LET

Question 1

What is another name for LET

Answer 1

Hyperinflation therapy

Question 2

What demographic benefits the most from pursed lip breathing

Answer 2

COPD

Question 3

IS Description

Answer 3

Low-level resistance
Maximum inspiration
Goal-oriented
Flow or volume

Question 4

How much PEP is delivered to patients with (PEP)

Answer 4

Up to 20 cm H2O

Question 5

What is the use of the PEP mask

Answer 5

Intermittent therapy

Question 6

How should the patient exhale using PEP

Answer 6

Gently

Question 7

How much long should exhalation last for PEP compared to inhalation

Answer 7

Three times longer

Question 8

What should a patient do after preforming PEP

Answer 8

3 huffs

Question 9

What anatomical pressure does CPAP elevate

Answer 9

Intrathoracic
Alveolar

Question 10

What capacity does CPAP increase

Answer 10

FRC

Question 11

Is CPAP delivered continuously or intermittently

Answer 11

Both

Question 12

Is CPAP delivered invasively or non-invasively

Answer 12

Both

Question 13

Explain bubble CPAP

Answer 13

A water column threshold resistors

Water is adjusted to achieve pressure

Used with neonates

Uses continuous flow source at a specific FiO2

Question 14

Explain CPAP spring-loaded valve (how much pressure)

Answer 14

Creates PEP as spring exerts force against plastic disk

5-20 cm H2O

AMBU PEEP valves

Question 15

Explain CPAP magnetic valves (pressure)

Answer 15

Uses a solenoid to create a electromagnetic force when current passes

3-30 cm H2O

Used in mechanical ventilator

BE142 magnetic PEEP valves

Question 16

What triggers IPPB

Answer 16

Spontaneous breathing

Question 17

How is IPPB cycled

Answer 17

Flow, pressure, or time

Question 18

How is IPPB utilized

Answer 18

Stand-alone positive pressure device

Invasive or non-invasive ventilator

Question 19

Is IPPB powered with pneumatic or electric

Answer 19

With either one

Question 20

Settings for IPBB application

Answer 20

Inpatient, outpatient and home

Question 21

Interface for IPPB

Answer 21

Mouthpiece
Mask
Mouth shield
Direct connection to artificial airway

Question 22

IPPB brief treatment length

Answer 22

20 minutes to 1hour

Question 23

How is the patient seated for IPPB

Answer 23

Semi fowler

Question 24

Pressure for IPPB

Answer 24

10-15 cm H2O

Question 25

Use for IPPB

Answer 25

Postoperative atelectasis

Question 26

Inspiration to expiration ratio for IPPB

Answer 26

1:3

Question 27

What is EzPAP a hybrid of

Answer 27

IPPB and PEP

Question 28

What does IPPB enhance

Answer 28

Collateral ventilation

Question 29

Flow range for EzPAP

Answer 29

5-15L/min

Question 30

When is pressure delivered with EzPAP

Answer 30

Exhalation

Question 31

What decreases the PEP received with EzPAP

Answer 31

Greater inspiratory flow

Question 32

EZPAP versus IS

Answer 32

EZ- positive during inspiration and expiration Usually more comfortable to patients (pressure can be uncomfortable)

Question 33

Directions for directed cough

Answer 33

Deep breath and hold with abdominal muscles forcing air to closed glottis Cough with a single exhalation Take several normal before next attempt

Question 34

Huff cough directions

Answer 34

3-5 diaphragmatic breaths Exhale from mid to low lung (clears peripheral AW) Take normal breath and squeeze out by contracting abdominal and glottis Exhale from high to mid lung when secretions reach larger AW

Question 35

Indication for mechanical cough assist

Answer 35

Trauma Muscular dystrophy Myasthenia gravis Poliomyelitis Spinal cord injury

Question 36

What is autogenic drainage

Answer 36

A technique that uses large breathes out to loosen mucus in the lungs (CF kids)

Question 37

How do you preform Auto drainage

Answer 37

Take a large breath in, hold in Take a small to normal breath in and hold Breath out through the mouth

Question 38

Inspiratory and expiratory flows for the mechanical cough assist

Answer 38

3.3 to 10L/sec

Question 39

Positive and negative pressure for mechanical cough assist

Answer 39

60 to -60 cm H2O

Question 40

Mechanical cough assist interfaces

Answer 40

Oronasal mask Mouthpiece Connection to ETT