Breathing Exercises and meds and cardiac stuff Flashcards
What should you train if you want to increase expiratory force or cough?
Train the inspiratory muscles with resistance during inspiration with devices or manually
What 3 interventions should be used to improve gas exchange and increase lung volume?
Diaphragmatic breathing
Segmental breathing
Maximal inspiratory effort
What 3 interventions should be used to reduce dyspnea?
Purses lip breathing
Pacing of breathing with activity/exercise
Diaphragmatic breathing
What is the forced expiration technique? Who is it used in?
One or two forced expirations at low lung volumes and the glottis not closed.
Patients with COPD
How do beta blockers effect exercise performance?
They improve it because they decrease the oxygen demand of the heart
What drug is usually given for heart block?
Atropine
What 4 cardiac enzymes appear in circulation after death of cardiac muscle?
CPK
TROPONIN
LDH lactate dehydrogenase
SGOT serum glutamic oxalacetic transaminase
What does a blockage of the R coronary artery cause?
Arrhythmias
What does a blockage of the L coronary artery cause?
Left ventricular failure and pulmonary edema
What are 2 common medications for heart failure?
Digoxin- decreases heart rate and improves contractility
Diuretics (Lasix)- decrease fluid volume, control HTN, decease preload and afterload
What are 5 symptoms of a heart attack?
Severe chest pain Diaphoresis Pallor Restless Cool (excessive sweating)
What are 2 ways to treat an MI
Relieve distress
Reduce cardiac work and treat complications
Call 911 obvi
What is a bruit and what does it indicate?
A bruit is an abnormal sound or murmur can indicate atherosclerosis
What does a weak threats pulse indicate?
Decreases stroke volume
What is s3 heart sound associated with?
CHF
