Therapeutic Procedures

Question 1

What position would you place a patient with ARDS?

Answer 1

Prone Position

Question 2

What position would you place a patient with CHF?

Answer 2

Fowler’s Position

Question 3

What position would you place an obese patient?

Answer 3

Lateral Fowler’s Position

Question 4

What position would you place a patient with unilateral lung disease?

Answer 4

Good lung down

Question 5

What is the indication for the use of an incentive spirometer?

Answer 5

Treatment of atelectasis
- patient must be willing and able to breathe spontaneously

Question 6

What is the indication of IPPB therapy?

Answer 6

• Prevention/correction of atelectasis
• Decrease WOB

Question 7

Contraindications of IPPB therapy

Answer 7

• Hypotension
• Untreated pneumothorax
• Elevated ICP

Question 8

What is a common hazard of IPPB?

Answer 8

Hyperventilation

Question 9

What is the purpose of Bronchial Hygiene Therapy?

Answer 9

• Improve mobilization of secretions and prevent accumulation
• Improve ventilation

Question 10

What are the indications for Bronchial Hygiene Therapy?

Answer 10

• Ineffective cough
• Accumulation of retained secretions

Question 11

For whom should bronchial hygiene be considered?

Answer 11

• Bronchiectasis
• Cystic Fibrosis

Question 12

What are the hazards of bronchial hygiene therapy?

Answer 12

Unstable
- Cardiovascular or pulmonary system
- Post-op status
- TB

Question 13

What is Fowler’s, Semi-Fowler’s, or Reverse Trendelenburg best for?

Answer 13

• Hypoxic patients
• Obese patients with dyspnea
• Post-op patients
• Pulmonary edema patients

Question 14

What is Trendelenburg position best for?

Answer 14

• Very low blood pressure patients
• Obese patient with a bronchial hygiene order

Question 15

What patients is huff coughing most effective for?

Answer 15

• COPD
• Head trauma patients to prevent increased ICP

Question 16

What range should the expiratory pressure for PEP therapy be?

Answer 16

10-20 cmH2O at mid-exhalation

Question 17

What kind of patients is Cough-Assist indicated for?

Answer 17

• Neurologic problems
• Muscle weakness

Question 18

When should Bronchial Hygiene Therapy be discontinued?

Answer 18

• Clear breath sounds and x-ray
• Ambulating well
• Strong cough

Question 19

Where should the HME be placed on the ventilator?

Answer 19

Between the wye and the patient

Question 20

What are the goals of aerosol therapy?

Answer 20

• Relieve bronchospasm
• Thin out thick secretions
• Administer drugs

Question 21

What are the hazards of aerosol therapy?

Answer 21

Cross Contamination

Question 22

What are MDIs and DPIs used to treat?

Answer 22

Asthma and COPD

Question 23

Desired FiO2 for COPD patient

Answer 23

24-28%

Question 24

Desired FiO2 for therapeutic procedure

Answer 24

30-60%

Question 25

Desired FiO2 for emergency

Answer 25

100%

Question 26

How to estimate FiO2

Answer 26

FiO2 increases by 4% for every 1L/min

Question 27

What is the most appropriate oxygen device for a COPD patient with a stable respiratory rate and tidal volume?

Answer 27

Nasal Cannula

Question 28

How much LPM does a simple mask need to be?

Answer 28

At least 6LPM to flush out exhaled CO2

Question 29

How much flow is on a partial nonrebreather mask?

Answer 29

6-10 L/min - Has NO one-way flap valves

Question 30

What are the indications of a non-rebreather mask?

Answer 30

- Used in an emergency to deliver 100% O2 (Pneumo, CO poisoning, CHF, Burns, etc.) - Mixed gas therapy (He/O2)

Question 31

What is the air entrainment mask/venturi mask best for?

Answer 31

COPD patients

Question 32

What is the contraindication of HFNC?

Answer 32

Patients with blocked nasal passages

Question 33

Duration of Cylinder Flow formula:

Answer 33

Duration (min.) = (gauge pressure x tank factor) / (liter flow)

Question 34

Tank factor for E cylinder

Answer 34

0.28 L/psi (0.3)

Question 35

Tank factor for H cylinder

Answer 35

3.14 L/psi (3.0)

Question 36

What is the purpose of CPAP?

Answer 36

Improve and support oxygenation

Question 37

Who is nasal CPAP commonly used for?

Answer 37

neonates because they're nose breathers

Question 38

What is the flow range for an oxygen hood?

Answer 38

7-14 L/min

Question 39

What is an Isolette (Incubator) for?

Answer 39

Stable babies

Question 40

What is a Radiant Warmer (Open Incubator) for?

Answer 40

Unstable babies

Question 41

Total Flow Formula:

Answer 41

Flowmeter setting x Factor

Question 42

What is a Blender for?

Answer 42

Mixes oxygen and air for a precise FiO2 (can be used with a non-rebreather)

Question 43

What is an Air Compressor for?

Answer 43

Can be used in a hospital, outpatient clinic, or home

Question 44

If you can't calibrate an oxygen analyzer, what should you do?

Answer 44

Change fuel cell

Question 45

What are the indications for mask CPAP?

Answer 45

- CO Poisoning - Pneumonia - Atelectasis

Question 46

What do you use for a sputum induction (meds)?

Answer 46

- Bland Aerosol (sterile water or normal saline) - Hypertonic Saline

Question 47

Terminate the sputum induction if...?

Answer 47

Adverse reactions occur... - Bronchospasm - Wheezing

Question 48

What is the minimum pressure for an air-oxygen proportioner (blender)

Answer 48

At least 40 psi

Question 49

What is the air-to-oxygen ratio for 28% FiO2?

Answer 49

10:1 (11)

Question 50

What is the air-to-oxygen ratio for 35% FiO2?

Answer 50

4.6:1 (5.6)

Question 51

What is the air-to-oxygen ratio for 40% FiO2?

Answer 51

3:1 (4)

Question 52

What is the air-to-oxygen ratio for 60% FiO2?

Answer 52

1:1 (2)