Surgical/medical management Flashcards
What are the goals of postop PT sessions for the pulmonary population?
remove residual secretions
improve aeration
gradually increase activity
return to baseline pulmonary functioning
What are some issues that should be red flags when working with a post-op pulm patient?
- different breath sounds that inital post op exam
- SOB
- decreased expansion of thorax
- increased WBC
- increased temp
What kind of aerobic activity is best for pulm patients?
one that can be graded, since most are deconditioned
- bike, treadmill, etc
What is karvonen’s formula?
(max HR - resting HR)(40-85%) + resting HR
- gives good range of safe HR activity for pt
For these patients, should you increase intensity or duration first?
duration -> want them to get to like 20-30min of continuous exercise before increasing intensity
How might you tell a patient who needs energy conservation to shower, given this is a higher-energy exercise?
shower seat so they don’t have to stand
hand held shower so they don’t have to continuously hold breath
terry-cloth robe so they don’t have to dry themselves off
Why is lung volume reduction surgery done?
to remove large emphysematous, non-functioning areas of the lung to normalize thoracic mobility and improve gas exchange of the remaining lung
Does the sympathetic nervous system do bronchodilation or bronchoconstriction?
bronchodilation
Short-acting beta-2 agonists do what?
they’re sympathomimetics -> bronchodilation
- increase HR and blood pressure
aka albuterol, pibuterol
- these are rescue drugs that act fast
What are long-acting beta-2 agonists for?
same thing as short acting -> bronchodilation but they are for longer term/maintenance
- may reduce need for rescue drugs
What do anticholinergics do to the body, specifically pulm system?
increase HR/BP and bronchodilation
- they’re anti - PNS, so do the same as SNS aka same as sympathomimetics
What do leukotriene receptor antagonists do?
block leukotrienes released in allergic reactions
- inhibit airway edema and smooth muscle contraction
What does cromolyn sodium do?
it’s an antiallergic drug, maintanence
- prevents the release of mast cells (ie. histamine) after contact with allergens
- used prophylactically to prevent exercise induced bronchospasm
T/F: anti-inflammatory agents are used to help with pulmonary issues.
true
- used to decrease mucosal edema, inflammation, and airway reactivity
- but theyre steroids so they have those negative effects: muscle wasting, GI irritiation, thrush (for oral inhalation ones)
T/F: Antibiotics are not recommended for maintenance.
true
