Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

CardioPulmoaryPT1 > Airway Clearance Tech's and Mobilization > Flashcards

Airway Clearance Tech's and Mobilization Flashcards

1
Q

Airway Clearance Tech’s and Mobilization

AKA

A

Pulm Hygiene

Chest PT

Bronchial Hygiene

Pulmonary Toileting**** (get “Stuff” OUT)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Pulmonary Hygiene Tech’s

What are they?

A
  • Manual or mechanical procedures that facilitate mobilization or secretions from airways
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Pulmonary Hygiene

Optimal Airway Clearance Choice based on:

A
  • pathophys and sx’s
  • stability of medical status
  • pts adherence
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Pulmonary Hygiene

The Pt Exam BEFORE, DURING, AFTER Tx tells us what?

A

provides info to judge pt tolerance and tx effectiveness !!!

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Pulmonary Hygiene

GOALS:

A
  1. Optimize airway patency
  2. INC ventilation and perfusion (V/Q) matching
  3. Promote alveolar expansion
  4. INC gas exchange
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Pulmonary Hygiene

Precautions

A
  • MEALS
    • No Trendelenberg
  • Meds***
    • Bronchodilators vs. Antibiotics
      • ​we WANT bronchodilators PRIOR TO interventions to OPEN UP BRONCHIOLES
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

WHEN is Pulm Hygiene indicated?

A
  • ANY Dx that affects Ventilation in V/Q equation
    • ​V is abnormal
    • Q is OK
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Ex. Dx’s in which Pulm Hygiene is Indicated

A
  1. CF
    1. Obstructive– change in mucus boundary
      1. fluid in lungs, mucus EVERYWHERE
  2. Bronchiectasis
    1. Obstructive–permanent dilation of bronchia
      1. lung tissue dilates/loses integrity
  3. Atelectasis
    1. alveolar collapse
  4. Trunk + Access. mm weakness
  5. Life support: mech. vent or post-op
  6. Neonate resp distress syndrome and bronchopulm dysplasia
  7. ASTHMA
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Pulm Hygiene

The List

A

see below

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Diaphragm Innervation

A

Phrenic C3, C4, C5

Keeps the Diaphragm Alive!!!

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Coughing

2 Types :

A
  1. Splinted
  2. Assisted Cough (forceful thrust of T/S bc cannot use abs)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Coughing

Splinted Cough

Everything you know about it…

A
  • Hug pillow/squeeze and cough
  • Trying to match pressure in vs. pressure out
  • Recommended post-op bc PAIN when they cough normally—–Pillow is like a crutch
    • ​prevent rib cage pressure on mm’s
    • pillow is for external pressure to match internal pressure
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Coughing

Assisted Cough

A
  • SCI pts!!!!
  • BIG thoracic flexion for cough
    • ​literally extend spine, inhale, THROW BODY FORWARD and forceful cough !!!
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Coughing

What do we WANT?

A

PRODUCTIVE, EFFECTIVE COUGH!!!

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Postural Drainage Pos’s

Tips and tricks to remember

A
  • If it is ANTERIOR (on FRONT side of body)
    • ​they must start SUPINE
  • If it is POSTERIOR (on BACK side of body)
    • ​they must start PRONE
  • If it is MIDDLE LOBES
    • ​Raise feet up 12 in.
  • If it is BASAL/LOWER LOBES
    • ​Raise feet up 18 in.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Postural Drainage

A

One or more body pos’s that allow gravity to assist w/ draining secretions from ea. lung segment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Postural Drainage

The pos’s can be modified to address what?

A

Precautions and/or relative contraindications

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Postural Drainage

Where does our priority lie?

A

given to most affected lung segment FIRST

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Postural Drainage

Duration?

