Lung volume

Question 1

Techniques to increase lung volumes

Answer 1

Positioning
Mobilisation
Breathing exercises
Incentive spirometery
IPPB (bird)
Clear ways/ cough assist
Neurophysiological facilitation
CPAP

Question 2

What does closing volume mean

Answer 2

A point at which airway collapse occurs during expiration

Question 3

Controlled mobilisation

Answer 3

Is a therapeutic and prescriptive way of applying low intensity exercise in the management of cardiovascular activity in acutely I’ll patients

Question 4

Breathing exercises
- abdominal and deep breathing

Answer 4

Abdominal- decreases airway turbulence, releases shoulder girdle

DBE- increase lung volume ,increase ventilation, aid v/q match, increase diffusion

Question 5

Incentive spirometery and when to use

Answer 5

Used to encourage deep breathing ands prevent secondary chest infection
Used post op

Deep breath, then cough it out to close airways

Question 6

intermittent positive pressure breathing - bird

Answer 6

Applied during inspiration
Pushes patient into IRV (amount of air individual can inhale)
Patient triggered by taking a breath and then positive pressure is applied to the patients airway to set pressure level
Followed by passive expiration

Question 7

Bird indications

Answer 7

Atelectasis/ volume loss when patient is….
- tired
- drowsy
- weak
- unable to participate in more active treatments

Question 8

Bird contraindications

Answer 8

Haemoptysis- coughing blood up
Undrained pneumothorax
Acute asthma
Nausea

Question 9

What can Nippy clear way and cough assist be used for (non invasive positive ventilation)

Answer 9

Can be used to give deeper breaths by inspiratory
Pressure or breath out to stimulate cough

Question 10

Different ways nippy can be used to wear

Answer 10

Mouthpiece
Face mask
Tracheostomy connector

Question 11

What isNIPPY

Answer 11

Is a mechanical insuffation- exsuffation

Question 12

Insuffation

Answer 12

Positive inspiratory pressure

Question 13

Exsuffation

Answer 13

Negative pressure applied at the mouth for secretion removal

Question 14

What to set nippy too for volume loss

Answer 14

Set the insufflation to a desired pressure

Question 15

CPAP (continuous positive airway pressure)

Answer 15

It provides positive pressure throughout the whole respiratory cycle eg inspirations and expiration

Keeping the airway pressure higher than atmospheric throughout the whole respiratory cycle

Delivers constant flow of gas which exceeds patients demands

Question 16

What does CPAP increase

Answer 16

Increases FRC (functional residual capacity is the volume remaining in the lungs after a normal, passive exhalation- ) and CV (closing volume, where airway closure begins to occur)

Question 17

Neurophysiology facilitation

Answer 17

Use of proprioceptive stimuli producing a reflex which increases depth of inspiration

1) intercostal stretch
2) rib springing