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NURSING INCO 1 > RESPIRATORY AND CARE MODALITIES > Flashcards

RESPIRATORY AND CARE MODALITIES Flashcards

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1
Q

It removes the tracheobronchial secretions

A

CPT (Chest Physiotherapy)

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2
Q

What are the 3 methods of CPT

A

Postural Drainage
Percussion
Vibration

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3
Q

It is a technique use to drain the lungs and may include percussion, vibration, deep breathing and coughing

A

Airway Clearance Technique (ACT)

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4
Q

Why do we need to remove the pt. jewelries, tight clothing, buttons, zippers around the neck, chest and waist?

A

It may interfere percussion and it may cause bruising in pt. skin

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5
Q

What clothing is recommended to a pt. who will undergone CPT?

A

Loose/Light shirt
T - shirt
Soft Clothing

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6
Q

Why we shouldn’t perform CPT with bare skin?

A

To prevent bruising and scratching pt. skin

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7
Q

Why do we need to keep a supply of tissue available at bedside?

A

Pt. may have unexpected secretions
To provide oral hygiene

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8
Q

Length of CPT and its Average time to perform

A

20-40 mins
30 mins

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9
Q

When is the best time to perform CPT?

A

Upon awakening in the morning
Before meals
30 mins - 2 hours after meal
At bedtime

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10
Q

It involves positioning a pt. with the assistance of gravity to aid the normal airway clearance mechanism

A

Postural Drainage

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11
Q

Length of time to hold the position of postural drainage

A

3 - 15 mins

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12
Q

What are the 4 positions of postural drainage?

A

Sitting
Trendelenburg
Prone
Side Lying

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13
Q

It is a position in Postural Drainage that facilitates removal of secretion from upper lobe of the lungs to the mouth

A

Trendelenburg

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14
Q

Always breathe out for longer then breathe in because

A

It allows lungs to empty as much as possible

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15
Q

Referred to cupping, clapping and tapotement; accomplished by rhythmically striking the thorax/chest wall

A

Percussion

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16
Q

Length; Maximum ;Average of Percussion to perform.

A

2-3 mins
5 mins
3 mins

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17
Q

What areas/parts of the body that percussion shouldn’t perform?

A

Spine
Breastbone
Stomach
Lower Ribs/Back

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18
Q

It is involves the application of a fine tremorous action/rapid vibratory impulse is transmitted through the chest wall from the flattened hands to loosen and dislodge the airway secretions

A

Vibration

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19
Q

It is highly infectious chronic disease?

A

Pulmonary Tubercolosis

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20
Q

What causes the PTB

A

Tubercle Bacili

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21
Q

What are the 3 causative agents of PTB

A

Myobacterium Tuberculae
Myobacterium Africanum
Myobacterium Bovis

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21
Q

Pasteurized milk drainage undergo extreme temp. of?

A

63 (Degrees celsius); 30 minutes
71.6 (Degrees Celsius) ; 15 minutes

21
Q

What are the 4 mode of transmission of PTB?

A

Airborne
Droplets
Direct Invasion
Ingestion of unpasteurized milk/Diary products

22
Q

Incubation Period of PTB

A

2-4 weeks

23
Q

PTB will no longer contagious after how many weeks?

A

2-4 weeks after a good compliance to regimen

24
Q

Enclosed space for 3 months

A

Closed contact

25
Q

Closed Environment (Prison cells)

A

High Risk Group

26
Q

A person with aids, DM, HIV and RF

A

High Risk Clinical Group

27
Q

What are the 6 Cardinal Signs of PTB

A

Persistent Coughing
Night Sweat
Weight Loss
Anorexia
Hemoptysis
Low grade fever in the afternoon

28
Q

Best time to collect the sputum in “SPOT - SPOT strategy”

A

On the spot (Now)
1 hour after the first specimen
Early morning the next day

29
Q

In sputum analysis If one positive and One negative what would be next diagnostic test the pt. will undergo?

A

Chest x-ray

30
Q

Pt. is not yet Dx of PTB but undergo anti - tubercular drug for 2 months, what would you classify the pt.?

A

NEW

31
Q

Trade before, but dx again of PTB what would you classify the pt.?

A

Relapsed Patient

32
Q

Pt. went to tx but the tx is failed, what would you classify the pt.?

A

Treatment After

33
Q

Dx with PTB that has been lost for 2 months but occurs again, what would you classify the pt.?

A

Treatment after loss to follow up patient

34
Q

No known TX, what would you classify the pt.?

A

Other previously treated patient

35
Q

1-5 p.t who does not fit in any category, what would you classify the pt.?

A

Patients is Unknown TB treatment HX

36
Q

Recommended Category of Tx regimen for C1?

A

2HRZE for 2 months ;4HR

37
Q

Recommended Category of Tx regimen for C2?

A

2HRZES; 5HRE

38
Q

Recommended Category of Tx regimen for C3?

A

2HRZ; 4HR

39
Q

Recommended Category of Tx regimen for C4?

A

No medication

40
Q

Second Line Drugs Under Amino Glycoside (A-K-C)

A

Amikacin
Kanamycin
Capreomycin

41
Q

Second Line Drugs Under Fluoroquinolones (C-M-L)

A

Ciprofloxacin
Moxifloxacin
Levofloxacin

42
Q

It is the effect of RIPE multiple drug therapy

A

Jaundice

43
Q

It is the effect of ethambutol

A

Visual Impairment ; blurry vision

44
Q

It is the effect of Streptomycin

A

Tinnitus & Hearing Impairment

45
Q

It is the effect of Streptomycin & Rifampicin

A

Oliguria & Albuminuria

46
Q

It is the effect of Isoniazid

A

Psychosis & Convulsion

47
Q

It is the effect of Rifampicin

A

Thrombocytopenia & Anemia

48
Q

Drug Resistance TB resistant to (DR -TB)

A

Isoniazid

49
Q

MDR - TB Resistant to

A

Isoniazid and Rifampicin (HR)

50
Q

XDR - TB Resistant to

A

Isoniazid, Rifampicin, fluoroquinolones (HRF)

51
Q

XXDR - TB Resistant to

A

Isoniazid, Rifampicin, Fluoroquinolones (HRF)

52
Q

TDR - TB Resistant to

A

Isoniazid, Rifampicin, Fluoroquinolones (HRF)

NURSING INCO 1 (6 decks)

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