A

5-20 mins

  • If they can be ALONE you can leave them in it longer bc they can independently move
  • 5 mins IF coordinated w/ another technique
  • NEVER leave pt unattended UNLESS they can indep. reposition themselves
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Postural Drainage

Some Advantages:

A

easy to learn for pt.

easy to coord. w/ diff. tx’s

No $$$

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Postural Drainage

Disadvantages

A

Contraindicated for lg. group of pts

Adherence is diff. bc we recommend 20mins

KIDS CANNOT JUST SIT FOR 20mins

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

You KNOW the segments and postural drainage positions

Reminder for Right POST. lobe and Left POST. lobe

Remember these are BOTH on BACK of body….and UPPER lobes

A
  • Right Post. UPPER lobes
    • have to START Prone, then put them on LEFT side, ELEVATE right side
  • LEFT Post. UPPER lobes
    • SAME as Right BUT now lean them onto RIGHT, ELEVATE Left side w/ pillow and RAISE HEAD OF BED UP!!!!
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

POSTURAL DRAINAGE

Precautions

*Remember HAMP

A
  • Hemoptysis
  • Ascites
  • Morbidly obese
  • Pulmonary Embolism
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Postural Drainage

More Precautions

From lecture vs. lab

A
  1. Pulm Edema
  2. Hemoptysis
  3. Obesity
  4. Lg. pleural effusion
  5. Ascites

Still remember HAMP !!!

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Postural Drainage

Relative Contraindications

NEVER DO if have these

A
  1. Recent head trauma/INC’d ICP
  2. Spinal fusion or Sx
  3. Hemodynamically unstable
  4. Diaphragmatic hernia
  5. Recent eye sx
  6. Esophageal anastomisis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

Percussion Technique

Mvmt of hand/wrist w/ CUPPED hand==pod of air

A
  • Chest percussion aimed @ loosening retaining secretions
    • ​manual OR mechanical
    • its ALL in the wrist
    • lean your forearm on pt.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

Vibration Technique

A
  • Manual OR mechanical
  • utilized IN postural drainage pos’s to clear secretions
  • REMEMBER
    • ​Start the vibration as they EXHALE!!!
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

Percussion

Advantages vs. Disadvantages

*REMEMBER BETTER TO DO IT ON SKIN!!!

A
  • Advantages
    • ​zero cost
    • GOOD adherence
    • can be done on infants, children, newborns
    • relaxing for kids
    • can utilize postural drainage AND percussion same time
    • Watch O2sats AND vitals during
  • Disadvantages
    • ​CTS risk
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

Percussion

Duration?

A
  • Until secretions coughed up
  • 2-5 mins
  • or PT fatigues
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

Percussion

Advantages

A
  1. infants, young children
  2. Postural drainage + percussion==> effective and good adherence
  3. Monitor O2 sats and vitals during
  4. zero cost
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

Percussion

Disadvantages

A
  • Repetitive percussion from caregiver==> INC risk CTS (Carpal Tunnel Syndrome)
  • NOT tolerated well in pts w/ issues in pain mgmt or coagulation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

Vibration

HOW performed and utilized WHEN?

A

Mech. OR manual & utilized IN postural drainage pos’s

*rapidly shaking or vibrating shoulders

ONLY DURING EXHALATION!!!

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

Vibration

Advantages:

A
  1. GOOD if you fatigue bc 2s rest break
  2. moves secretions
  3. well tolerated by pts
  4. Use on post-sx pts
  5. Encourages INC VT
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

Vibration

Disadvantages

A
  1. need someone to help you if no mech.
  2. Adherence impaired bc caregiver avail.
  3. Cannot coordinate if RR too high
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

Percussion and Vibration

Precautions

Uncontrolled bronchospasm THEN all the MSK stuff…

A
  1. uncontrolled bronchospasm
  2. osteoporosis
  3. Rib fx
  4. metastatic cancer to ribs
  5. tumor obstruction in airway
  6. anxiety
  7. coagulopathy
  8. convulsive OR seizure disorder
  9. Recent pacemaker
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

Percussion and Vibration

Contraindications

DO NOT DO

A
  1. Hemoptysis
  2. Untx’d tension pneuomothorax
  3. platelet count <20,000/mm^3
    1. likely to bleed
  4. hemodynamically unstable
    1. BP not nrml, vitals not nrml
  5. open wounds, burns in T/S
  6. PE
  7. subcutaneous emphysema
    1. air pocket under skin
  8. skin grafts/flaps on thorax
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

Active Cycle of Breathing Technique

ACBT

Consists of what?

