RESPIRATORY AND CARE MODALITIES Flashcards

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

23
PTB will no longer contagious after how many weeks?
2-4 weeks after a good compliance to regimen
24
Enclosed space for 3 months
Closed contact
25
Closed Environment (Prison cells)
High Risk Group
26
A person with aids, DM, HIV and RF
High Risk Clinical Group
27
What are the 6 Cardinal Signs of PTB
Persistent Coughing Night Sweat Weight Loss Anorexia Hemoptysis Low grade fever in the afternoon
28
Best time to collect the sputum in "SPOT - SPOT strategy"
On the spot (Now) 1 hour after the first specimen Early morning the next day
29
In sputum analysis If one positive and One negative what would be next diagnostic test the pt. will undergo?
Chest x-ray
30
Pt. is not yet Dx of PTB but undergo anti - tubercular drug for 2 months, what would you classify the pt.?
NEW
31
Trade before, but dx again of PTB what would you classify the pt.?
Relapsed Patient
32
Pt. went to tx but the tx is failed, what would you classify the pt.?
Treatment After
33
Dx with PTB that has been lost for 2 months but occurs again, what would you classify the pt.?
Treatment after loss to follow up patient
34
No known TX, what would you classify the pt.?
Other previously treated patient
35
1-5 p.t who does not fit in any category, what would you classify the pt.?
Patients is Unknown TB treatment HX
36
Recommended Category of Tx regimen for C1?
2HRZE for 2 months ;4HR
37
Recommended Category of Tx regimen for C2?
2HRZES; 5HRE
38
Recommended Category of Tx regimen for C3?
2HRZ; 4HR
39
Recommended Category of Tx regimen for C4?
No medication
40
Second Line Drugs Under Amino Glycoside (A-K-C)
Amikacin Kanamycin Capreomycin
41
Second Line Drugs Under Fluoroquinolones (C-M-L)
Ciprofloxacin Moxifloxacin Levofloxacin
42
It is the effect of RIPE multiple drug therapy
Jaundice
43
It is the effect of ethambutol
Visual Impairment ; blurry vision
44
It is the effect of Streptomycin
Tinnitus & Hearing Impairment
45
It is the effect of Streptomycin & Rifampicin
Oliguria & Albuminuria
46
It is the effect of Isoniazid
Psychosis & Convulsion
47
It is the effect of Rifampicin
Thrombocytopenia & Anemia
48
Drug Resistance TB resistant to (DR -TB)
Isoniazid
49
MDR - TB Resistant to
Isoniazid and Rifampicin (HR)
50
XDR - TB Resistant to
Isoniazid, Rifampicin, fluoroquinolones (HRF)
51
XXDR - TB Resistant to
Isoniazid, Rifampicin, Fluoroquinolones (HRF)
52
TDR - TB Resistant to
Isoniazid, Rifampicin, Fluoroquinolones (HRF)