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RESP Control Comps > Control Comp #4 (PFT-Spirometry, Weaning Parameters-Manual) > Flashcards

Control Comp #4 (PFT-Spirometry, Weaning Parameters-Manual) Flashcards

1
Q

PFT - Pulmonary Function Test - Spirometry
Procedure Steps (24 Steps)

A

Procedure Steps
1. Read Physician Orders and Verify Facility Protocols
2. Scan Patients Chart, check for Pt. (history of cough, sputum, smoking, dyspnea at rest or exertion, meds, previous illness, race, gender, age, environmental exposure, and employment)
3. Gather the appropriate equipment and Calibrate
4. Perform Standard Precautions (HH & PPE)
5. Introduce self and department and Identify Patient (wristband & ask)
6. Explain purpose of visit, instruct patient on Therapy, and confirm understanding
7. Position patient for comfort and accessibility
8. Assess Patients vitals (HR, RR, 02 Sat, BS)
9. Aseptically attaches clean Mouthpiece to device and attach nose clips to pt.
10. Instruct pt. on Forced Vital Capacity (FVC). Follow prompts on screen, instruct pt. to take maximum breath to TLC (total lung capacity), then blast out as hard and fast as possible for 6 seconds
11. Observe pt. for effort and performance, reinstruct, as necessary. Monitor for side effects
12. Repeat at least 3 times with volume accuracy within 5% of each attempt. Allowing rest between. (Do not exceed 6 times or pt. tolerance)
13. Instruct pt. on Slow Vital Capacity (SVC). Follow prompts on screen, instruct pt. to take maximum breath into TLC and exhale slowly and completely until lungs feel empty. Then take a normal breath in.
14. Repeat at least 3 times with volume accuracy within 5% of each attempt. Allowing rest in between. (Do not exceed 6 times or pt. tolerance)
15. Instruct pt. in the Maximum Voluntary Ventilation (MVV). Follow the screen for prompts. Instruct pt. to breathe in and out deeply and fast for at least 12 seconds at a rate of at least 90 BPM.
16. Repeat for a total of three attempts. Allowing pt. to rest in between attempts. Compare 2 attempts and make sure they are within 20% of each other
17. Compare MVV to best FEV1 * 40 and predicted MVV. Values should be within 80% of either value
18. If indicated, explain post bronchodilator test, and administers medication and waits before repeating FVC
19. Interpret PFT values. Compare actual values to predicted values and determine if it is obstructive, restrictive, or combination disorder. Verify if bronchodilator was effective.
20. Reassess Patients vitals (HR, RR, O2 Sat, BS) and check for any side effects
21. Correctly care for equipment
22. Thank patient and ensure their safety, comfort and needs are met
23. Dispose of PPE, Handwash, Hand Sanitize
24. Record/Report

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2
Q

PFT - Pulmonary Function Test - Spirometry
Procedure Steps (Steps 1-8)

A

Procedure Steps
1. Read Physician Orders and Verify Facility Protocols
2. Scan Patients Chart, check for Pt. (history of cough, sputum, smoking, dyspnea at rest or exertion, meds, previous illness, race, gender, age, environmental exposure, and employment)
3. Gather the appropriate equipment and Calibrate
4. Perform Standard Precautions (HH & PPE)
5. Introduce self and department and Identify Patient (wristband & ask)
6. Explain purpose of visit, instruct patient on Therapy, and confirm understanding
7. Position patient for comfort and accessibility
8. Assess Patients vitals (HR, RR, 02 Sat, BS)

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3
Q

PFT - Pulmonary Function Test - Spirometry
Procedure Steps (Steps 9-12)

A
  1. Aseptically attaches clean Mouthpiece to device and attach nose clips to pt.
  2. Instruct pt. on Forced Vital Capacity (FVC). Follow prompts on screen, instruct pt. to take maximum breath to TLC (total lung capacity), then blast out as hard and fast as possible for 6 seconds
  3. Observe pt. for effort and performance, reinstruct, as necessary. Monitor for side effects
  4. Repeat at least 3 times with volume accuracy within 5% of each attempt. Allowing rest between. (Do not exceed 6 times or pt. tolerance)
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4
Q

PFT - Pulmonary Function Test - Spirometry
Procedure Steps (Steps 13-16)

A
  1. Instruct pt. on Slow Vital Capacity (SVC). Follow prompts on screen, instruct pt. to take maximum breath into TLC and exhale slowly and completely until lungs feel empty. Then take a normal breath in.
  2. Repeat at least 3 times with volume accuracy within 5% of each attempt. Allowing rest in between. (Do not exceed 6 times or pt. tolerance)
  3. Instruct pt. in the Maximum Voluntary Ventilation (MVV). Follow the screen for prompts. Instruct pt. to breathe in and out deeply and fast for at least 12 seconds at a rate of at least 90 BPM.
  4. Repeat for a total of three attempts. Allowing pt. to rest in between attempts. Compare 2 attempts and make sure they are within 20% of each other
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5
Q

PFT - Pulmonary Function Test - Spirometry
Procedure Steps (Steps 17-19)

A
  1. Compare MVV to best FEV1 * 40 and predicted MVV. Values should be within 80% of either value
  2. If indicated, explain post bronchodilator test, administer medication, and wait before repeating FVC
  3. Interpret PFT values. Compare actual values to predicted values and determine if it is obstructive, restrictive, or combination disorder. Verify if bronchodilator was effective.
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6
Q