A

series of maneuvers performed by pt to emphasize IND in secretion clearance & thoracic expansion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
38
Q

ACBT

3 Components:

A
  1. Breathing Control
  2. Thoracic Expansion Exs
  3. Forced Expiratory Exs aka Huffing
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
39
Q

ACBT

Breathing control phase

A
  • VT breaths AND emphasis on diaphragmatic breathing
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
40
Q

ACBT

Thoracic Expansion Exs

A
  • DEEP breaths (Vital Capacity, VC breaths)
    • Can add percussion/vibration here
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
41
Q

ACBT

Forced Expiratory Exs

aka Huffing

“Fogging the mirror”

A
  • DEEP breath THEN cough w/out closing epiglottis
    • Think of fogging up a mirror
  • Cycle:
    • ​TV–> VC–> forced exhale (like a big siiiiighh)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
42
Q

ACBT

Advantages

A
  1. Flexible—> any pos.
  2. Inexpensive
  3. Children as young as 4yo
  4. relieves caregiver
  5. Research is substantial
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
43
Q

ACBT

Disadvantages

A
  • Time consuming
    • 20 mins
  • Boring
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
44
Q

Airway Clearance Tech’s or Cough assist machines

What are they?

A
  • Mech. apply force to body or intermitt. press. changes to airway to assist insp/exp. mm function
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
45
Q

Airway Clearance

Mech. Cough Machine

A
  • Delivers deep insufflations IMMED. followed by deep exsufflations
    • ​MAY add in abd. thrust, min. coughs
  • Forceful insp/exp. excursions
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
46
Q

Suctioning is performed routinely for what patients?

A
  • Routinely for intubated pts (mech. vents) to facilitate removal of secretions & stim. cough reflex
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
47
Q

Suctioning

Pts w/ artifical airways can be instructed in 2 things:

A
  1. Huffing
  2. Cough assist. tech’s
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
48
Q

Suction cath’s can only reach how far?

A

To the lvl of mainstream bronchi

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
49
Q

Suctioning should be LAST RESORT

Why?

A

Invasive!!!

Every suction is minor trauma to bronchi

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
50
Q

Suctioning is a ______ technique

A

Sterile

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
51
Q

Therapeutic Breathing

Consists of 2 components

A
  1. Therapeutic pos. techniques
    1. like in what pos. is best for V/Q and to open airways?
  2. Ventilatory mvmt strategies
    1. again we want to improve V/Q
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
52
Q

Therapeutic Breathing

This will asisst w/ progression from _____ to ______

A

from DEP. to INDEP. in mobility and breathing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
53
Q

Therapeutic Breathing

Indicated for pts w/:

A

Weakness of the Diaphragm!!!

54
Q

Therapeutic Breathing

We want to emphasize 2 components of breathing with UE mvmt

A
  • Emphasize inspiratory effort breathing w/ UE mvmt
  • Emphasize expiratory effort breathing w/ UE mvmt
55
Q

W/ Therapeutic Breathing

Breathing tech’s must be PROGRESSED to……

A

Functional Activities

*see if they can coordinate their breathing pattern DURING functional acts

56
Q

W/ Therapeutic Breathing

Pos. of the body GREATLY influences what?

A

Influences ventilation and respiration

57
Q

W/ Therapeutic Exs

What body position is beneficial?

A

PRONE!!!

58
Q

Therapeutic Breathing

Positioning basically…..

A

Put human in a pos. that helps facilitate breathing or some component of pulm system

59
Q

Therapeutic Breathing

Positioning for Dyspnea Relief

Tripod or Professional Position

A

Tripod breathing—-YOU KNOW AND HAVE USED THIS!!!

  • arms supported allows access. breathing mm’s to act on rib cage allowing MORE expansion for INSPIRATION
60
Q

Suctioning goes down to mainstem bronchi to where?

