Pulmonary Tests and Lung Transplants Flashcards
List advantages of a CT Scan
- Sensitive
- Localizes diseases
- Detect pneumothorax
- Evaluates chest tube placement
- May detect unsuspected abnormalities
List disadvantages of a CT Scan
- Risks w/ transporting pt from ICU
- Increase in radiation
- Risks of IV contrast (if used)
This is used to assess for infection, damage or malignancy. Can be used for clearing secretions
Bronchoscopy
What is the normal value for PO2 and the normal range?
Normal Value = 97 mmHg
Normal Range = >80
What range of PO2 do you have mild hypoxemia?
60-80 mmHg
What range of PO2 do you have moderate hypoxemia?
40-60 mmHg
*Red flag is less than 60
What range of PO2 do you have severe hypoxemia?
<40 mmHg
During the pre-op period for lung transplant, what can you educate your patient’s on?
- The PT interventions that will take place post-op
- Provide realistic expectations
- Edu to remain as active as possible before transplant to withstand stress of transplant
- Edu on ICU environment (mechanical vent, airway clearance, body positioning, chest wall mobility exercises, mobilizations, activity progression)
What to do with pt after lung transplant in an inpatient setting
-Body positioning and mobilization = Clearance of pulmonary secretions 3-4x/day, postural drainage w/ shaking or vibration, ROM ex’s in bed, progress to transfers OOB
What to do with pt after lung transplant in an oupatient setting
- Improvements in ex tol
- Increased 6 min walk test
- Strengthening of large proximal mm
- Aerobic conditioning
- Attention to musculoskelatal issues (gait pattern)
- Independence w/ HEP
Make sure your pt takes a bathroom break before starting treatment when they are on this drug
Diuretics (lasix), look for signs of incontinence and dehydration (electrolyte imbalance). May also cause arrhythmias (K sparing), dizziness and fatigue
What drug is your patient taking if they have a decreased HR with activity and angioedema (swelling around mouth)
ACE Inhibitors (Lisinopril)
Your pt has decreased exercise tolerance and you know you must use the RPE scale to assess exertion, what drug are they one?
Beta blocker (Metoprolol)
Your patient has orthostatic hypotension…what drug could cause this
alpha 1 blocker (doxazosin)
Your patient seems more drowsy then normal…what drug might they be taking?
alpha 2 blocker (clonidine)
