Treatment

Question 1

Asthma Sign and Symptoms

Answer 1

Wheeze (high pitch)
Cough
Breathlessness (hyperinflation)
Cyanosis: nail beds, lips, and muscosal membranes may become blue
Heart rate increased
Seasonal pattern
Chest tightness

Question 2

Asthma Treatment

Answer 2

Stable:
ACBT, PoE, manual techniques, inhaler technique, cardio/endurance training

Acute:
Physio questionable
Calm
Short treatment with bronchodilators
Oxygen, PoE, NIV/IPPV

Question 3

Aspiration Pneumonia Signs and Symptoms

Answer 3

Wet, hoarse voice, weak voluntary cough, evidence of food/drink in secretions

Question 4

Aspiration Pneumonia Treatment

Answer 4

ACBT, Postural drainage, position for VQ, manual techniques (vibrations/shaking), suction, mechanical assisted sputum clearance (PEP, flutter). optimisation of humidification, mobilisation and exercise tolerance

Question 5

Cystic Fibrosis Signs and Symptoms

Answer 5

Cough
Wheeze
Breathlessness
Cyanosis
Haemoptysis
Digital clubbing, respiratory failure, spontaneous pneumothorax

Question 6

Cystic Fibrosis Treatment

Answer 6

Patient preference:
Exercise, flutter/acapella, ACBT (BCs and FETs), postural drainage, PEP mask, manual techniques, IPPB high frequency chest wall oscillation

Bronchodilators, mucolytics, antibiotics, steroids

Non invasive ventilation

Oxygen, posture management

Question 7

Anaesthetic Post-op Complications

Answer 7

Atelectasis
PE and DVT
Wound complications
Nausea/vomiting
Reduced gut mobility
Sputum retention
Resp. infection
Exacerbation

Not-amenable:
Pleural effusion, pneumothorax, pulmonary oedema, bronchospasm

Question 8

Anaethetic Treatment (Post GA)

Answer 8

ACBT - basal expansion (via collateral ventilation)
PEP and flutter
PoE
Light exercise and RoM
Positioning for VQ
Exercise provision (MSK/circulatory)
Pain control

Question 9

COPD Signs and Symptoms

Answer 9

Breathlessness, hyperinflation, dark chest xray, recurrent respiratory infection, low exercise tolerance, cyanosis, prolonged expiration, low VQ from hypoxaemia

Blue bloater and pink puffer.

Question 10

COPD Treatment

Answer 10

PoE, Oxygen, ACBT (empasis on FET), window technique, pursed lips breathing, VQ positioning

Clearance: manual techniques (vibrations/shaking/ percussion), PEP/flutter/acapella, inhalers and nebulisers