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Lab Lecture > Mucous Clearance > Flashcards

Mucous Clearance Flashcards

1
Q

Disease contradictions of mechanical cough assist

A

Bullous emphysema
Pneumothorax or pneumomediastinun
Recent barotrauma
Prone to AW closure

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2
Q

What is chest PT a combination

A

Forced exhalation
Postural drainage
Percussion/ shaking

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3
Q

What patients is postural drainage used on

A

Stable and acute

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4
Q

How do you determine what segments need chest PT

A

Physician order
BS
Palpation
Percussion
X-Ray

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5
Q

How long should you percussion with CF or Bronchiectasis

A

5 minutes

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6
Q

How long should you preform percussion on the average patient

A

1-2 minutes

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7
Q

What should you avoid clapping on when preforming chest PT

A

Spine
liver
chest
scapula
clavicle
sternum
Kidneys (lower back)
Stomach

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8
Q

Procedure for chest PT

A

Patient performs diaphragmatic breathing

Percussion

Inhale slowly and deeply and exhale through pursed lips as you vibrate

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9
Q

When should you relieve pressure during chest PT

A

Thorax as patient inhales

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10
Q

How many vibrations do you do during chest PT

A

3 to 4

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11
Q

Last step to chest PT

A

Cough

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12
Q

How long does chest PT last

A

15 to 30 minutes

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13
Q

What sound should be heard during percussion

A

Hollow

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14
Q

When is chest PT best done

A

Before or 1.5-2 hrs after eating
(Early morning or bedtime)

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15
Q

OPEP devices

A

VPEP
Aerobika
Flutter
Acapella
Quake
Coronet

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16
Q

Pulmonary disorders for OPEP

A

CF
COPD
Brpnchoiectasis

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17
Q

What does OPEP combine

A

Positive pressure
Airway vibration
During exhalation

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18
Q

Interface for OPEP

A

Mouthpiece
tracheostomy tube
Resuscitation mask

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19
Q

Directions for OPEP

A

Inhale above VT hold for 2-3 seconds

6-10/ cycle

Huff followed by controlled breathing (1-3x)

6-10 cycles

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20
Q

Indication for IPV

A

Whenever the body’s ability to mobilize secretions is impaired

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21
Q

Disease that indicate IPV

A

Bronchiectasis
CF
Neuromuscular disease
COPD

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22
Q

Other medical patients that cause for IPV

A

Tracheostomized patients
Burns
Inhalation injury

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23
Q

How is IPV powered

A

Pneumatically (50 psi)

24
Q

How many cycles per minute does IPV deliver

A

100-300 cycles/minute

25
Q

Pressure changes to AW by IPV

A

5-35 cm H2O

26
Q

What does IPV small burst do

A

Loosen and free mucus from AW walls

27
Q

What does mist from IPV do

A

Makes mucus less sticky

28
Q

What does the high flow rate from IPV do for the patient

A

Encourages deep breathing, which helps air get around mucus plug

29
Q

What does IPV do during inspiration

A

Creates shear to loosen secretions

30
Q

What does IPV do during exhalation

A

Creates asymmetrical flow pattern that moves secretions toward head

31
Q

Application for metaneb

A

Deliver bronchodilator
Expand alveoli and move secretions
Inpatient or out patient

32
Q

How is metaneb applied

A

Non-invasively

33
Q

Interface for metaneb

A

Mask
Mouthpiece

34
Q

Directions for the metaneb

A

Fill Nebulizer
Set to CPEP (lowest)
50 psi O2 source
Inhale exhale (3-4 sec)
CPEP 2 1/2 minutes
CHFO 2 1/2 minutes
10 minute treatment

35
Q

Potential hazards for IPV

A

Gastric insufflation
Hyperventilation
Hemodynamic compromise
Air leak
Air trapping

36
Q

What type of pressure does the HFCWC deliver

A

Both positive and negative

37
Q

What does HFCWC do

A

Mobilizes secretions in the airway

38
Q

Other name for the HFCWC

A

The vest

39
Q

How long does HFCWC last

A

15-30 minutes

40
Q

What should you do between different frequencies of the HFCWC

A

Huff cough

41
Q

What does low frequencies of the vest do

A

Loosens secretions

42
Q

What does the mid-level frequencies of the HFCWC do

A

Mobilizes secretions to the head

43
Q

What is the inflation pressure of the HFCWC

A

5-20 cm H2O

44
Q

What volume of air does the HFCWC generate

A

17-57mL

45
Q

What flow does the HFCWC achieve

A

96L/min

46
Q

Available HFCWC

A

The vest
Incourage
Smart vest

47
Q

Deposition of meter dose inhaler

A

10-25 %

48
Q

Position for upper lobe, apical segment

A

Seated up

49
Q

Position for upper lobes, posterior segment

A

Seated up hunched over pilliow

50
Q

Position for upper lobes, anterior segment

A

Flat on back

51
Q

Position for lower lobes, anterior basal segment

A

Trendelenburg right side

52
Q

Position for lingula

A

Trendelenburg right side

53
Q

Position for middle lobe

A

Trendelenburg left side

54
Q

Position for lower lobes, posterior basal segment

A

On stomach Trendelenburg

55
Q

Position for lower lobes, lateral basal segment

A

Left side Trendelenburg

56
Q

Position for lower lobe, superior segment

A

Flat on stomach.

Lab Lecture (5 decks)

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