Cardio Treatment Contraindications

Question 1

ACBT

Answer 1

patients not spontaneously breathing, unconscious pt, pts unable to follow instructions
precautions: inadequate pain control of wounds, rib fractures, bronchospasms, unstable head injury, intracranial aneurysm

Question 2

Manual Techniques

Answer 2

osteoporosis, rib fracture, burns, surgeries, unstable angina, brittle/ fragile bone diseases, recent epidural, skin grafts, pacemaker, worsening bronchospasm
precautions: causes discomfort, O2 sats, SOB, change in rhythmin

Question 3

Incentive Spirometry

Answer 3

pts unable to breathe effectively, noncompliant pts, development delay, hyperventilation, interruption to O2 therapy, pt unable to take deep breaths

Question 4

Devices for sputum clearance

Answer 4

recent thoracic surgery, oesophageal surgery, hyperinflation, tb, history of pneumothorax, heart failure, inability to tolerate increases WOB, middle ear pathology, acute sinusitis, post lung transplant or lobectomy

Question 5

Positioning

Answer 5

recent head/ neck surgery, pneumonectomy, oesophagus surgery, acute spinal cord lesion, uncontrolled hypertension, risk of aspiration, empyema, pulmonary oedema, pulmonary embolism, CV instability

Question 6

Mobility/ exercise

Answer 6

DVT, low or very high bp, low O2 sats, unstable cardiac status, pulmonary embolus, low respiratory rate
cardiac disease, heart failure, irregular heart rhythm