Acapella Flashcards
(17 cards)
1
Q
what is acapella?
A
- flow operated oscillatory device
2
Q
what does the acapella use?
A
- uses a counterweighted plug and magnet to create airflow oscillations
3
Q
what does the acapella help with? (2)
A
- loosens and moves secretions
4
Q
what does acapella facilitate?
A
- facilitates the opening of airway in patients with secretory problems
5
Q
what conditions may benefit from acapella? (6)
A
- atelectasis
- bronchitis
- bronchiectasis
- cystic fibrosis
- COPD
- asthma
6
Q
what does acapella prolong?
A
- prolongs expiratory airflow to increase removal of secretion
7
Q
what is the point of the inspiratory hold?
A
- encourages homogeneous ventilation
8
Q
what position is acapella performed in?
A
- upright seating
- gravity assisted drainage position
9
Q
what are the two colours of the devices?
A
- green
- blue
10
Q
what is the green acapella used for?
A
- used for high flow >15L/min
11
Q
what must the patient be able to do if they are using a green acapella?
A
- must be able to sustain at least 3 seconds of expiratory flow
12
Q
what is the blue acapella for?
A
- for low flow <15L/min
13
Q
what are the three indications of acapella?
A
- mucus producing respiratory conditions
- respiratory muscle weakness
- mechanical ventilation
14
Q
how do you use the acapella device?
A
- take a deeper breath than normal inhalation through your nose with the lips sealed around the mouthpiece
- blow into the device with a forceful exhalation
15
Q
where should you have your head when performing acapella? why?
A
- head tilted slightly forward to help keep the upper airways open
16
Q
what should you monitor if someone is using an acapella? (4)
A
- dizziness
- light headedness
- chest discomfort
- desaturation
17
Q
what should you be cautious of when using the acapella? (10)
A
- inability to tolerate increased WOB
- intracranial pressure > 20mmHg
- recent facial, oral or skull surgery/ trauma
- untreated pneumothorax
- haemoptysis
- haemodynamic instability
- nausea
- recent oesophageal surgery
- severe bronchospasm
- poor cognition or fatigue
