Mod 9 Bronchopulmonary hygiene Flashcards
Suction Level for open suction?
80-120mmHg
Suction level for closed suction?
160mmHg
Max time for 1 suction pass?
30 seconds
Suction level for EVAC (subglottal) suctioning?
20-30mmHg
How long to preoxygenate patient before suctioning?
3mins on 100% O2
Max amount of suction passes?
None
- suction till catheter comes with scant amount and breath sounds clear O/A
Incentive spirometry?
Lung expansion therapy
- “sighs” for patients who cannot do on their own.
- inhale slowly, aim for 10 in an hour
- basically exercise for lungs
What does incentive spirometry do?
- who do we use it for?
Prevents derecruitment of the lungs
- used for pts who have restrictive diseases or atelectasis
- post thoracic/Abdo surgery
Steps for a Directed cough
- diaphragmatic breathing
- bear down on the glottis to mimic a spontaneous cough
- “huff” out
Steps for a Directed cough
- diaphragmatic breathing
- bear down on the glottis to mimic a spontaneous cough
- “huff” out
Assisted cough
3 breaths in (stacked w/bagger), hold for 10 secs, and force out a cough with a j-thrust.
- usually 3x3 sets followed by lvrm
Assisted cough
3 breaths in and force out a cough
can provide j-thrust
What is a Peak cough flow and what is its purpose?
When you have patient cough with flow meter to see peak flow
- examines FRC/lung function
Peak cough flow critical number
< 160L/min
Forced expiratory technique
modified directed cough- huff cough
two forced exhalations without closing the glottis
Lung volume recruitment
Using a resuscitation bag to stack breaths to achieve max insufflation and recruit the alveoli.
- Often followed by assisted cough maneuvers
Indications for breathing exercises
COPD patients
Pt with neurological deflects
restrictive diseases
smoke free for 30 days
What is Diaphragmatic breathing?
breathing with the use of the diaphragm to achieve maximum inhalation and slow respiratory rate.
What is Lateral costal breathing
augmentation of diaphragmatic breathing
- hands on side.
What is Lateral costal breathing
augmentation of diaphragmatic breathing
- hands on side.
What is the purpose of chest physical therapy (CPT)
To clear secretions or prevent atelectasis
- prevents secretion accumulation by clearance
- Improves breathing efficacy
