Protocols

Question 1

1) What kind of equipment can you use to administer oxygen?

Answer 1

1) Nasal Cannula

Question 2

2) Administering Oxygen (cont’d)

Answer 2

2) Oxygen Mask

Question 3

3) Administering Oxygen (cont’d)

Answer 3

3) Venturi Mask

Question 4

4) Administering Oxygen (cont’d)

Answer 4

4) Partial Rebreather Mask

Question 5

5) Administering Oxygen (cont’d)

Answer 5

5) Non-rebreathing mask

Question 6

–What is the objective for Hyperinflation Therapy Protocol?

Answer 6

To prevent or treat alveolar consolidation and atelectasis

Question 7

1) What are the common modalities used for the Hyperinflation Therapy Protocol?

Answer 7

1) Cough & deep breathing. (C & DB)

Question 8

2) Hyperinflation Protocol (cont’d)

Answer 8

2) Incentive Spirometry (IS)

Question 9

3) Hyperinflation Protocol (cont’d)

Answer 9

3) IPPB

Question 10

4) Hyperinflation Protocol (cont’d)

Answer 10

4) CPAP

Question 11

5) Hyperinflation Protocol (cont’d)

Answer 11

5) PEEP

Question 12

–What is the objective for Bronchial Hygiene Therapy Protocol?

Answer 12

To increase mobilization of bronchial secretions

Question 13

1) What are the treatment modalities for the Bronchial Hygiene Therapy Protocol?

Answer 13

1) Increased bronchial hydration (6-10 glasses of water/day)

Question 14

a) Bronchial Hygiene (cont’d)

Answer 14

a) Bland aerosol therapy

Question 15

b) Bronchial Hygiene (cont’d)

Answer 15

b) Ultrasonic nebulization (USN)

Question 16

2) Bronchial Hygiene (cont’d)

Answer 16

2) Cough & deep breathing (C & DB)

Question 17

A) Bronchial Hygiene (cont’d)

Answer 17

A) Techniques used to enhance cough & deep breathing

Question 18

B) Bronchial Hygiene (cont’d)

Answer 18

B) IS

Question 19

C) Bronchial Hygiene (cont’d)

Answer 19

C) IPPB

Question 20

D) Bronchial Hygiene (cont’d)

Answer 20

D) Positive expiratory pressure (PEP)

Question 21

3) Bronchial Hygiene (cont’d)

Answer 21

3) CPT

Question 22

4) B. H. (Cont’d) = (Bronchial Hygiene)

Answer 22

4) PD

Question 23

5) B. H. (Cont’d)

Answer 23

5) Percussion & vibration with PD

Question 24

6) B. H. (Cont’d)

Answer 24

6) Suctioning

Question 25

7) B. H. (Cont’d)

Answer 25

7) Mucolytic therapy

Question 26

A) B. H. (Cont’d)

Answer 26

A) Acetylcysteine (Mucomyst)

Question 27

B) B. H. (Cont’d)

Answer 27

B) Pulmozyme

Question 28

C) B. H. (Cont’d)

Answer 28

C) Sodium Bicarbonate (2% solution)

Question 29

8) B. H. (Cont’d)

Answer 29

8) Assist doctor in bronchoscopy.

Question 30

–What is the objective for the Bronchodilator Therapy Protocol?

Answer 30

To induce bronchial smooth muscle relaxation

Question 31

1) What are the treatment modalities for the Bronchodilator Protocol?

Answer 31

(Via metered dose inhaler (MDI), hand-held nebulizer, or

1) Sympathomimetic bronchodilator therapy

Question 32

a) Bronchodilator Protocol (cont’d)

Answer 32

a) Albuterol (Proventil or Ventolin)

Question 33

b) Bronchodilator Protocol (cont’d)

Answer 33

b) Terbutaline (Brethine or Brethaire)

Question 34

2) Bronchodilator Protocol (cont’d)

Answer 34

2) Parasympathetic bronchodilator therapy

Question 35

a) Bronchodilator Protocol (cont’d)

Answer 35

a) Atropine Sulfate

Question 36

b) Bronchodilator Protocol (cont’d)

Answer 36

b) Ipratropium bromide (Atrovent)

Question 37

1) What does the “S” in SOAP stand for?

Answer 37

1) SUBJECTIVE: What pt says about his/her feelings, concerns, or sensations.
Ex: “I coughed hard all night”
Ex: “My chest feels very tight”

Question 38

2) What does the “O” mean?

Answer 38

2) OBJECTIVE: It is data the RT can: measure, factually describe, or obtain from other clinical reports or tests results (i, e; HR, RR, BP, T, BS, ABG, Cough effort, x-Rays, etc)

Question 39

3) The “A”?

Answer 39

3) ASSESSMENT: RT’s professional conclusion about the ‘causes’ of subjective & objective data

Question 40

4) Finally the “P”?

Answer 40

4) PLAN: Procedure(s) chosen to treat causes id’d in assess of pt (S&O)–EX: Cause of bronch smooth muscle constrict = justifies bronchodilator. EX:Cause of Acute Vent Fail=justifies Mech Vent

Question 41

–What is the objective of the Oxygen Therapy Protocol?

Answer 41

To treat hypoxia, decrease the WOB, and decrease myocardial work.