Lunc Capacities/ Pulmonary DD

Question 1

FEV1?

Answer 1

Forced expiratory Volume in 1 second
-used to diagnose obstructive diseases

Question 2

Residual volume?

Answer 2

The amount of air remaining in lungs once expiration has occurred

Question 3

Functional residual capacity?

Answer 3

ERV+RV
Obstructive: overall is effected ERV and RV decreased
Restrictive: NOT AFFECTED IN THIS CONDITION

Question 4

Vital capacity?

Answer 4

TV+IRV+ERV
Obstructive: TV and ERV are decreased
Restrictive: Inspiratory reserve volume decreased

Question 5

Total lung capacity

Answer 5

TV+IRV+ERV+RV
Obstructive: RV is increased
Restrictive: all decreased

Question 6

Inspiratory capacity

Answer 6

TV+IRV
Obstructive: not affected
Restrictive: IRV decreased

Question 7

What are the obstructive pulmonary DD?

Answer 7

COPD, Emphysema, Chronic bronchitis

Question 8

What are the restrictive DD?

Answer 8

Idiopathic disease, sarcoidosis, occupational exposure, pregnancy

Question 9

SCI breathing C3,4,5

Answer 9

Portable respiratory

Question 10

SCI breathing T1-6

Question 11

Stage 1 Gold stage COPD ?

Answer 11

-FEV1 > = 80
-With or without symptoms
-Sputum production

Question 12

GOLD Classification COPD Stage 2

Answer 12

Moderate
FEV1 50-80%
SOB with exertion
W/ or w/o cough and sputum

Question 13

Gold Classification COPD Stage 3

Answer 13

Severe
FEV1 30-50%
Greater SOB with exertion
Decreased exercise capacity, fatigue, repeated exacerbations disease

Question 14

Gold Classification COPD Stage 4

Answer 14

Very severe
FEV1 <30% or FEV1 <50%
Chronic respiratory failure

Question 15

What is COPD?

Answer 15

Slowly progressing, chronic disease that limits expiratory airflow due to abnormalities in alveoli or airways usually from environmental exposure (smoking or pollutions)

Question 16

What are the types of COPD?

Answer 16

Chronic bronchitis and emphysema

Question 17

What is chronic bronchitis?

Answer 17

Chronic inflammation of the airways that causes increased mucous production, cough, SOB, and fatigue. Diagnosed after couch present for at least 3 months or 2 consecutive years

Question 18

What is emphysema

Answer 18

Progressive alveolar and parenchymal destruction with concomitant enlargement of distal airways, leading to severe expiratory airflow limitations
Primary cause is smoking

Question 19

Position for postural drainage for the upper lobes Apical segments?

Answer 19

Patient leans back on pillow 30 degrees

Question 20

What is the postural drainage position for upper lobes posterior segments?

Answer 20

Pt leans over folded pillow at 30 degrees

Question 21

What is the postural drainage position for upper lobes anterior segments?

Answer 21

Pt lies on flat table with pillow under knees
-Pt pats between clavicle and nipple on each side

Question 22

What is the postural drainage position for the right middle lobe?

Answer 22

Foot of table elevated to 16 inches
Pt lies head down on L side and rotates 1/4 turn with pillow on R side to help stabilize
-Pt pats right over nipple area

Question 23

What is the postural drainage position for the L upper lobe lingual segments?

Answer 23

Foot of bed elevated 16 inches
Pt lays on R side rotated 1/4 w pillow on L side to help with rotation
-Pt claps over L nipple area

Question 24

What is the postural drainage position for the lower lobe anterior basal segments?

Answer 24

Foot of bed elevated 20 inches
Pt lies on side with pillow between knees
-PT pats over lower ribs

Question 25

What is the postural drainage position for the lower lobes lateral basal segments?

Answer 25

Foot of bed elevated 20 degrees
-Pt lies on abdomen and rotates 1/4 turn upward, upper leg flexed with pillow between knees
-PT pats over uppermost portion of lower ribs

Question 26

What is the postural drainage position for the lower lobes posterior basal segments?

Answer 26

Foot of table elevated to 20 inches
Pt lies on abdomen w pillow under hips
-PT pats over lower ribs close to spine on each side

Question 27

What is the postural drainage position for the lower lobes superior segments?

Answer 27

Bed flat
Pt lies on abdomen with two pillows under hips
-PT pats over middle of back at tip of scapula on either side of spine