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Exam (elaborations)

NBRC EXAM THERAPEUTIC PROCEDURES QUESTIONS WITH 100% CORRECT ANSWERS..

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NBRC EXAM THERAPEUTIC PROCEDURES QUESTIONS WITH 100% CORRECT ANSWERS

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Heated Wire Circuit
Describe the structure of a heated wire circuit and what it does?


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Wire-like structure inside the ventilator circuit to maintain a set has
temperature through the entire circuit




Describe inspiratory Muscle Training and the concepts.


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, 1). Increasing their muscle strength and endurance, decreasing dyspnea,
the need for medication and hospital visits.
2). Training is based on the concept of progressive resistance over time,
greater resistance is imposed on the inspiratory muscle. This should
increase muscle strength and endurance, impair patients exercise
tolerance.
3). Before training begins, the patients maximal inspiratory pressure (MIP) is
measured and compared to established normal values




What ids the procedure of IMT?


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If the patient's inspiratory pressure is less than 30% of their measured MIP,
increase the resistance level until a 30% effort is achieved consistently.




Describe how to check the function of a bubble humidifier


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Should be checked by occluding or pinching the connecting tubing and
listening for the whistling sound.
If no sound occurs there is a leak (usually the stem is cracked)




If a patient is unable to achieve the targeted volume during Incentive Spirometry
therapy, the respiratory therapist should?


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, a. Often patients must be reminded to inhale and not exhale into device
b. Check connections and patient's mouth seal before reducing target
c. Auscultate breath sounds before and after treatment to evaluate the
effectiveness of the therapy




High Flow devices
Non rebreather mask What is the range of FIO2 that can be delievered?


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Delivered FIO2- 0.21-1.0
Flow- 100%




State the two indications for using a non rebreather mask


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1) Used to deliever 100% O2 in an emergency (pneumothorax, CO
poisoning, CHF, Burns etc)
2). Mixed gas therapy (heliox mixtures, CO2/O2 mixtures)
Has three one way valves.




A patient is not tolerating manual ;percussion from the therapist. What other method
could the therapist incorporate?


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, Mechanical percussors or vibration therapy may be indicated




Identify the lung segments being treated in each of the following postural drainage
positions


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Identify four hazards and contraindications of chest percussion


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1. Soft tissue trauma
2. Rib cage trauma/fractured rib
3. Hemopytisis/pulmonary hemorrhage
4. Untreated pneumothorax, absolute contraindication




When should Incentive Spirometry be performed and how long?


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