Unit 7 Exam - II Flashcards
In which techniques is the patient instructed to “sniff”
Diaphragmatic breathing
3 contraindications of percussion and vibration include:
Osteoporosis, rib fractures, metastatic cancer
The 4 phases of a cough include:
a. Irritation
b. inspiration
c. compression
d. expulsion
Pep therapy should achieve what expiratory pressure and I:E ratio?
10-20 cmH2O / 1:4
If your patient fails to achieve the appropriate expiratory pressures during the expiratory phase of PEP, what
should you do to correct this problem?
increase the resistance setting
Percussion should be performed for a minimum of _____ minutes?
3-5 mintues
indications for postural drainage include?
a. Retention of secretions
b. Atelectasis
c. Prophylactic care
High-Frequency Chest Wall Oscillation utilizes:
a. Air-pulse generator
b. inflatable vest
What modalities require tense shoulders and arms kept straight?
a. Vibrations
b. Shaking
Appropriate hand position for performing chest percussion includes:
a. relaxed wrists with hand cupped
What should you do if a patient has developed a contraindication to perform CPT?
Notify the physician to clarify if he wants you to continue CPT
Postural drainage utilizes positioning to utilize gravity
Three types of percussion techniques include:
a. cupped hands
b. electric percussor
c. pneumatic percussor
Items that would help you determine positioning for postural drainage include:
a. CXR
b. Physician’s order
c. Breath sounds
There are 18 pulmonary segments in both the right and left lung.
Vibration and shaking is only performed on expiration and is thought to dislodge thick retained secretions and
move them from larger to smaller airways.
CPT and breathing instruction & retraining is used to prevent and help patients with atelectasis
CF, Bronchiectasis, COPD, lung abscess, ARDS, and atelectasis are a few examples of specific diseases that CPT is
indicated for.
Which device utilizes volume expansion as part of prevention and mobilization of secretions?
MetaNeb
HFCWO (high frequency chest-wall oscillation) is most commonly used for patients with Cystic Fibrosis.
Forms of Bronchial Hygiene include:
a. PEP therapy
b. Percussion
c. Postural drainage
Contraindications for postural drainage include:
a. recent food consumption
b. intracranial hypertension
c. untreated pneumothorax
d. unstable cardiac status
Flutter therapy utilized PEP and high frequency oscillations
A PEP device includes:
a. pressure monitor
b. one-way valve
c. mask or mouthpiece and nose clips
d. expiratory resistor
The weight of the ball in the a Flutter Valve serves as a PEP device delivering:
10-25 cmH2O at 15Hz
Possible hazards and complications of performing CPT may include:
a. hemorrhage
b. dyspnea
c. hypoxemia
d. mucous plugging
Sequence of a normal cough includes:
a. Deep inspiration
b. closure of the glottis
c. contraction of the abdominal muscles
d. opening of the glottis and rapid, forceful expiration
If PEP therapy alone is not working, adding a bronchodilator to the patients treatment regimen could help
mucus clearance and airway maintenance.
Proventil
Albuterol, 90mcg, 2.5mg/3mLNaCL
Serevent
Salmeterol, 50 mcg
Xopenex
Levalbuterol, 45 mcg, 0.31 mg, 0.63 mg, 1.25 mg/3 mLNaCL
Formoterol
Performist, 20mcg, 2mL
Asmanex
Mometasone Furoate, 110 or 220 mcg
QVAR
Beclomethasone Furoate
Spiriva
Tiotropium bromide, 1.25 or 2.5 mcg
Flovent
Fluticasone propionate, 44, 110, 220 mcg, or 50, 100,250 mcg
Alvesco
Ciclesonide 80 mcg, 160 mcg
Brovana
Arformoterol, 15 mcg, 2 mL
Anro Ellipta
Umeclindinium/Vilanterol, 2.5 mcg, 2.5 mcg
