cvp interventions: positioning etc

Question 1

What position can you put a patient in to decrease thoracic volume, increase work of breathing, put dependent regions at risk, decreases cough effectiveness, and creates a risk of aspiration?

Answer 1

supine

Question 2

What is the benefit of putting a patient in sidelying?

Answer 2

assists w lung expansion
drains secretions from upper lung
side that is on the table is blocked, creating an opportunity for expansion on the opposite side

Question 3

What are the benefits of putting a patient upright?

Answer 3

thoracic volume is optimized work of breathing minimized

Question 4

What is stacked breathing? What is its benefit for a patient?

Answer 4

breathe in and hold*3, then breathe out

max ventiation

Question 5

What is meant by breathing control?

Answer 5

relaxed, slow breathing
in through nose for 2 count
out through mouth for 4 count

Question 6

What is meant by pursed lip breathing? What is it for?

Answer 6

patient sitting upright-if currently dyspenic, have them lean forward on their arms
inhale through nose and exhale throug pursed lips (like blowing out birthday candles)
control dyspnea

Question 7

What is meant by “blow as you go”?

Answer 7

exhale during the exertion phase

Question 8

What is paced breathing? What do you use it for?

Answer 8

coordinate breathing w/ movement

control dyspnea

Question 9

What are the steps in a pump cough?

Answer 9

small breath-huff *3-small breath-cough

Question 10

What are the steps in a series cough?

Answer 10

small breath-cough-medium breath-COUGH-large breath-COOUGH