PFT - Pulmonary Function Test - Spirometry
Procedure Steps (Steps 20-24)

A
  1. Reassess Patients vitals (HR, RR, O2 Sat, BS) and check for any side effects
  2. Correctly care for equipment
  3. Thank patient and ensure their safety, comfort and needs are met
  4. Dispose of PPE, Handwash, Hand Sanitize
  5. Record/Report
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7
Q

Weaning Parameters - Manual
Procedure Steps (19 Steps)

A

Procedure Steps
1. Read Physician Orders and Verify Facility Protocols
2. Scan Patients Chart, check for anything pertinent
3. Gather the appropriate equipment
4. Perform Standard Precautions (HH & PPE)
5. Introduce self and department and Identify Patient (wristband & ask)
6. Explain purpose of visit, instruct patient on Therapy, and confirm understanding
7. Position patient for comfort and accessibility (Semi fowlers)
8. Assess Patients vitals (HR, RR, 02 Sat, BS)
9. Calculate patients IBW
10. Measure pt’s. Minute Volume (MV) Using a Wrights Respirometer, disconnect pt. from vent, have the pt. breathe normally into the Wright’s, begin timing 60 seconds on the clock, and count the RR. After that minute, place the pt. back on the vent to rest. Repeat the test two more times. Record the highest volume
11. Measure pt’s. Slow Vital Capacity (SVC) using the Wrights Respirometer, disconnect pt from the vent, have the pt. take a deep breath into TLC and exhale slowly and completely. Record volume. Place the pt. back on the vent to rest. Repeat the test two more times. record the highest volume
12. Measure the Maximum Expiratory Pressure (MEP) using a manometer, disconnect pt. from the vent, attach manometer, instruct pt. to take a deep breath in, then exhale quickly and forcefully, while expiratory port is occluded (15-20 sec). Place the pt. back on the vent to rest. Repeat the test two more times. record the highest value
13. Measure Maximum Inspiratory Pressure or Negative Inspiratory Force (MIP/NIF). Using a manometer, disconnect pt. from the vent, attach manometer, instruct pt. to exhale, then have pt. inhale quickly and forcefully, while inspiratory port is occluded (15-20 sec). Place the pt. back on the vent to rest. Repeat the test two more times. Record the highest value
14. Return Pt. to vent
15. Reassess Patients vitals (HR, RR, O2 Sat, BS) and check for any side effects
16. Correctly care for equipment
17. Thank patient and ensure their safety, comfort and needs are met
18. Dispose of PPE, Handwash, Hand Sanitize
19. Record/Report

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8
Q

Weaning Parameters - Manual
Procedure Steps (Steps 1-8)

A

Procedure Steps
1. Read Physician Orders and Verify Facility Protocols
2. Scan Patients Chart, check for anything pertinent
3. Gather the appropriate equipment
4. Perform Standard Precautions (HH & PPE)
5. Introduce self and department and Identify Patient (wristband & ask)
6. Explain purpose of visit, instruct patient on Therapy, and confirm understanding
7. Position patient for comfort and accessibility (Semi fowlers)
8. Assess Patients vitals (HR, RR, 02 Sat, BS)

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9
Q

Weaning Parameters - Manual
Procedure Steps (Steps 9-10)

A
  1. Calculate patients IBW
  2. Measure pt’s. Minute Volume (MV) Using a Wrights Respirometer, disconnect pt. from vent, have the pt. breathe normally into the Wright’s, begin timing 60 seconds on the clock, and count the RR. After that minute, place the pt. back on the vent to rest. Repeat the test two more times. Record the highest volume
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10
Q

Weaning Parameters - Manual
Procedure Steps (Steps 11)

A
  1. Measure pt’s. Slow Vital Capacity (SVC) using the Wrights Respirometer, disconnect pt from the vent, have the pt. take a deep breath into TLC and exhale slowly and completely. Record volume. Place the pt. back on the vent to rest. Repeat the test two more times. record the highest volume
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11
Q

Weaning Parameters - Manual
Procedure Steps (Steps 12)

A
  1. Measure the Maximum Expiratory Pressure (MEP) using a manometer, disconnect pt. from the vent, attach manometer, instruct pt. to take a deep breath in, then exhale quickly and forcefully, while expiratory port is occluded (15-20 sec). Place the pt. back on the vent to rest. Repeat the test two more times. record the highest value
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12
Q

Weaning Parameters - Manual
Procedure Steps (Steps 13-14)

A
  1. Measure Maximum Inspiratory Pressure or Negative Inspiratory Force (MIP/NIF). Using a manometer, disconnect pt. from the vent, attach manometer, instruct pt. to exhale, then have pt. inhale quickly and forcefully, while inspiratory port is occluded (15-20 sec). Place the pt. back on the vent to rest. Repeat the test two more times. Record the highest value
  2. Return Pt. to vent
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13
Q

Weaning Parameters - Manual
Procedure Steps (Steps 15-19)

A
  1. Reassess Patients vitals (HR, RR, O2 Sat, BS) and check for any side effects
  2. Correctly care for equipment
  3. Thank patient and ensure their safety, comfort and needs are met
  4. Dispose of PPE, Handwash, Hand Sanitize
  5. Record/Report
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RESP Control Comps (17 decks)

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