Module 3 Breathing

Question 1

Dyspnea

Answer 1

sensation of difficult or labored breathing

Question 2

What are the causes for Dyspnea?

Answer 2

pulmonary dysfunction, myocardial ischemia, heart failure, and left ventricular hypertrophy

Question 3

Pursed-lip breathing

Answer 3

Instruct pt. to inhale through the nose for several seconds with the mouth closed and then exhale slowly over 4-6 secs through lips help in kissing position

Question 4

Indications for pursed lip breathing

Answer 4

Dyspnea at rest and/or with exertion, wheezing

Question 5

Pursed lip breathing outcomes

Answer 5

Relief of dyspnea, improved activity tolerance, reduced wheezing

Question 6

Indications for diaphragmatic breathing

Answer 6

hypoxemia, tachypnea, atelectasis, atelectasis, anxiety, excess pulmonary secretions

Question 7

Outcomes for diaphragmatic breathing

Answer 7

Eupnea, improved oxygen saturation, resolution of atelectasis, lower anxiety, mobilization of secretions

Question 8

Indications for lateral costal breathing

Answer 8

Asymmetric chest wall expansion, localized lung consolidation or secretions, asymmetrical posture

Question 9

Outcomes for lateral costal breathing

Answer 9

symmetrical chest wall expansion, mobilization of secretions , proper posture

Question 10

Indications for inspiratory hold technique

Answer 10

Hypoventilation, atelectasis, ineffective couch

Question 11

Outcomes for inspiratory hold technique

Answer 11

Improved ventilation and perfusion matching , resolution of atelectasis, reduced pain, improved cough effectiveness

Question 12

Indications for stacked breathing

Answer 12

Hypoventilation, atelectasis, ineffective cough, pain, uncoordinated breathing pattern

Question 13

Outcomes for stacked breathing

Answer 13

improved ventilation and perfusion matching, resolution of atelectasis, reduced pain, improved cough effectiveness

Question 14

Indications for paced breathing

Answer 14

low endurance, dyspnea on exertion, fatigue, anxiety, tachypnea

Question 15

Outcomes for paced breathing

Answer 15

increased activity tolerance, reduced dyspnea, reduced fatigue, lower anxiety, eupnea

Question 16

Indications for upper chest inhibiting technique

Answer 16

excessive 1use of accessory muscles during breathing

Question 17

Outcomes for upper chest inhibiting technique

Answer 17

reduced use of accessory muscles during breathing

Question 18

Indications for trunk counter rotation techniques

Answer 18

impaired chest wall mobility, hypoventilation, impaired trunk muscle performance or tightness, ineffective cough

Question 19

Outcomes for trunk counter rotation techniques

Answer 19

Increased chest wall mobility, increase ventilation and perfusion matching, improved trunk muscle length, improved cough effectiveness

Question 20

Indications for butterfly technique

Answer 20

Impaired chest wall mobility, hypoventilation, impaired trunk muscle performance or tightness, ineffective cough

Question 21

Outcomes for Butterfly Technique

Answer 21

Increased chest wall mobility, increase ventilation and perfusion matching, improved trunk muscle length, improved cough effectiveness

Question 22

Indications for chest wall stretching

Answer 22

Impaired chest wall mobility, hypoventilation, Cheyne-Stokes breathing, paradoxical breathing, impaired trunk muscle performance or tightness, ineffective cough

Question 23

Outcomes for chest wall stretching

Answer 23

Increased chest wall mobility, increase ventilation and perfusion matching, improved trunk muscle length, improved cough effectiveness

Question 24

Paced Breathing

Answer 24

volitational coordination of breathing during activity

Question 25

Inspiratory Hold technique

Answer 25

prolonged holding of the breath at maximum inspiration for 2-3 secs followed by a relaxed exhalation

Question 26

Stacked breathing

Answer 26

a series of deep breath that build on top of the previous breath that build on top of the previous breath with expiration until a maximum volume tolerated by the pt. is reached

Question 27

Diaphragmatic breathing

Answer 27

facilitating outward motion of the abdominal wall while reducing upper rib cage motion during inspiration

Question 28

What is the easiest position to perform diaphragmatic controlled breathing?

Answer 28

supine

Question 29

Lateral costal breathing

Answer 29

address one or both sides of the rib cage and corresponding intercostal muscles

Question 30

When should you use the upper chest technique?

Answer 30

Only after every other technique has been attempted

Question 31

Upper chest inhibiting Technique

Answer 31

Inhibiting the upper chest can help a pt. recruit the diaphragm during inhalation

Question 32

If mobility of the thorax is restricted,

Answer 32

it may be difficult for a pt. to improve breathing pattern through controlled breathing alone

Question 33

Counterrotation Technique

Answer 33

can increase tidal volume and decrease respiratory rate by reducing neuromuscular tone and increasing thoracic mobility

Question 34

Butterfly technique

Answer 34

Is an upright version of the counter-rotation technique and can be used if the pt. has good motor control

Question 35

Inspiratory Muscle Training

Answer 35

indicated for pt. who exhibit signs and symptoms of decreased strength or endurance of the diaphragm and intercostal muscles

Question 36

What is the goal of inspiratory muscle training?

Answer 36

increase the ventilatory capacity and decrease dyspnea