PULMONARY REHAB

Question 1

BENEFITS OF PULM REHAB

Answer 1

INCRASES EXERCISE TOLERANCE, AVO2. REEDUCES RESPIRATORY RATE AT REST AND DYSPNEA.
REDUCES STRESS ON THE HEART AND LUNGS BY PHOCUSING ON PERIPHERAL MUSCLE CONDITIONING.

Question 2

CANDIDATES FOR PULMONARY REHAB

Answer 2

RESPIRATORY LIMITATION OF EXERCISE AT 75% OF PREDICTED MAXIMUM O2 CONSUMPTION. OBSTRUCTIVE LUNG WITH FEV1<2,000ml OR FEV1/FVC<60%, RESTRICTIVE LUNG WITH CO<80%

Question 3

MOSER CLASIFICATION

Answer 3

1- NORMAL
2-DYSPNEA ON STAIURS
3-DYSPNEA WITH CERTAIN ADLs
4-DYSPNEA WITH MINIMAL EXERTION AND MOST ADLs
5-DYSPNEA AT REST (HOUSEBOUND)

Question 4

MUSCLES OF INSPIRATION

Answer 4

DIAPHRAM AND ACCESORY MUSCLES (EXTERNAL INTERCOSTAL, TRAPEZIUS, SCM, SCALENES AND PEC MAJOR)

Question 5

MUSCLES OF EXPIRATION

Answer 5

USUALLY PASSIVE

ABDOMINAL MUSCLES AND INTERNAL INTERCOSTAL

Question 6

FICK EQUATION

Answer 6

VO2 max = (HR x SV) x AVO2 DIFFERENCE.

Question 7

VO2max IS DEPENDENT ON:

Answer 7

GENETICS (+), SEX AND BODY WEIGHT

Question 8

PULMONARY FUNCTION TEST CHANGES WITH AGING

Answer 8

DECREASES: VC, MVV, FEV1, PO2
NO CHANGE: TLC, PCO2
INCREASES: RV, FRC

Question 9

PULMONARY FUNCTION TEST CHANGES IN RESTRICTIVE LUNG

Answer 9

ALL VOLUMES ARE DECREASED EXCEPT FOR FEV1 WHICH STAYS NORMAL

Question 10

PULMONARY FUNCTION TEST CHANGES IN CERVICAL SCI

Answer 10

ALL VOLUMES ARE DECREASED EXCEPT FOR FEV1 WHICH STAYS NORMAL AND RV INCREASES

Question 11

PULMONARY FUNCTION TEST CHANGES IN OBSTRUCTIVE LUNGS

Answer 11

DECREASES: VC, FEV1 (45-75CC/YEAR [NORMAL IS 30CC/YEAR]), MVV, FVC
INCREASES: RV, FRC, TLC

Question 12

WHICH PARAMETER SHOULD ME MONITORED IN ALS

Answer 12

VC

Question 13

VENTILATORY SUPPORT SUGGESTED IN DUCHENNE WHEN:

Answer 13

DYSPNEA AT REST, 45% PREDICTED VC, MAXIMAL INSPIRATORY PRESSURE <30% PREDICTED, HYPERCAPNIA.

Question 14

BENEFITS OF HOME OXYGEN

Answer 14

REDUCTION IN POLYCYTHEMIA, IMPROVEMENT IN PULMONARY HTN, REDUCTION OF THE PERCEIVED EFFORT DURING EXERCISE, PROLONGATION OF LIFE EXPECTANCY, IMPROVEMENT IN COGNITIVE FUNCTION, REDUCTION IN HOSPITAL NEEDS.

Question 15

BENEFITS OF CONTROLLED BREATHING TECHNIQUES

Answer 15

REDUCE DYSPNEA, REDUCE THE WORK OF BREATHING AND IMPROVE MUSCLE FUNCTION AND PULMONARY FUNCTION PARAMETERS.

Question 16

PRE OPERATIVE AND POST OPERATIVE CHEST THERAPY BENEFITS

Answer 16

DECREASES INCIDENCE OF PNEUMONIA AND ATELECTASIS

Question 17

IPPV

Answer 17

INTERMITTENT POSITIVE-PRESSURE VENTILATION. MOST COMMON METHOD OF NON INVASIVE RESPIRATORY SUPPORT IN COPD

Question 18

MECHANICAL INSUFFLATOR-EXSUFLATOR

Answer 18

MOST EFFECTIVE METHOD OF MECHANICAL ASSISTANCE FOR SECRETION CLEARANCE IN PARALYZED PATIENTS.

Question 19

IAPV

Answer 19

INTERMITTENT ABDOMINAL PRESSURE VENTILATOR.
MOST USEFUL MODE OF VENTILATION FOR WHEELCHAIR-BOUND PATIENTS WITH LESS THAN 1 HOUR VENTILATOR-FREE TIME. COMES AS PNEUMOBLETS OR EXSUFFLATION BELT. CONTRAINDICATED IN SEVERE SCOLIOSIS AND OBESITY.