CR Interventions By Ptdi

Question 1

What is the optimal position to increase V/Q matching for a patient with right lower lobe atelectasis?

Answer 1

Left side lying (Remember “good lung down”)

Question 2

What position would improve oxygenation in a patient with ARDS?

Answer 2

Prone

Question 3

Which breathing techniques promote relaxation?

Answer 3

Diaphragmatic breathing and pursed lip breathing

Question 4

What is segmental breathing?

Answer 4

Localized breathing towards a segment of a lung that requires greater expansion or ventilation

Question 5

How is a modified postural drainage position different from traditional postural drainage positions?

Answer 5

In modified postural drainage the patient is placed in the same position that they would be in with the traditional postural drainage position, but without the head-down tilt (trendelenberg positioning)

Question 6

What are the 3 ventilatory phases of Active Cycle of Breathing Technique (ACBT)?

Answer 6

1) Breathing Control (BC),
2) Thoracic Expansion Exercises (TEE),
3) Forced Expiration Techniques (FET)

Question 7

What are two ways to help guide or cue a patient when teaching diaphragmatic breathing?

Answer 7

Cueing with hands on belly and instructing the patient to take quick sniffs through the nose

Question 8

What device is used to help perform a sustained maximal inspiration?

Answer 8

Incentive Spirometer

Question 9

What signs or symptoms would be an indication to terminate an exercise session? (Name as many as you can)

Answer 9

Moderately severe or increasing angina,
dyspnea,
dizziness,
light-headedness,
ataxia,
cyanosis,
pallor,
excessive fatigue
, leg cramps or claudication

Question 10

The exhalation phase should be
times as long as the
inspiration phase when performing pursed lip breathing

Answer 10

3

Question 11

Hypertensive individuals should be cautious when performing what exercises?

Answer 11

Upper body exercises (avoid high intensity upper body exercises)

Question 12

What device is used to help increase the strength or endurance of respiratory muscles?

Answer 12

Inspiratory muscle trainer

Question 13

In which phase of breathing would you perform vibrations?

Answer 13

Only on the expiratory phase

Question 14

What is the general indication to use suctioning (as opposed to other secretion clearance techniques)?

Answer 14

To remove secretions or stimulate cough when a patient is unable to do so independently (e.g., on mechanical ventilator)

Question 15

Where do you perform percussion on?

Answer 15

Specific lung segments believed to have increased secretion retention

Question 16

Adults should accumulate at least…..
minutes of
moderate-to-vigorous intensity aerobic physical activity per week, in bouts of …minutes or more to achieve health benefits according to the Canadian Physical Activity Guidelines
Mark Complete

Answer 16

150, 10

Question 17

How can a physiotherapist promote decrease use of accessory muscles for breathing in a patient?

Answer 17

Teach patient deep diaphragmatic breathing and teach relaxation techniques

Question 18

What treatment techniques are considered independent controlled breathing techniques?

Answer 18

ACBT and autogenic drainage

Question 19

What does MET stand for?

Answer 19

Metabolic Equivalent

Question 20

What is one MET?

Answer 20

1 MET is defined as the amount of oxygen consumed while sitting at rest

Question 21

What device is frequently prescribed post-op to prevent atelectasis?

Answer 21

Incentive Spirometer

Question 22

How should you program an exericse program for a patient who is very deconditioned and can’t exercise for long?

Answer 22

Break up the exercise session into multiple chunks in the day instead of one long session

Question 23

What are the four stages of coughing?

Answer 23

1) Inspiration,
2) Glottal Closure,
3) Compression,
4)Expulsion

Question 24

What condition(s) would most benefit from pursed lipped breathing?

Answer 24

Copd

Question 25

A systolic blood pressure greater than ….. an indication to terminate an exercise session
mmHg would be

Answer 25

200

Question 26

In which phase of breathing would you perform percussions?

Answer 26

In the inspiratory and expiratory phase

Question 27

What device is used to help a patient with excessive secretion retention?

Answer 27

PEP device

Question 28

Which assistive cough technique is contraindicated in patients with GERD( Gastroesophageal reflux disease ) or recent abdominal surgery?

Answer 28

Heimlich-Type Assist (Abdominal Thrust)

Question 29

What is the difference between a huff and a cough?

Answer 29

A huff is a forced expiratory technique with an OPEN glottis, whereas a cough is a forced expiratory technique with a CLOSED glottis

Question 30

A diastolic blood pressure greater than ….an indication to terminate an exercise session
mmHg would be

Answer 30

110

Question 31

What methods are used to minimize complications with suctioning?

Answer 31

Infection control measures,
hyperoxygenation, hyperinflation
, limit suction time (10 - 15 sec) and allow recovery time (30 sec) between each pass, medication and sedation prior to procedure

Question 32

Huffing from mid to high lung volumes helps clear….. airways

Answer 32

Proximal

Question 33

What is the difference between viral and bacterial pneumonia?

Answer 33

In bacterial pneumonia, there is high grade fever with chills and chest pain and the cough is productive. Also breath sounds are absent over pneumonia and WBCs are increased.

In viral pneumonia, the cough is dry and WBCs are normal with multiple patchy infiltrates bilaterally on X ray.