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Pulmonary Rehab > Rehab For COPD > Flashcards

Rehab For COPD Flashcards

1
Q

Breathing technique where physician resists patient’s inhalation, then lets go

A

Segmental breathing

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2
Q

Maximum blood flow is greatest at the _____________ portion of the lung

A

Most gravity dependent

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3
Q

Examples of long acting beta agonists

A

Salmeterol, formoterol

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4
Q

Method of diaphragmatic breathing

A

Use diaphragm to breathe and relax abdominal muscle during inspiration.

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5
Q

Therapeutic exercise parameters:
How long of a daily walk?
How high of a pulse goal?
For how many weeks?

A

12-minute daily walk
20-30% increase of your pulse, but <120
10-12 weeks

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6
Q

Changes in TV, FRC, maximum oxygen uptake with diaphragmatic breathing

A

Increased TV, decreased FRC, increased oxygen uptake

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7
Q

Method of pursed lip breathing

A

Inhale through the nose and exhale through the mouth longer

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8
Q

2 types of IPPV

A

Daytime mouthpiece IPPV

Nocturnal nasal IPPV or mouthpiece with seal

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9
Q

What is diaphragmatic breathing used for

A

Reverse altered pattern of respiratory muscle recruitment in COPD patients

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10
Q

When going from sitting to trendelenburg, effect on work of breathing

A

Work of breathing increases when going from sitting to trendelenburg because diaphragm has to contract against abdominal contents

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11
Q

V/Q mismatch between upper and lower lobes when sitting upright

A

Lower lobes is perfused more and upper lobes is ventilated more

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12
Q

Positioning technique for postural drainage

A

Affected lung segment placed at highest position

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13
Q

What can be used for prophylactic treatment for COPD

A

Cromolyn

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14
Q

Breathing technique that prevents air trapping and promotes greater gas exchange

A

Pursed lip breathing

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15
Q

Guideline for O2 use during exercise

A

If SO2 falls below 90% with exercise

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16
Q

When do you take SABA for exercise induced bronchospasm

A

15-20 minutes before starting exercise

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17
Q

What inhaled anticholinergics can be used in COPD

A
  • ipratropium (Atrovent)

- tiotropium (Spiriva)

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18
Q

It indicates visceral protein depletion and is a good predictor of rehab potential

A

Albumin

19
Q

Nutrition recommendations for COPD patients

A
  • protein 1.7g/kg/day

- increase fluid intake

20
Q

Effect of inh steroids on fev1

A

Increases fev1 by 10%

21
Q

Combivent

A

Albuterol/ipratropium

22
Q

Supplemental O2 is recommended for patients with a continuous pO2 of

A

55-60mmHg

23
Q

1st, 2nd and 3rd line treatment for exercise induced bronchospams

A

1st - SABA and cromolyn
2nd - inh corticosteroid
3rd - anticholinergic

24
Q

Effect of pursed lip breathing on TV

A

Increases TV

25
Q

What lab value can be used that correlates with severity and chronicity of disease

A

Albumin

26
Q

Symbicort

A

Budesonide/formoterol

27
Q

Most common method of noninvasive positive pressure airway support

A

Intermittent positive pressure ventilation (IPPV)

28
Q

MOA of inhaled anticholinergics

A

Antimuscarinic - inhibits muscarinic receptors –> inhibits parasympathetic –> bronchodilation

29
Q

When supine, apical blood flow ______

A

Increases

30
Q

Three types of positive pressure ventilators

A

Intermittent (IPPV), Continuous (CPAP), Bilevel (BiPAP)

31
Q

Mucomyst

A

N-acetylcysteine - mucolytic for secretion control

32
Q

Is upper or lower extremity exercise better for COPD?

A

Upper extremity

33
Q

Patients who produce >_______mL/day of sputum need secretion mobilization

A

30

34
Q

Incentive spirometry is contraindicated in lung problem in what kind of diseases

A

Neuromuscular disease

35
Q

What must you avoid when taking methylxanthines?

A

Methylxanthines, such as theophylline, should not be taken with caffeine

36
Q

When changing from sitting to supine position, relation between venous and arterial pressure??

A

Venous pressure increases in relation to arterial pressure in gravity dependent areas

37
Q

What does BiPAP allow?

A

Adjusts inspiratory (IPAP) and expiratory (EPAP) components individually

38
Q

Examples of inhaled steroids

A

Budesonide (Pulmicort), beclomethasone (Qvar), fluticasone (flovent)

39
Q

Normal V/Q ratio

A

0.8

40
Q

Benefits of pre-op and post-op chest therapy program

A

Decreases pneumonia incidence and reduces probability of post-op atelectasis

41
Q

Examples of Short acting beta agonists

A

Albuterol, levalbuterol

42
Q

Technique to reduce dyspnea and work of breathing in COPD patients

A

Pursed lip breathing

43
Q

MOA of cromolyn

A

Inhibits release of histamine

Pulmonary Rehab (8 decks)

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