Consolidation Session #4 Flashcards
Describe pneumothorax
Excess air in pleural space causing decreased negative pressure resulting in lung collapse
Describe pulmonary edema
Fluid in lung in alveoli and interstitial space (hydrostatic or cardiogenic)
Describe COPD
Obstructive pulmonary disease that causes emphysema (stretched out inflated lungs loss of elasticity) and chronic bronchitis which causes inflammation of the airways
Describe pneumonia
Infection of the lung that causes excess fluid in alveoli
What are 2 ways to cause a pneumothorax
Puncture wound or hole in the lungs
I: Asymmetrical expansion (side without pneumothorax will expand), increased work of breathing, trachea moves toward unaffected side, central cyanosis, stressed/anxious
P: Trachea, decreased chest wall expansion, decreased fremitus
P: Hyperresonant
A: Absent of breath sounds
What is the frequency at which suctioning should be performed
As needed
What is the optimal suction pressure for an adult
80-120 (not over 150)
What is the target suction pass duration
15 s
What are the number of suction passes recommended per encounter
As needed (usually not more than 2-3 passes at a time)
Yes, they have to because we are doing a procedure that is going to occlude their airway
Always do an inspection and auscultation (asthma and could be aspirating due to slurred speech -> muscles in mouth are not working so swallowing muscles could be compromised)
-Most likely to aspirate into right middle lobe
Arterial:
-Related to exercise (muscles don’t get oxygen) resulting in pain during exercise cause no oxygen in muscles
-MI and hypertension -> lipid elevation = artery blockage
What are distinguishing features of partial arterial occlusion, complete arterial occlusion and chronic venous insufficiency (PVD)
What questions would you prioritize to ask in subjective history?
Any medication, anyone talked to you, how long, is this new not new, hit your head, fall history, goals, why did they fall, what gave out,
What assessments would you prioritize as part of your initial objective assessment
-Neurological assessment
-Look at edema
-pulses
-Remove socks to examine feet
What physio treatments would you consider for this patient while in acute care
Encourage aerobic exercise -> use it or lose it
-Don’t push through symptoms
How would this case be different if:
- You went to see patient and they complained of severe left leg pain & weakness
-You examined his left leg and found it to be cold, purple, and mottled, with absent pulses (popliteal and dorsalis pedis)
-Would not get them up and out of bed because they may be having complete occlusion (medical issue that needs to be dealt with)
-Complete occlusion and medical emergency
