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Flashcards in IS Deck (15):
1

. IS devices are designed to mimic natural sighing by encouraging patients to take what kind of breaths

slow, deep breaths.

2

IS has been shown to be an efficient and effective prophylaxis against

postoperative atelectasis in high-risk patients

3

You should encourage the patient to do what at the end of their inspiration?

5- to 10-second breath hold

4

What pressure gradient causes gas to flow from the airway into the alveoli

transrespiratory

5

the greater the transrespiratory pressure gradient, the more

that lung expansion occurs

6

Indications for Incentive Spirometry
•Presence of pulmonary ______
•Presence of conditions predisposing to atelectasis
•Upper abdominal surgery
•Thoracic surgery
•Surgery in patients with COPD
• Presence of a restrictive lung defect associated with quadriplegia or dysfunctional diaphragm

atelectasis

7

Indications for Incentive Spirometry
•Presence of pulmonary atelectasis
•Presence of conditions predisposing to atelectasis
•Upper ______ ______
•Thoracic surgery
•Surgery in patients with COPD
• Presence of a restrictive lung defect associated with quadriplegia or dysfunctional diaphragm

abdominal surgery

8

Indications for Incentive Spirometry
•Presence of pulmonary atelectasis
•Presence of conditions predisposing to atelectasis
•Upper abdominal surgery
•______ surgery
•Surgery in patients with COPD
• Presence of a restrictive lung defect associated with quadriplegia or dysfunctional diaphragm

Thoracic

9

Indications for Incentive Spirometry

•Presence of pulmonary atelectasis
•Presence of conditions predisposing to atelectasis
•Upper abdominal surgery
•Thoracic surgery
•Surgery in patients with COPD
• Presence of a restrictive lung defect associated with quadriplegia or dysfunctional diaphragm
• Reduced cough effort.

10

Contraindications

• Patient cannot be instructed or supervised to ensure appropriate use of device
• Patient cooperation is absent, or patient is unable to understand or demonstrate proper use of device
• Patient is unable to deep breathe effectively (e.g., with VC < 10 ml/kg or IC < predicted)
• Presence of an open tracheal stoma is not a contraindication but requires adaptation of the spirometer

11

Hazards and Complications

• Ineffective unless closely supervised or performed as ordered
• Inappropriate as sole treatment for major lung collapse or consolidation
• Hyperventilation
• Barotrauma (emphysematous lungs)
• Discomfort secondary to inadequate pain control
• Hypoxia owing to break in mask O2 therapy
• Exacerbation of bronchospasm
• Fatigue
• Hyperventilation and respiratory alkalosis
• Discomfort secondary to inadequate pain control
• Pulmonary barotrauma
• Exacerbation of bronchospasm

12

successful application of IS involves three phases:

planning, implementation, and follow-up.

13

Correct technique calls for

diaphragmatic breathing at slow to moderate inspiratory flows.

14

probably the most effective way to assist patient understanding and cooperation

Demonstration

15

an IS regimen should probably aim to ensure a minimum of

5 to 10 SMI maneuvers each hour.