pulmonary rehabilitation and programming Flashcards

1
Q

what are the 3 types of bronchodilators?

A
  • beta-agonists
  • anticholinergics
  • theophylline
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2
Q

what is the difference between fast-acting and rescue/reliever medication?

A
  • fast-acting = good for acute asthma attack
  • rescue/reliever medication = if taken 15 mins prior, they will not experience asthma attack
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3
Q

what are the side effects of bronchodilators?

A
  • nervousness/shaky
  • increase HR
  • palpitations
  • GI upset
  • trouble sleeping
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4
Q

describe the use of corticosteroids

A
  • reduce inflammation
  • reduce mucous production in the airways
    • normally have a wet cough if not taken
  • long-acting/long term use
    • taken daily
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5
Q

what are side effects of cortocosteroids?

A
  • sore throat
  • cough
  • increased BP
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6
Q

how many people roughly in the world have a chronic respiratory disease?

A

545 million people

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7
Q

what is the increase in respiratory diseases since 1990?

A

39.8%

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8
Q

what is the third leading cause of death worldwide?

A

COPD

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9
Q

what is obstructive lung disease?

A
  • characterized by airway obstruction
  • can result from the narrowing of the smaller bronchi and larger bronchioles due to excessive contraction of the smooth muscle itself
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10
Q

what is restrictive lung disease?

A
  • lung disease that prevents the airways from fully expanding with air
  • many are progressive and non-reversible
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11
Q

what is pulmonary rehabilitation?

A

use of exercise, education, and behavioural intervention to improve the lives of those with pulmonary disease

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12
Q

what is the purpose of pulmonary rehabilitation?

A

to help patients breathe easier and improve the patients quality of life for certain lung conditions such as COPD, asthma, pulmonary hypertension, and cystic fibrosis

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13
Q

what are the components of pulmonary rehab?

A
  • education
  • general exercise training
  • breathing retraining
  • outcome assessment
  • nutritional advice
  • psychological support
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14
Q

who needs pulmonary rehabilitation?

A

patients with

  • COPD
  • pulmonary fibrosis
  • cystic fibrosis
  • muscular dystrophy
  • asthma
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15
Q

describe pulmonary hypertension

A
  • a type of high blood pressure that affects the arteries in the lungs
  • can occur due to some
    • congenital heart diseases
    • connective tissue disease
    • coronary artery disease
    • high blood pressure
    • blood clots in the lungs
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16
Q

describe emphysema

A
  • alveoli in the lungs are damaged
    • inner walls of the alveolar become weak and rupture = large air spaces created instead of multiple small ones
  • primary cause = smoking
  • no cure/progressive
17
Q

describe pulmonary fibrosis

A
  • a lung disease that occurs when lung tissue becomes damaged and scarred
  • thick stiff tissue within the lungs makes it challenging for the lungs to work properly
18
Q

what are the causes of pulmonary fibrosis?

A
  • environmental pollutants
  • connective tissue disease
  • interstitial lung disease
19
Q

describe cystic fibrosis

A
  • an inherited disorder that causes severe damage to the lungs, digestive system, and other organs
  • primarily affects cells that produce mucous, sweat, and digestive juices
  • life expectancy = approx. 44 years
20
Q

describe muscular dystrophy

A
  • a group of diseases that cause progressive weakness and loss of muscle mass
  • abnormal genes interfere with production of proteins required for healthy muscle formation
  • common feature is respiratory failure
21
Q

what do you start off with when creating a pulmonary rehab plan?

A
  • learn more about the patient’s health
    • lung function
    • exercise
    • blood tests
    • medical history
    • current treatments
  • most common symptom = dyspnea
22
Q

what is the purpose of inpatient programs?

A

provides specialized care for hospitalized patients

23
Q

when are patients referred to outpatient programs?

A

during hospitalization

24
Q

what are the benefits of pulmonary rehab?

A
  • minimize symptoms
  • decrease disability
  • increase PA
  • improve quality of life
  • improve activity of daily living (ADL)
25
Q

describe a physiotherapist

A
  • teach patients the proper and safe way to move and assist in regaining mobility
  • will assist with regaining the ability to walk, get out/into bed and chairs, climbs stairs, etc.
  • will also assist with teaching techniques to improve breathing
26
Q

explain pursed-lip breathing

A
  • helps control SOB and slows breathing
  • effective breathing by getting more o2 into the lungs
  • steps:
    • sit in a chair and relax your neck and shoulder muscles
    • breath in through the nose, close mouth
    • inhale 2 seconds
    • purse lips and blow out all of air through mouth slowly (longer than inhale)
27
Q

explain occupational therapists

A
  • evaluate a patient’s physical and mental abilities
  • assists with regaining ability for ADLs
  • will also screen for cognitive function
28
Q

describe the role of social work

A
  • assist with planning and decision making while an individual is in hospital as they transition to going home
  • will include counselling and support, and community resource information
29
Q

what are speech-language pathologists?

A

professionals in the field of communication and swallowing disorders

30
Q

what are some programs and topics to better manage stress?

A
  • stress, breathing, and muscle relaxation techniques
  • improving assertive communication
  • mindfulness and technostress
  • uncovering negative automatic thoughts
  • changing negative automatic thoughts/thinking errors
  • managing sleep
31
Q

what are some ways to monitor exercise and pulmonary disease?

A
  • HR
  • RPE
  • RPD- ratings of perceived dyspnea (0-10)
  • SPO2
    • approx. ½ of patients with COPD will desaturate <90% during exercise
32
Q

why does lung function drop less with HIIT?

A

intervals allow for lung recovery, whereas continuous exercise you are exerting energy the whole time

33
Q

how does the mood change during HIIT in comparison to continuous exercise?

A
  • mood goes up in recovery intervals for HIIT
  • mood with moderate-intensity exercise continuously went down as exercise persisted