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Module 6: Lung Expansion Therapy > Module 6: Lung Expansion Therapy > Flashcards

Module 6: Lung Expansion Therapy Flashcards

1
Q

Who is at high risk for developing atelectasis?

A

Obese Patients

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2
Q

Who is at high risk for developing atelectasis?

A

Patients with neuromuscular disorders

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3
Q

Who is at high risk for developing atelectasis?

A

A patient who has been heavily sedated

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4
Q

Are you at high risk of developing atelectasis after having surgery near your diaphragm?

A

Yes you are at high risk for developing atelectasis

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5
Q

Can excessive bed rest cause atelectasis?

A

Yes

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6
Q

Is poor cough, history of lung disease, and restrictive lung chest wall abnormalities a high risk for developing atelectasis?

A

Yes you are at high risk for developing atelectasis

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7
Q

What is a clinical sign of atelectasis?

A

History of recent major surgery. (Thoracic or abdominal surgery)

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8
Q

Tachypnea and tachycardia are both __?

A

Clinical signs of atelectasis

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9
Q

A pt has fine, late-inspiratory crackles on auscultation; this is a clinical sign of __?

A

Atelectasis

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10
Q

A pt has bronchial or diminished breath sounds on auscultation this is a clinical sign of __?

A

Atelectasis

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11
Q

Increased density and signs of volume loss show on a pt’s chest radiograph this is a clinical sign of ___?

A

Atelectasis

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12
Q

What is the most physiologically the most normal lug expansion therapy?

A

Incentive spirometry

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13
Q

Incentive spirometry has been proven to be ___?

A

Most effective in high risk patients

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14
Q

Indications for incentive spirometry?

A

Presence of pulmonary atelectasis
Presence of conditions predisposing to atelectasis

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15
Q

What are the three factors that show presence of conditions predisposing to atelectasis?

A

Upper abdominal surgery
Thoracic surgery
Surgery in patients with COPD

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16
Q

Is presence of a restrictive lung defect associated with quadriplegia or dysfunctional diagram an indication of ___?

A

Incentive spirometry

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17
Q

When a patient cannot be instructed or supervised to ensure appropriate use of device this is a __?

A

Contraindication for incentive spirometry

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18
Q

When the patient’s cooperation is absent, or pt is unable to understand or demonstrate proper use of device this is a sign of ___?

A

Contraindication for incentive spirometry

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19
Q

When a patient is unable to take a deep breathe effectively (VC is less than 10 ml/kg or IC less than predicted) this is a sign of __?

A

A contraindication for incentive spirometry

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20
Q

When the patient is unconscious this is obviously a sign of __?

A

A contraindication for incentive spirometry

21
Q

What is a hazard or complication of incentive spirometry?

A

Hyperventilation and respiratory alkalosis

22
Q

Discomfort secondary to inadequate pain control is a __?

A

Hazard and/or complication of incentive spirometry

23
Q

Pulmonary barotrauma is a hazard of incentive spirometry?

A

Yes

24
Q

What are the two last possible hazards of incentive spirometry?

A

Exacerbation of bronchospasm
Fatigue

25
Q

Incentive spirometry devices are either ___?

A

Flow or volume oriented

26
Q

How do you teach a patient how to effectively use a IS device?

A

Demonstrate then observe the patient
Patient instruction
Follow-up

27
Q

What is the first step when instructing a patient?

A

Exhale normally

28
Q

What is the second step when instructing a patient?

A

Slow, deep inspiration to peak inspiration

29
Q

What is the third step when instructing a IS device/therapy?

A

Inspiratory hold for 5-10 seconds

30
Q

What is the last step when instructing a patient how to use IS device or therapy?

A

Passive exhale then rest

31
Q

What is an important tip you must let your patient know when instructing them how to use a IS device?

A

Patient should sustain his/her maximal inspiratory effort for 5-10 seconds (total time to perform)

32
Q

What is an indication for IPPB?

A

PT with atelectasis is not responsive to other modalities such as IS or other therapies

33
Q

A patient at high risk for atelectasis who cannot perform or cooperate with IS treatment is a a ___?

A

Indication for IPPB

34
Q

All obese patients who have undergone abdominal surgery is an indication to use?

A

Indication for IPPB

35
Q

What is an absolute contraindication or IPPB?

A

Untreated tension PNX

36
Q

When a IPPB device cycles off prematurely this means?

A

Airflow obstructed
Kinked tubing
Occluded mouthpiece
Active resistance to inhalation

37
Q

When checking for leaks on a IPPB this means ?

A

Cycle off
Most common leak is when pt is not sealing their lips around the mouthpiece
If pt has a good lip seal then check circuit for leaks

38
Q

Airway clearance therapy uses __?

A

Noninvasive techniques designed to improve gas exchange

39
Q

Normal airway clearance requires __?

A

Patent airway
Functional mucociliary escalator
Adequate hydration

40
Q

Retention of secretions can result in __?

A

Full and Partial Obstruction

41
Q

Full obstruction ___?

A

Or mucous plugging can result in atelectasis, which causes hypoxemia due to shunting, and possible infection which could lead to pneumonia

42
Q

Partial obstruction __?

A

Restricts airflow, increasing WOB and possibly leading to air trapping, lung over distention and V/Q imbalances

43
Q

What causes impaired muccociliary clearance in intubated patients?

A

Endotracheal or tracheostomy tube

44
Q

Tracheobstructional causes?

A

Impaired mucociliary clearance in intubated patients

45
Q

Inadequate humidification causes ___?

A

Impaired mucociliary clearance in intubated patients

46
Q

High FiO2 values causes __?

A

Impaired mucociliary clearance in intubated patients

47
Q

Drugs, opiates, general anesthesia, and narcotics causes what?

A

Impaired mucociliary clearance in intubated patients

48
Q

Underlying pulmonary disease can cause what?

A

Impaired mucociliary clearance in intubated patients

Module 6: Lung Expansion Therapy (1 decks)

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