Independent Secretion Removal Techniques Flashcards

1
Q

Active Cycle of Breathing:

This is more removal of more peripheral secretions that _____ may not clear

A

Coughing

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2
Q

Active Cycle of Breathing:

The pt should be breathing in a _______, __________, fashion

A

Controlled

Diaphragmatic

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3
Q

Active Cycle of Breathing:
Perform thoracic expansion exercises with or without _______ and _______
These are deep __________ with a HOLD AT THE TOP, if possible

A

Percussion and shaking

INHALATIONS

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4
Q

Active Cycle of Breathing:

Controlled _____ _____. Then the pt decides what is needed next

A

Diaphragmatic breathing

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5
Q

Active Cycle of Breathing:

If no secretions seem to be mobilized, pt can go to the next steps of ______ ______ ______ and/or _______

A

Forced expiratory huffs

Coughing

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6
Q

Active Cycle of Breathing:
If pt believes that secretions can be cleared, they should resumed controlled _____ _____
Then repeat as needed

A

DB

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7
Q

Active Cycle of Breathing: For forced expiratory huffs, inhale at resting _____ _____
Contract _________ muscles to produce one or two forced expiratory huffs from _____ to _____ lung volume to raise secretions

A

Tidal volume
Abdominal
Mid to low

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8
Q

Active Cycle of Breathing: For coughing, huff from _____ lung volume or cough to clear

A

HIGH

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9
Q

Active Cycle of Breathing:

Try to list the steps… (4)

A
  1. Breathe in controlled diaphragmatic fashion
  2. Thoracic expansion exercises (deep inhalation with hold at top)
  3. Controlled DB and pt decides what is needed next.
    3a. No secretions: forced exp. huffs and/or coughing
    3b. Secretions: resume controlled DB
  4. Repeat as needed
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10
Q

Autogenic Drainage: used to sense peripheral secretions and clear them without _______ _______ from coughing

A

Tracheobronchial irritation

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11
Q

Autogenic Drainage: Amount of time spent in each phase is determined by where the pt _____ ____ ______

A

Feels the secretions

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12
Q

Autogenic Drainage: What are the 3 phases (list)

A

Unstick phase
Collect phase
Evacuation phase

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13
Q

Autogenic Drainage:

Unstick phase: _____ breathing and ___ lung volumes to effect peripheral secretions

A

Quiet

Low

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14
Q

Autogenic Drainage:

Collect phase: breathing at ___ lung volumes to effect secretions in the ______ airways

A

MID

MIDDLE

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15
Q

Autogenic Drainage:
Evacuation phase: breathing from ____ to ____ lung volumes to clear secretions from _____ airways
Replaces coughing as the means to clear secretions

A

Mid to High

Central

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16
Q

Autogenic Drainage:

Repeat the phases until all secretions ________

A

Removed

17
Q

Flutter/Acapella Device:
Pt uses external device that _______ the airways on __________ to improve airway clearance with intermittent ______ ______ ______

A

Vibrates
EXHALATION

Positive expiratory pressure

18
Q

Flutter/Acapella Device:

Pt breathes in normal ____ ____ through the nose or around mouthpiece of the FLUTTER device

A

TV

19
Q

Flutter/Acapella Device:

Pt then ________ through the device, setting up vibration within the airways

A

Exhales

20
Q

Flutter/Acapella Device:

What position of the device is the most vibration possible with exhalation?

A

TIPPED position

21
Q

Flutter/Acapella Device:

Normal TV… then exhaling through the device should be repeated how many times?

A

5-10x

22
Q

Flutter/Acapella Device:
After normal TV, and exhalation through the device repeated 5-10x, the pt then breathes in full ______ through nose/mouthpiece

This is followed by a __-second hold at the top of inhalation and rapid forced ______ through flutter

This should be repeated how many times?

Then after this… the pt should ____/_____ to clear secretions

A

Inhalation
3 second
Exhalation

2-3x

Huff/cough

23
Q

Low pressure positive expiratory pressure (PEP) mask:

Pt uses _____ expiratory resistance to remove secretions

A

POSITIVE

24
Q

Low pressure positive expiratory pressure (PEP) mask:

Low pressure PEP = ______ cm H20

A

10-20

25
Q

Low pressure positive expiratory pressure (PEP) mask:
Seated pt breathes at _____ with mask
After (how many?) breaths, mask is ________ for cough/huff
Repeat until all secretions removed

A

TV
10
REMOVED

26
Q

High PEP mask:

Pt with ______ airway uses ____ expiratory pressure via face mask

A

Unstable

HIGH

27
Q

High PEP mask:

High pressure PEP = _______ cm H2O, where the pt is able to exhale a larger ____ with the mask than without

A

50-120

FVC

28
Q

High PEP mask:
Seated pt breathes at ___ with mask
After __ breaths, huff from ____ to ____ lung volumes is performed WITH MASK IN PLACE

A

TV
10
High to low

29
Q

High Frequency Chest Wall Oscillation:

Pt wears a _____ that fills with air then rapidly ___/___ pressure

A

VEST

Inc/dec

30
Q

High Frequency Chest Wall Oscillation:

Pressure oscillation _____ secretions in the airways

A

Loosens

31
Q

High Frequency Chest Wall Oscillation:

Freq is set to ________ Hz and pressure is inflated until snug on pt

A

12-16

32
Q

High Frequency Chest Wall Oscillation:

Time = _________ min with breaks to cough and drink water

A

20-30

33
Q

High Frequency Chest Wall Oscillation:

Can be completed in _______ _______ positions

A

Postural drainage