Bronchial Hygiene Equipment Flashcards Preview

Principles and Practices of Resp II > Bronchial Hygiene Equipment > Flashcards

Flashcards in Bronchial Hygiene Equipment Deck (41):
1

Flutter Valve gravity?

gravity independent (must remain upright, have patient sitting up)

2

Flutter Valve directions and purpose

Start with flutter horizontal to floor, creates PEP and oscillation, have pt take a larger than normal breath, breath hold, and seal lips on mouthpiece, exhale actively, keeping cheeks stiff, perform 5-10 breaths until suppressed cough. perform 1 or 2 larger inspirations f/b forceful exhalation

3

Flutter oscillation frequencies are

b/w (body weight) 2-32Hz (hertz)

4

what does flutter valve do

creates PEP and oscillation

5

Oscillation

Movement

6

PEP

Positive Expiratory Pressure

7

EzPAP parts

Wavy end= ambient air inlet, air inlet= gas inlet port, white port= pressure monitoring port with cap (cap if not monitoring)

8

EzPAP flow setting is normally

5-7 lpm

9

Can you use EzPAP with mask?

yes, must create a seal

10

Can EzPAP deliver nebulizer

yes

11

EzPAP rules

slow inhalations and exhalations by the patient will maintain adequate airway pressure during the breathing cycle (maintain mouth or mask seal)

12

Therapeutic PAP pressures are

10-20cmH2O

13

Acapella Valve positives

Can be used in any position, with mask. Can be used to deliver nebulizer. Also produces PEP and oscillation.

14

Acapella technique

Instruct pt to hold larger than normal breath, hold breath., Create lip seal or mask seal, Instruct an exhalation for 1:3 or 1:4 ratio. Adjust to pt needs, have pt perform 10-20 breahs, perform coughing technique and repeat

15

Acapella oscillation frequencies reproduce

0-30 Hz

16

Acapella is adjustable

increasing the frequency (+) increases the PEP pressure which can be measured with pressure manometer

17

TheraPEP directions

Have pt sit up, take a breath slightly larger than normal, exhale actively but not forcefully, perform 10-20 breaths, remove treatment and cough, evaluate for independent use

18

TheraPEP therapeutic pressures

10-20cmH2O are indicated between lines, resistance can be increased or decreased

19

How many breaths on TheraPEP

10-20 breathes

20

Aerobika

OPEP therapy (oscillating positive expiratory pressure), inhale deeply on mouthpiece and hold 2-3 seconds and exhale 3-4 times longer than the inspiratory breath, continue for 10-20 breaths. perform 2-3 huff coughs to clear an airway. repeat

21

Metaneb details, blue ring=

changes resistance

22

Metaneb details, black ring=

used when delivering therapy through a ventilator

23

Metaneb requires

special circuit and adaptors

24

Metaneb can be delivered through

Mouthpiece, mask, Tracheostomy tube, and in line with the ventilator circuit

25

Vest- HFCWC Therapy, fitting full vest

top of the hipbone snug without being restricing

26

Vest-HFCWC therapy, fitting wrap vest

Fasten to pt during inspiration, snug without restricting

27

Vest-HFCWC therapy, fitting Chest Vest

inhale deeply and secure flaps to the front under the arm

28

Generic settings on vest

10-30 minute treatments, frequency 10-14 Hz, Pressure; 1-4 for the front vest/ 5-6 for the full vest

29

Cough assist

Delivers a positive pressure to assist with a deep breath (a deep breath is needed to produce an effective cough)

30

What is needed to produce an effective cough

Deep breath

31

Inspiratory pressure on cough assist/ vacuum pressure

25-35 cmH20 for 1 to 2 seconds followed by expiratory vacuum pressure -30 to -40 cmH20 for 1 to 2 seconds (this cycle mimics a cough by pulling the air out of the airways)

32

Cough assist cycles

Perform 5 cycle breaths followed by normal breathing for 30 seconds, repeat until secretions are cleared

33

Insufflation

inspiration

34

Exsufflation

Expiration

35

Cough Assist can be used with

Trach tube, mouthpiece, or mask

36

Postural Drainage, position held for how long

5-10 minutes, total treatment time 20-30 minutes up to an hour

37

Head down position should exceed

25 degrees below horizontal (HESS: 12-18 inches)

38

Important for Postural Drainage

Adequate hydration for secretion mobility, avoid strenous coughing, usually performed with percussion and vibration,

39

Hand clapping- percussion directions

Hand positioned 3 inches from chest, strike chest in waving movement

40

Hand clapping

Rhythmic striking of the chest wall in a wave like motion using both hands, hands in cupping position (relaxed), usually performed over a piece of thin clothing (gown), percuss back and forth in a circular pattern for 5-10 minutes, never percuss over bony prominences (clavicle/ vertebrae)

41

How can specialty beds help?

??