LAB Stuff

Question 1

Negative Pressure Room protects

Answer 1

the environment

• Prevent contamination from room to room
• Air flows in, but not out
• Example: patient with TB

Question 2

a positive pressure room protects…

Answer 2

the patient

• Open door and air flows out
• Example: Operating room or immunocompromise patients

Question 3

Contact precautions wear

Answer 3

gown and gloves

Question 4

droplet precautions wear

Answer 4

mask

Question 5

airborne precautions wear

Answer 5

mask or respirator

Question 6

to loosen retained secretions from the airways so they may be removed by expectoration or suctioning

Answer 6

Percussion

Question 7

move secretion from lung periphery to larger airways where they may be suctioned or expectorated

Answer 7

Vibration/Shaking

Question 8

Use towel or pillow over incisions or painful areas by applying pressure during exhalation ▪Huff Cough

Answer 8

Splinted Cough

Question 9

Forced exhalation maneuver with glottis open. Can have patient say “ha, ha, ha” during rapid exhale and can using a tissue or a mirror:

Answer 9

Huff Cough

Question 10

Breathe in, a little more, a little more (like sneezing)

Answer 10

Breath Stacking cough

Question 11

Active Cycles of Breathing (ACB)

AKA

Answer 11

Forced expiratory technique for airway clearance

Question 12

Active Cycles of Breathing (ACB) steps:

Answer 12

1. Diaphramatic Breathing control:
   
   • 5-10 sec at normal tidal volume
2. Thoracic expansion exercises
   
   • Aka: Segmental Breathing
   • Do 3-5 reps, may include 2-4 sec breath hold
3. Forced Expiratory Technique
   
   • Quiet tidal breathing before a med-lg inhale followed by huff cough

Question 13

Autogenic Drainage

Answer 13

Use of controlled breathing to mobilize secretions by varying expiratory airflow without PD

Question 14

Active Cycles of Breathing (ACB) used in what type of patients?

Answer 14

• Clear secretions in patients with Asthma
• Cystic Fibrosis

Question 15

Autogenic Drainage (AD) used in patient with

Answer 15

• Pneumonia
• Cystic Fibrosis
• Bronchiectasis
• must be able to follow directions

Question 16

which coughing technique decreases potential for airway collapse?

Answer 16

Huff Cough

• Kids: fog mirror
• Adults: use a tissue
• Can have patient say “ha, ha, ha” during rapid exhale

Question 17

what does breath stacking technique do?

Answer 17

facilitates coughing

Breathe in, a little more, a little more (like sneezing), then cough.

Question 18

Types of manual assisted cough

Answer 18

• Heimlich type : low tone or flaccid muscles
• Costophrenic assist (supine or side lying): NM weakness or paralysis
• Counter-rotation assist
• Quadruped

Question 19

Answer 19

Heimlich type

(Manual Assisted Cough)

Question 20

Answer 20

Heimlich type

Question 21

Type of manual assisted cough

Answer 21

Anterior chest compression

Compress anterior and lower chest

Question 22

Type of manual assisted cough

Answer 22

Costophrenic assist in side lying

apply force inferior and in

Question 23

Answer 23

Hemlich type in side lying