PT intervention

Question 1

Indication for relaxed breathing

Answer 1

Anxious or have asthma

Question 2

Indication for PLB

Answer 2

small airway obstruction/keep airway open

Question 3

Diaphragmatic breathing indications

Answer 3

promote relaxation and max vent

Question 4

Segmental breathing indications

Answer 4

Increase chest wall movement

Question 5

When using accessory muscles, what does that do to your O2 levels?

Answer 5

They use O2 and there is less O2 for other muscles

Question 6

How can you progress Diaphragmatic breathing with positioning?

Answer 6

Supine, partial sitting, full sitting, standing, during activity

Question 7

If you your abs during diaphragmatic breathing, what are you using up?

Answer 7

O2

Question 8

How do you grade a cough?

Answer 8

Effective/ineffective or productive/unproductive

Question 9

Color of secretion:clear

Answer 9

Normal

Question 10

Color of secretion:white

Answer 10

Asthma after bronchospasm, inflammatory disease

Question 11

Color of secretion:yellow and green

Answer 11

Infection

Question 12

Color of secretion:rust

Answer 12

pneumonia

Question 13

Color of secretion:purple

Answer 13

Neoplasm

Question 14

Color of secretion:pink

Answer 14

CHF(RBC into alveoli), pulmonary edema, med

Question 15

Color of secretion:red

Answer 15

Cystic fibrosis(caps burst-streaking)

Question 16

Frank hemoptysis

Answer 16

Lot of blood when you cough

Question 17

What does frothy/foamy secretion means?

Answer 17

Pulmonary edema

Question 18

Why would you huff and not cough?

Answer 18

Can’t voluntarily cough or cause causes bronchospasm

Question 19

Contraindication for postural drainage:(8)

Answer 19

Acute MI
cerebral/aortic aneurysm pre-op
post op neurosurgery
increase in intracranial pressure
hemoptysis
tension pneumothorax
High BP
Gastrointestinal reflux

Question 20

How many min after stopping feeding tube can you treat?

Answer 20

30 min

Question 21

Time for postural drainage/technique drainage?

Answer 21

20-postural drainage alone

5-10-technique

Question 22

When to stop P/D acute and chronic?

Answer 22

Acute: afebrile(fever break), clear CXR, ambulating, on home program
Chronic: independent home program

Question 23

When would you not do P/D

Answer 23

CHF-makes heart work harder

Pleural effusion

Question 24

Manuel techniques for postural drainage contraindications:(6)

Answer 24

severe bronchospasm
hempotysis
pulmonary emboli
fractured rib
low platelet count-<25,000
lung cancer

Question 25

Manuel techniques for postural drainage precautions:(6)

Answer 25

osteoprosis
fractured rib
radiation therapy
frail skin
anticoagulant med
platelet count-25,000-50,000