idk Flashcards
what are the contraindications to PEP/oscillatory PEP
patients unable to tolerate the increased work of breathing
blood pressure instability
intracranial pressure > 20 mm Hg
haemodynamic instability (blood pressure instability)
recent facial, oral or skull surgery or trauma
acute sinusitis
bleeding nose
oesophageal surgery
nausea
active haemoptysis (bleeding from the lungs)
untreated pneumothorax
name some adverse reactions of PEP/oscillatory PEP
increased work of breathing that may lead to hypoventilation and hypocarbia
increased cranial pressure
cardiovascular compromise
myocardial ischaemia
decreased venous return
air swallowing with increased likelihood of vomiting and aspiration
claustrophobia
pulmonary barotrauma