case 4 Flashcards
(30 cards)
treatment for sputum retention in cystic fibrosis
active exercise- helps with mucocillary clearance
breathing techniques- active cycle of breathing
body positioning and precusions shaking
positive expiratory pressure
type off breathing techniques you would use to treat sputum retention in cystic fibrosis
active cycle of breathing
what helps with mucocillary clearance in cystic fibrosis
active exercises
outcome measures for sputum retention in cystic fibrosis
increase sputum expectoration - the act of discharging sputum
improved FEV1 and peak volume
what would indicate the outcome measure of increase sputum expectoration - discharge
indication of reduced crackles more productive coughing
lower heart rate — high heart rate above 60-100 in the case study
lower work of breathing
main treatment for fluid retention
postural drainage - gravity assisted
percussion, chest clapping
active cycle of breathing
assisted cough
components of cough
force inspiration
force expiration against a closed glottis
sudden opening of the glottis
compression of the airways due to abdominal contractions
what is peak expiratory flow volume
volume of air expelled from the lungs in one quick expiration
components of active cycle of breathing for fluid retention
breathing control
thoracic expansion
force expiration techniques
benefit of percussion for fluid retention
loosen secretions
benefit of postural drainage for fluid retention
help in air movement through different parts of the lungs
improve ventilation
cause of cystic fibrosis
defect in the CFTR gene which codes for a protein that functions as a chloride channel
sputum volume decreases and becomes more tenancious
resulting in sputum retention
what umbrella term does cystic fibrosis fit under
COPD
normal to have low SpO2 volumes
cystic fibrosis is caused by a defect in what protein
CFTR protein
cystic fibrosis transmembrane regulatory protein
normal respiratory rate
12-20 bpm
benefit of peak expiratory flow rate measuring outcome
assess airway obstruction and titration therapy
can help determine when to adjust medication or when factors in the enviornment is affecting your breathing
what is the peak expiratory flow rate
measures how fast a person can exhale , sputum retention can stop the person from exhaling quickly.
what is FEV1
force expiratory volume, the volume of air that you can expire in one second
what would a low FEV1 suggest
A breathing obstruction, fluid retention
How is FEV1 measured
using a spirometry machine, peak flow, forcefully breathing out after taking a deep breath in.
percentages of FEV1 ranging from severe to mild
mild 80%
moderate 50-79%
severe 30-49%
very severe less than 30%
describe the process of autogenic drainage
one hand on the stomach while one hand on the chest— breathe into the stomach before breathing into the chest
relaxed breathe out— so that you can air where the crackles may be
after the long breath out, take a very small breath in and then breathe out
once you hear the crackles sound move high, increase the breath in and very small breath out— this moves your breath to the middle of your lungs
take a slighly larger breath in to move to the top of your lungs and long breath out after small breathe in
then you may feel that you need to cough
primary aim of airway clearance
prevent the delay and onset of bronchiathesis
how is shaking and vibrations used to increase secretions in cystic fibrosis
short rhythmic squeezing to the chest while exhaling