A

Bifurcation of Bronchi

61
Q

This type of Therapeutic Position for Breathing switches origin and insertion and pulls OUT the ribcage for DEEPER INSP.

A

Tripod OR Professional Posture

62
Q

Autogenic Drainage

3 Phases

*ALL related to secretions

*NO VALSALVE

A
  • Phase 1
    • ​collecting, TV breathing, prevent bronchospasms
  • Phase 2
    • ​evacuate secretions, IR and HOLD breath—> Huff
  • Phase 3
    • ​Nasal VT
    • In/Out thru nose
63
Q

Diaphragmatic Controlled Breathing

Used to manage 3 things:

A
  1. Dyspnea
  2. Reduce atelectasis
  3. INC oxygenation
64
Q

Diaphragmatic Breathing

Facilitates _________

Reduces___________

A
  • Facilitating OUTWARD motion of abd. wall while
  • Reducing upper ribcage motion during INSP.
65
Q

4 Other Tech’s w/ Diaphragmatic Breathing

A
  1. Sniffing
    1. ​engages diaphragm—> teach like diaphragm is an elevator trying to go DOWN!!!
  2. Scoop Tech.
    1. ​facilitates diaphragm recoil
  3. Obj’s/Wts ON abdomen
    1. ​BELOW xiphoid== activates abs
  4. Manual Trigger during Exhale
    1. ​“Quick Stretch”
66
Q

Diaphragmatic Breathing

Upper chest inhibiting tech.

A
  • Inhibiting UPPER CHEST can help pt recruit diaphragm during INHALATION
    • ​Used AFTER other tech’s
67
Q

Lateral Costal Breathing OR

A

Segmental breathing

applying resistance to INSP/EXP

“Breathe into my hand”

68
Q

Pursed lip breathing prolongs and stabilizes what?

A

Trachea/Bronchi

*really a compensatory strategy to proloooooong exhale

69
Q

Pursed Lip Breathing does 3 things:

A
  1. DECs dyspnea
  2. Helps SLOW RR
  3. Beneficial for OLD
    1. ​bc retain CO2
70
Q

Pursed Lip Breathing Guidelines

A
  1. IN thru NOSE for 2s
  2. OUT thru MOUTH (pursed lips, blowing out candles) for 4s
71
Q

Paced Breathing OR…

A

REALLY just focusing/concentrating on breathing

*volitional control of breathing during activity

72
Q

Paced Breathing

A
  • Volitional control of breathing during act.
  • REALLY INTENTIONAL
    • ​Designated time interval for breathing
      • YOU CAN MAKE IT UP!!!
        • EX. IN for 3s, OUT for 6s
  • Anxiety, cardiac/pulm dis’s
73
Q

INSP MM Training

Indicated for pts w/ S/S of:

A
  • DECd strength or endurance of diaphragm or intercostal mm’s
74
Q

S/S of need for Inspiratory MM Training: 5

A
  1. DECd chest expansion
  2. DECd breath sounds
  3. SOB
  4. Uncoordinated breathing
  5. Bradypnea (<12 breaths/min)
  6. DECd tidal volume
75
Q

Insp MM Training (IMT)

GOALS:

A
  1. INC vent. capacity
  2. DEC dyspnea
76
Q

IMT program consists of two parts:

A
  1. Strengthening
  2. Endurance
77
Q

IMT Training devices

A
  1. Handheld devices
  2. Incentive Spirometers (GOOGLE)
78
Q

PEP or Positive Expiratory Pressure is for……

A

Consolidations

79
Q

PEP or

A

Resisted Exhale

80
Q

PEP does WHAT to secretion

A

Unsticks secretions

81
Q

Positive Expiratory Pressure or PEP

The process or HOW to do:

A
  • “Slowly inhale beyond normal breath”
  • HOLD breath for 2s
  • Keep cheeks stiff
  • EXHALE thru flutter valve

We are training exhalation!!!

82
Q

Positive Expiratory Pressure and Kids

A

BUBBLES!!!!

