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TMC > Therapeutic Procedures > Flashcards

Therapeutic Procedures Flashcards

1
Q

Patient Positioning

A

Prone - ARDS
Fowler’s - CHF
Lateral Fowler’s - Obese
Good Lung Down - Unilateral Lung Disease

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2
Q

Incentive Spirometry

A

Indication: Prevention or treatment of atelectasis for patients who are willing and able to spontaneously take a deep breath

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3
Q

IPPB

A

Indications:
Prevent or correct atelectasis in patients unable or unwilling to take a deep breath
Prevent or decrease pulmonary edema

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4
Q

Troubleshooting: Loss of Pressure

A

Leak

Insufficient flow

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5
Q

Troubleshooting: Excessive Pressure

A

Obstruction

Excessive flow

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6
Q

Troubleshooting: Fail to cycle into inspiration

A

Adjust sensitivity

Tight seal around mouthpiece

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7
Q

Pressure doesn’t rise normally (needle reads low or negative)

A

Insufficient flow

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8
Q

Bronchial Hygiene

A

Cystic fibrosis and Bronchiectasis

Improves mobilization of secretions
Prevent accumulation of secretions
Improve ventilation

Discontinue when:
Ambulating well
Hazards occur: dizziness, SOB, cyanosis

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9
Q

Trendelenburg

A

Position for patients with low blood pressure

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10
Q

Lateral Flat

A

Best position to prevent aspiration

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11
Q

Chest Percussion

A

Mechanically dislodge secretions

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12
Q

Vibration

A

Move secretions to larger airways

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13
Q

Cough Control Technique - Splinting

A

Press pillow over incised area to enhance better cough

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14
Q

PEP Therapy

A

Cystic fibrosis and pneumonia

May help improve secretion expectoration, reduce RV, and improve airway maintenance

Expiratory pressures: 10-20 cmH2O at mid-exhalation

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15
Q

Desired FiO2 COPD

A

24%-28%

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16
Q

Desired FiO2 Therapeutic

A

30%-60%

17
Q

Desired FiO2 Emergency

A

100%

18
Q

Nasal Cannula

A

FiO2: 24%-45%
To estimate 1 LPM = 4% FiO2
Flow: 1-6 LPM
For COPD patients with stable respiratory rates and tidal volumes

19
Q

Air Entrainment Mask

A

Delivers precise FiO2

Ideal for patients with irregular VT, RR, and breathing patterns

20
Q

Tank Factors

A

E cylinder: 0.28 (0.3)

H cylinder: 3.14 (3.0)

21
Q

Duration of Cylinder Formula

A

Pressure x tank factor / flow

22
Q

Air:O2 Ratios - 24%

A

25:1

23
Q

Air:O2 Ratios - 28%

A

10:1

24
Q

Air:O2 Ratios - 35%

A

5:1

25
Q

Air:O2 Ratios - 40%

A

3:1

26
Q

Air:O2 Ratios - 60%

A

1:1

27
Q

Total Flow Formula

A

Air:O2 ratio sum x flow

28
Q

O2 Flow Formula

A

Total flow / Air:O2 ratio sum

29
Q

Sputum Induction

A

Indicated for patients with suspected pneumonia who doesn’t have productive cough

TMC (9 decks)

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