Quiz 2

Question 1

long-term goal of any swallow treatment

Answer 1

safely swallow

maintain nutrition and hydration

Question 2

evidence-based practice

Answer 2

evidence
experience
patient’s wishes

Question 3

categories for adult treatment

Answer 3

1. food modifications-thickened liquids
2. pt. modifications-positions, maneuvers
3. feeding modifications-rate, bite size
4. exercises

Question 4

adult treatment positions

Answer 4

chin tuck-for delayed swallow
head rotation-for unilateral pharyngeal weakness
head tilt-vocal fold paralysis or unilateral weakness
head extension-apraxia
lying down/side lying-bolus only goes down one side (laryngectomy, etc)

Question 5

adult maneuvers definition

Answer 5

volitional techniques to put specific aspects of pharyngeal swallow under voluntary control. must be able to follow complex commands

Question 6

common maneuvers

Answer 6

-supraglottic swallow-breath hold technique
-extended supraglottic swallow-dump and swallow
-super supraglottic swallow-breath hold
effortful swallow-increases lingual force

Question 7

Hierarchy of adult treatment

Answer 7

1. position first
2. maneuver second
3. modify viscosity last

Question 8

cuff

Answer 8

inflate/deflate with syringe
inflatable piece around tube in throat
prevents air from escaping upper airway
prevents leakage of air
assures pt. is well-oxygenated
when cuffed, cannot phonate
can swallow but not a natural swallow because don't feel the pressure
reduces risk of aspiration but can still aspirate around it

Question 9

cricopharyngeus bar

Answer 9

hypertrophied cricopharyngeus. overworked muscle, aging, or dysfunctional UES. treated with myotomy or balloon dilation

Question 10

affects of intubation

Answer 10

redness, odynophagia, edema, decreased sensation

Question 11

purpose of cuff

Answer 11

prevents air from escaping upper airway, assures pt. is well oxygenated

Question 12

how does trach affect swallowing

Answer 12

swallowing is pressure driven and trach causes reduction in sub glottal pressure as well as reduced smell and taste

Question 13

order of trach progression

Answer 13

1. trach cuff inflated
2. deflated or cuff less
3. passy muir speaking valve
4. trach capped
5. decannulated-trach out

Question 14

alveoli

Answer 14

clusters of ducts in the lungs that contain air

Question 15

which bronchi more prone to aspiration

Answer 15

right-shorter, wider, more forward

Question 16

pleura

Answer 16

2 thin layers of tissue that surround lungs. like “saran wrap” protects and cushions lungs and helps them expand and contract

Question 17

cilia

Answer 17

tiny hairs that line bronchi and move mucous

Question 18

mucociliary clearance

Answer 18

moves foreign matter, dirt, and membranes. clears respiratory tract and prevents infections. Hydration is key **saliva

Question 19

pulmonary toilet

Answer 19

body’s natural way of clearing secretions

1. mucociliary clearance
2. coughing
3. spitting

Question 20

adult treatment

Answer 20

can pt. follow directions
short term memory issues
fatigue/endurance

Question 21

bedside order

Answer 21

intake/history
physical exam/oral mech
food/liquid swallow

Question 22

report writing-4 main objectives

Answer 22

1. diagnosis
2. aspiration risk
3. recommendations
4. patient education