Interventions

Question 1

What are examples of ACT?

Answer 1

Postural drainage
Vibration
Percussion
Cough techniques
Mech aids

Question 2

What does the vest do?

Answer 2

Continuously give 30 percussion’s

Mainly for muscular dystrophy

Question 3

What is PEP?

Answer 3

Pt exhales through a back pressure
During long expiration against pos pressure, peripheral airways are stabilized while collateral vein is promoted distal to retained secretions and aids in their mob into larger AW

Question 4

What are collateral vent?

Answer 4

Vent of alveolar structure thru passages that bypass normal airways

• inter-bronchiolar
• bronchio-alveolar
• interlobar

Question 5

ACAPELLA ***

Answer 5

Loosens sputum
Effective for CF
PRO- can be performed in all postural drainage positions

Question 6

FLUTTER***

Answer 6

SITTING ONLY

Helps bring sputum up

Question 7

THERAPEP***

Answer 7

Blow in=causes back pressure

Question 8

COUGH ASSIST DEVICE ***

Answer 8

Used for someone to keep them off vent

Pts who cannot generate a good force for cough

Helps bring up sputum

Question 9

Other strategies

Answer 9

Vent movement 
Therapeutic body positioning
Positioning for dyspnea*** (arms resting on something on thighs or leaning against something)
Energy conservation (shower bench)
Relaxation

Question 10

PLB

Answer 10

Dyspnea

Question 11

Diaphragmatic breathing

Answer 11

NOT for COPD

Question 12

LC breathing

Answer 12

Segmental breathing used for those who dont have chest excursion/diaphragm

Question 13

Butterfly

Answer 13

Gets better chest EXPANSION

Good for coughing and gets more air in

Question 14

Respiratory muscle training

Answer 14

Intercostal is an example

IncreasesADL for those who are super de-conditioned

Question 15

Incentive spirometery

Answer 15

Helps with deep breathing and coughing

GO TO for NM- guillian, post polio, MS pts

Question 16

The breather (IMT and EMT)

Answer 16

Inspiratory and expiratory
EMT- coughing
-NM,SC injury, MS, post polio

Question 17

IMT threshold

Answer 17

• increase ADL and aerobic endurance for reconditioned pts
• paradoxyl mvmt- resp muscles are fatigued- failure if you dont stop exercise
• fatigues to failure quickly

Question 18

P flex IMT

Answer 18

Can hoook O2 with this, pts are exercising insp muscles and watch educational vids

Question 19

Incentive spirometery

Answer 19

Look it up

Question 20

Glossopharyngeal breathing

Answer 20

High level quad

Swallows air into lungs to increase VC

Augment cough effectiveness, provide internal mob of chest wall, improve QOL