Breathing Interventions Flashcards
What is pursed-lip breathing, and what are its benefits?
- Pursed-lip breathing involves inhaling through the nose for 2-3 seconds and exhaling through pursed lips for 4-6 seconds.
- Benefits include reducing respiratory rate, relieving dyspnea, and preventing airway collapse.
Define dyspnea relief positions.
Dyspnea relief positions, such as the:
- tripod
- reverse Trendelenburg
- semi-Fowler positions
Are body positions that aid in reducing breathing effort and improving ventilation.
What is paced breathing?
Paced breathing is the volitional coordination of breathing during activity to decrease work of breathing and prevent dyspnea.
Define diaphragmatic breathing.
Diaphragmatic breathing focuses on outward motion of the abdominal wall with minimal upper rib cage movement during inspiration, helping reduce accessory muscle use and improve oxygenation.
What is paired breathing?
Paired breathing coordinates breath with movement, such as inhalation with upward gaze and trunk extension, and exhalation with downward gaze and trunk flexion.
What is the sniff technique in diaphragmatic training?
The sniff technique involves taking 3 sniffs in a row to activate the diaphragm, progressing to slower and deeper sniffs over time.
Define inspiratory muscle training (IMT).
IMT involves strengthening inspiratory muscles using devices like threshold trainers, with resistance based on the patient’s maximal inspiratory pressure (MIP).
What is the purpose of stacked breathing?
Stacked breathing involves taking a series of progressively larger breaths to increase tidal volume and improve cough effectiveness.
Define sustained maximal inspiration (SMI).
Sustained Maximal Inspiration (SMI), often performed using incentive spirometry, is a maximal inspiratory effort held for 3 or more seconds to promote alveolar expansion and improve ventilation.
What is lateral costal breathing?
Lateral costal breathing focuses on expanding the lateral thoracic region during inhalation, often with tactile cues from the therapist to improve chest wall mobility.
What are the indications for incentive spirometry?
Indications include:
- post-operative atelectasis prevention
- restrictive lung disease
- conditions with reduced lung compliance
What is the tripod position, and when is it used?
The tripod position involves leaning forward with arms supported, allowing accessory muscle use for thoracic expansion, commonly used for dyspnea relief.
Define segmental breathing.
Segmental breathing uses tactile or verbal cues to direct air into specific lung regions, improving ventilation in localized areas with poor air movement.
What is energy conservation in pulmonary rehab?
Energy conservation involves adapting tasks to reduce dyspnea, such as slowing pace, organizing activities, and using rest breaks effectively.
What is the semi-Fowler position, and why is it beneficial?
The semi-Fowler position involves lying supine with the head of the bed elevated to 45 degrees, reducing dyspnea and aiding in conditions like CHF.
What are the main goals of breathing interventions in pulmonary rehab?
The goals include:
- improving ventilation
- reducing dyspnea, enhancing oxygenation
- increasing tidal volume
- promoting efficient breathing patterns
How does pursed-lip breathing improve respiratory function?
Pursed-lip breathing maintains small positive pressure in the airways, prevents airway collapse, and promotes effective exhalation.
What are the benefits of dyspnea relief positions like the tripod position?
These positions allow accessory muscle use, reduce breathing effort, and promote thoracic expansion to improve ventilation.
What is the purpose of paced breathing during activity?
Paced breathing helps synchronize breathing with activity to decrease work of breathing and prevent dyspnea.
Why is diaphragmatic breathing emphasized in pulmonary rehab?
It reduces accessory muscle use, improves oxygenation, and increases tidal volume by promoting efficient diaphragmatic motion.
How does inspiratory muscle training (IMT) strengthen respiratory muscles?
IMT uses resistance devices to challenge inspiratory muscles, improving their strength and endurance over time.
What is the significance of using incentive spirometry in post-operative patients?
Incentive spirometry helps prevent atelectasis, promotes alveolar expansion, and restores normal breathing patterns.
What are the key steps in performing lateral costal breathing?
Position the patient based on goals, provide tactile cues on the lateral thoracic area, and guide them to breathe into your hands to promote thoracic expansion.
What are the main indications for segmental breathing?
Segmental breathing is indicated for localized consolidation, atelectasis, or pneumonia to direct air into poorly ventilated lung regions.
How do relaxation techniques support breathing interventions?
Relaxation techniques reduce anxiety, improve breathing efficiency, and help patients focus on controlled breathing patterns.
What are the components of effective energy conservation strategies for pulmonary patients?
Components include pacing activities, using proper body mechanics, scheduling rest breaks, and organizing tasks to minimize effort.
What is paired breathing, and how does it assist pulmonary patients?
Paired breathing coordinates breathing with movement, improving ventilation and reducing dyspnea during functional activities.
What are the expected outcomes of stacked breathing?
Outcomes include increased tidal volume, improved cough effectiveness, and better ventilation in patients with restrictive lung conditions.
What is the role of the sniff technique in diaphragmatic breathing training?
The sniff technique helps patients activate the diaphragm, serving as a progression toward full diaphragmatic breathing.
What is sustained maximal inspiration (SMI), and why is it important?
SMI involves a maximal inspiratory effort held for 3+ seconds to promote alveolar expansion, improve ventilation, and prevent pulmonary complications.
