Mod 9 Bronchopulmonary hygiene

Question 1

Suction Level for open suction?

Answer 1

80-120mmHg

Question 2

Suction level for closed suction?

Answer 2

160mmHg

Question 3

Max time for 1 suction pass?

Answer 3

30 seconds

Question 4

Suction level for EVAC (subglottal) suctioning?

Answer 4

20-30mmHg

Question 5

How long to preoxygenate patient before suctioning?

Answer 5

3mins on 100% O2

Question 6

Max amount of suction passes?

Answer 6

None

• suction till catheter comes with scant amount and breath sounds clear O/A

Question 7

Incentive spirometry?

Answer 7

Lung expansion therapy
- “sighs” for patients who cannot do on their own.

Question 8

What does incentive spirometry do?
- who do we use it for?

Answer 8

Prevents derecruitment of the lungs

• used for pts who have restrictive diseases or atelectasis

Question 9

Steps for a Directed cough

Answer 9

1. diaphragmatic breathing
2. bear down on the glottis to mimic a spontaneous cough
3. “huff” out

Question 10

Steps for a Directed cough

Answer 10

1. diaphragmatic breathing
2. bear down on the glottis to mimic a spontaneous cough
3. “huff” out

Question 11

Assisted cough

Answer 11

3 breaths in and force out a cough
can provide j-thrust

Question 12

Assisted cough

Answer 12

3 breaths in and force out a cough
can provide j-thrust

Question 13

What is a Peak cough flow and what is its purpose?

Answer 13

When you have patient cough with flow meter to see peak flow
- examines FRC/lung function

Question 14

Peak cough flow critical number

Answer 14

< 160L/min

Question 15

Forced expiratory technique

Answer 15

modified directed cough- huff cough
two forced exhalations without closing the glottis

Question 16

Lung volume recruitment

Answer 16

Using a resuscitation bag to stack breaths to achieve max insufflation and recruit the alveoli.

• Often followed by assisted cough maneuvers

Question 17

Indications for breathing exercises

Answer 17

COPD patients
Pt with neurological deflects
restrictive diseases

smoke free for 30 days

Question 18

What is Diaphragmatic breathing?

Answer 18

breathing with the use of the diaphragm to achieve maximum inhalation and slow respiratory rate.

Question 19

What is Lateral costal breathing

Answer 19

augmentation of diaphragmatic breathing

• hands on side.

Question 20

What is Lateral costal breathing

Answer 20

augmentation of diaphragmatic breathing

• hands on side.

Question 21

What is the purpose of chest physical therapy (CPT)

Answer 21

To clear secretions or prevent atelectasis

• prevents secretion accumulation by clearance
• Improves breathing efficacy