preferable site for ABG puncture: - Answers radial
indications for ABG: - Answers - evaluate the adequacy of pt's ventilatory, acid base, and/or
oxygenation status
- quantify the response to therapeutic intervention
indications of IPPB: - Answers -need to improve lung expansion
-presence of clinically important atelectasis when other therapy forms were found unsuccessful
-need for short term ventilatory support
-need to deliver aerosol medication
indications for IS: - Answers -presence of conditions predisposing to the development of
pulmonary atelectasis, such as upper abdominal surgery, thoracic surgery, surgery in patients
with chronic obstructive disease
-presence of pulmonary atelectasis
-presence of a restrictive lung defect associated with quadriplegia and/or dysfunctional
diaphragm
purpose of the sensitivity adjustment in IPPB therapy: - Answers trigger a breath
what can decrease air trapping in patients with asthma and COPD? - Answers BIPAP, PEP
devices, therapep, ezpap
physiological impact of retained secretions: - Answers -atelectasis
-hypoxemia
-mucus plugging
-shunting
identify bronchial hygiene therapies: - Answers -chest percussion
-manual/vibratory perusers
-PEP
-flutter
-acapella
, -autogenic drainage
-IPV
-theravest
-metaneb
-cough assist
-quad cough
-suctioning
what is necessary for normal airway clearance? - Answers -patent airway
-functional mucocilliary elevator
-adequate hydration
-effective coughs
phases of cough reflex: - Answers irritation, inspiration, compression, expulsion
conditions/diseases that impair mucocilliary transport: - Answers muscular dystrophy, ALS,
spinal muscular atrophy, MG, cerebral palsy, bronchiectasis, CF, ciliary dyskinetic syndromes
what impairs mucocilliary transport in the intubated patient? - Answers ET tube, trache,
tracheobronchial suction, inadequate humidification, high FiO2 values, drugs, general
anesthetics, opiates, narcotics, underlying pulmonary disease
signs & symptoms of of retained secretions: - Answers -loose ineffective cough
-labored breathing pattern
-decreased or bronchial breath sounds
-coarse inspiratory/expiratory crackles
-tachypnea
-tachycardia
-fever
general position for postural drainage: - Answers diseased lung is always up
areas to avoid during chest percussion: - Answers bony; surgical; fractures
define aerosol: - Answers suspension of solid or liquid particles in a gas