Pulmonary hygiene

Question 1

Risk factors for complications

Answer 1

-Chronic disease
-Obesity
-Smoking
-Infection
-Trauma
-Immobility

Question 2

What is the most effective position?

Answer 2

Semi fowlers (45 degrees)

Question 3

When do you have affected lung down?

Answer 3

Hemorrhage or abscess (painful collection of pus)

Question 4

When do you have good lung down?

Answer 4

pneumothorax, atelectasis, or pneumonia

Question 5

What are ways to move secretions?

Answer 5

Up out of bed, suctioning, position changes, and humidification

Question 6

Face masks

Answer 6

-short term, fit loosely
-oxygen from 35-50%

Question 7

Venturi

Answer 7

-higher concentration
-24-60% (4-12 L/min)

Question 8

When is a venturi mask usually used?

Answer 8

for pts. with COPD and who need low, constant oxygen concentrations

Question 9

Non-rebreather masks

Answer 9

-simple masks with a reservoir bag
-Flow rate 10-15 LPM
-Face buckets
-capable of delivering higher concentrations of oxygen for shorter periods of time.
-If bag is deflated, the patient is breathing large amounts of exhaled carbon dioxide

Question 10

Incentive spirometer

Answer 10

-Encourages voluntary deep breathing by providing visual feedback
-helps prevent postoperative atelectasis
-used for pts. that have prolonged bed rest

Question 11

what does semi fowlers promote?

Answer 11

lung expansion while simultaneously reducing pressure from abdomen diaphragm

Question 12

Huff coughing

Answer 12

-Stimulates natural cough reflexes
-clears central airway
-loosens secretions then produces sputum

Question 13

Pursed lip breathing

Answer 13

increases volume exhaled of trapped air