  • Long straw== >PEP bc longer distance to reach liquid
  • Short straw==

***make it @ least 12in***

83
Q

PEP for kids

ex. BUBBLES

Advantages

A

Caregiver IND

Good for “rewarding” cognitively impaired

children <4yo

inexp.

84
Q

PEP in KIDS
Disadvantages

A

Adherence

85
Q

Vest that does high freq. chest wall oscillation @ LOW PRESSURES

A
  • High freq chest wall oscillation vest
86
Q

Chestwall Oscillation

Advantages

A
  • Can be used w/ other interventions
  • Sized as you grow
  • works LONG TERM–> no tolerance build up
87
Q

Chest wall oscillation vest

Disadvantages

A

If you don’t have health insurance, you cannot afford it

VERY $$$$

88
Q

PFT tests are looking @:

A

V/Q matching!!!!!

89
Q

PNF and whether or not it INCs Pulmonary Function

A

YES!!!!

  • Significant Improves in:
    • ​ERV
    • VC
  • HIGHER pulm function
  • **PNF resp. Ex IS effective @ INC pulm function of norm. adults
90
Q

PNF for airway clear.

INSP vs. EXP

A
  • INSP
    • during Thoracic EXT or ROT.
    • as ribcage expands
  • EXP
    • as things CLOSE BACK DOWN
91
Q

What 2 forms of exercise should be used in acute care setting?

A

Endurance AND strength training!!!

92
Q

BOTH endurance and strength training should be used in acute care setting why?

A

PREVENT and TREAT negative NMSK sequelae of critical illness

93
Q

What is the goal of endurance training in acute care setting?

A

MAXIMIZE IND and efficiency when pt performs ADLs

94
Q

Systemic Effects of Immobilization ESP affects you if….

A

Bed bound >/= 3 days

95
Q

Systemic effects of immobilization in a nutshell….

A

Multiple organ impaired function

96
Q

Systemic Effects of Immob.

Cardiac

A
  • INCd RHR
  • DEC HR MAX
  • DEC VO2max
  • Orthostatic HypOtension
  • DECd SV
    • tot. volume blood leaving ea. ventricle per contraction of heart
    • EDV-ESV
97
Q

Systemic Effects of Immob.

Vascular

A
  • INCd platelet coagulation
  • DECd Hgb conc. and DECd blood volume
    • anemia, DVT, clotting
  • Venous stasis
  • INCd venous compliance (stiffness)
98
Q

Systemic Effects of Immob.

Respiratory

A
  • DECd VC
  • DECd RV
  • DECd Pa02
  • Weak cough/non-effective
  • INCd V/Q mismatch
  • INCd risk infection
    • in lungs—esp. part not using
99
Q

Systemic Effects of Immob.

MSK

A
  • DECd mm mass
  • DECd strength
  • DECd mm endurance
  • Jt contractures*
100
Q

Systemic Effects of Immob.

Integumentary

A
  • Decubitus Ulcers
    • pressure wounds
101
Q

Systemic Effects of Immob.

CNS

A
  • Cognitive deficits
  • Delirium
  • Anxiety
  • Altered sleep/wake cycle
102
Q

Systemic Effects of Immob.

Metabolic

A
  • INCd insulin resistance
  • Anorexia
  • DECd ability to process/clear specific meds
103
Q

Systemic Effects of Immob.

Osteo

A
  • HYPERcalcemia
  • Osteopenia
  • Osteoporosis
104
Q

Systemic Effects of Immob.

GI

*when IMMOBILE==> SNS activated, ANS deactivated (rest/digest disrupted)

A
  • paralytic ileus
  • constipation
  • bowel obstruction
105
Q

Systemic Effects of Immob.

Renal

A

Diuresis

*Kidneys filter TOO MUCH bodily fluid== INC urine production + freq. to use bathroom

106
Q

Benefits of EARLY MOBILIZATION

What are the BIG 3?:

A
  1. Do NOT want PNA
  2. NO bedsores

3. NO clots

107
Q

Is bedrest warranted?

