling with effort?
Paced Breathing
what technique is used to reduce respiratory rate, reduce dyspnesa, and maintain small positive pressure in bronchioles which may help prevent airway collapse in patients with emphysema. Any patient who is sort of breath may use this technique?
Pursed lip breathing
What is a good position to initiate pursed lip breathing?
Semi-Fowler’s
what effect should pursed lip breathing have on PaCO2?
reduced arterial pressure of carbon dioxide
What does pursed lip breathing do for patients with emphysema?
prevent airway collapse
What technique is also known as localized breathing or throacic expansion breathing and intends to improve regional ventilation by directing air to a particular area by facilitation or inhibition of chest wall movement through proper hand placements, verbal cues or coordination of breathing
Segmental Breathing
How does the therapist change their pressure applied to the chest wall during inspiration and expiration with segmental breathing?
Expiration: therapist applies firm pressure at the end of exhalation to teh are over where the patient’s chest wall needs to be expanded
Inspiration: therapist reduces pressure throughout the inspiration
An incentive spirometer is used with what technique?
Sustained Maximal Inhalation?
What is the technique for Sustained Maximal Inhalation (SMI) or Incentive Spirometry?
a max inspiration effort is held for three or more second at the point of max inspiration before exhalation
What is a common position that provides relief of dyspnea to patients with lung disease?
Forward leaning
What dyspnea releving position is used for patients with congestive heart failure or other cardiac conditions?
Semi-Fowler’s
Head of bed elevated to 45 degrees and pillows under the knees
What dyspnea relieving position places a person in supine with their head above their trunk decreasin gteh weight of the abdominal contents on the diapragm?
Reverse Trendelenberg
What technique can be used to elicit a contraction of the diaphragm and may be employed prior to initiating inspiratory muscle training?
Sniffing
To elicit a sniff, the patient is directed to inhale quickly through the nose before slowly exhaling
