Lunc Capacities/ Pulmonary DD Flashcards
FEV1?
Forced expiratory Volume in 1 second
-used to diagnose obstructive diseases
Residual volume?
The amount of air remaining in lungs once expiration has occurred
Functional residual capacity?
ERV+RV
Obstructive: overall is effected ERV and RV decreased
Restrictive: NOT AFFECTED IN THIS CONDITION
Vital capacity?
TV+IRV+ERV
Obstructive: TV and ERV are decreased
Restrictive: Inspiratory reserve volume decreased
Total lung capacity
TV+IRV+ERV+RV
Obstructive: RV is increased
Restrictive: all decreased
Inspiratory capacity
TV+IRV
Obstructive: not affected
Restrictive: IRV decreased
What are the obstructive pulmonary DD?
COPD, Emphysema, Chronic bronchitis
What are the restrictive DD?
Idiopathic disease, sarcoidosis, occupational exposure, pregnancy
SCI breathing C3,4,5
Portable respiratory
SCI breathing T1-6
Stage 1 Gold stage COPD ?
-FEV1 > = 80
-With or without symptoms
-Sputum production
GOLD Classification COPD Stage 2
Moderate
FEV1 50-80%
SOB with exertion
W/ or w/o cough and sputum
Gold Classification COPD Stage 3
Severe
FEV1 30-50%
Greater SOB with exertion
Decreased exercise capacity, fatigue, repeated exacerbations disease
Gold Classification COPD Stage 4
Very severe
FEV1 <30% or FEV1 <50%
Chronic respiratory failure
What is COPD?
Slowly progressing, chronic disease that limits expiratory airflow due to abnormalities in alveoli or airways usually from environmental exposure (smoking or pollutions)
What are the types of COPD?
Chronic bronchitis and emphysema
What is chronic bronchitis?
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
What is emphysema
Progressive alveolar and parenchymal destruction with concomitant enlargement of distal airways, leading to severe expiratory airflow limitations
Primary cause is smoking
Position for postural drainage for the upper lobes Apical segments?
Patient leans back on pillow 30 degrees
What is the postural drainage position for upper lobes posterior segments?
Pt leans over folded pillow at 30 degrees
What is the postural drainage position for upper lobes anterior segments?
Pt lies on flat table with pillow under knees
-Pt pats between clavicle and nipple on each side
What is the postural drainage position for the right middle lobe?
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
What is the postural drainage position for the L upper lobe lingual segments?
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
What is the postural drainage position for the lower lobe anterior basal segments?
Foot of bed elevated 20 inches
Pt lies on side with pillow between knees
-PT pats over lower ribs