If Meds:

A
  • multiple vasopressors
  • fibrolytics
    • ​blood too thin w/in 24hrs
      • ​ex. TPA
108
Q

Is bedrest warranted?

if Hemodynamically unstable:

A
  • Acute MI
  • unstable arrhythmias
109
Q

Is bedrest warranted?

If certain life-support machines

*bc the way the lines are attached to indiv.

A
  • femoral IABP
  • femoral ECMO
  • ICP monitors
110
Q

Is bedrest warranted?

Hospice

A

Pt. dictated care

*depends on what they want*

111
Q

Is bedrest warranted?

Excessive Pain: “Goal being to minimize pain”

A
  • burns/trauma/wounds
  • WB precautions!!!
    • ​ONLY SW or Ax. Crutches!!!!!!!
112
Q

is bedrest warranted?

Dependent Edema: “Rest, Ice, Compression, Elevation”

RICE

A
  • IF
    • Post-trauma
    • post-sx
    • peripheral edema control
113
Q

Is bedrest warranted?

Specific MD activity orders:

A

Bed Rest

OOB to chair

BR

ad lib

114
Q

Rx Mob. for Pulm Pt

Step 1: PT exam

A

what factors are negatively affecting pts V/Q?

115
Q

Rx Mob. for Pulm pt

Step 2: Parameters

A

*are there any parameters worth monitoring?

*what monitors are avail?

116
Q

Rx Mob. for Pulm Pt

Step 3: Is mobility feasible and safe?

A

*check precautions and contraindications

117
Q

Rx Mob for Pulm pt

Step 4: What are the pts goals for today AND future?

A

!!!!!!!!!!!!

118
Q

Rx Mob. for Pulm pt

Step 5: Schedule session w/ interdisciplinary team

A

*nursing

*resp. tx

*family

119
Q

Rx Mob. for Pulm pt

Step 6: Match deficits in step 1, info in step 2, 3, and 4 w/ Mobilization, PD, percussion, vibration, pulm hygiene, etc.

A

!!!!!!!!

120
Q

Rx Mob. for Pulm pt

Step 7: Plan for duration and intensity

A

!!!!

121
Q

Rx Mob for Pulm pt

Step 8: Educate and carry it out!!!

A

!!!!!

122
Q

Rx Mob for Pulm pt

Step 9: Assess your rx’s effectiveness

A

!!!!

123
Q

Rx Mob for pulm pt

Step 10: change intensity, freq, duration based on response/effective. and parameters

A

!!!!!!!!!

124
Q

Rx Mob for Pulm pt

Step 11: Could anything be optimized?

A

RE-ASSESS!!!!

125
Q

RX MOB FOR PULM pt

****ACSM Parameters to Elicit Long-Term Effects:

KNOW THESE!!!!

A
  • Int: 40-85% or RHR based on Karvonen
    • ​Karvonen== %int(HRR) + RHR
      • ​HRR==MHR-RHR
        • ​MHR==220-age
      • Karvonen==Ex. HR==%int(HRR) + RHR
  • Duration: 20-40 mins
  • Freq: 3-5x/week
  • Mode: sitting tol, amb, therEX
  • Monitor: HR, BP, RR, Sa02

SAFETY IS PARAMOUNT!!!!!!!!

126
Q

Mob of Pulm pt

Functional mobility training may be initiated WHEN?

A

As soon as pt can roll B/L in bed w/ stable vital signs

127
Q

functional mobility training for pulm pt.

What does this entail?

A
  • Bed mobility
  • Transfers and Amb.
    • ​use of AD’s====TEACH THEM!
    • recruit personnel assist for equip. mgmt
    • Progress pt to LEAST RESTRICTIVE AD!!!
128
Q

HOW DO YOU CHOOSE AN INTERVENTION???

A
  • Pt Info:
    • age
    • motivation
  • Availabilty
  • Effectiveness
  • Clinical status
  • Lifestyle
  • Expense*****

Do Functional Mobility along w/ other interventions!!!

129
Q

LONG-TERM Effects Mobilization

A
  • Getting rid of secretions
  • INC functional capacity
  • Preventing future consolidations & PNA***​
130
Q
A

CardioPulmoaryPT1 (12 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions