Red Flags
Intervention
Clinical Reasoning
Respiratory Pathophysiology
Patient Management/ POC
100

A decrease in systolic blood pressure would indicate a contraindication for exercise?

what is 10 mmHg

100

This breathing technique slows the respiratory rate and improves oxygenation, making it effective for reducing dyspnea during mobility.

What is pursed-lip breathing?

100

Prior to preforming an evaluation, what should clinicians do to understand the patient's current status.

What is chart review.

100

This type of respiratory failure is characterized by high blood carbon dioxide levels.

What is Type II respiratory failure?

100

This scale uses an array of different facial expressions to denote different levels of pain, allowing the patient to answer without the need to speak or understand the language.

What is the Wong-Baker Scale?

200

A resting systolic blood pressure of what would indicate a contraindication for exercise?

what is 250 mmHG

200

This exercise device targets weak inspiratory muscles, especially useful post-ICU.

What is incentive spirometry?

200

Evidence has shown that this type of intervention is beneficial to mechanically ventilated patients, as it can prevent adverse effects of being bed-bound within the ICU.

What is early mobilization.

200

This condition is marked by reduced lung compliance, difficulty breathing, and restricted physical function.

What are the characteristics of idiopathic pulmonary fibrosis (IPF)?

200

This member of the patient’s care team is responsible for assessing the patient’s functional capabilities, readiness for activity and mobilizations, and prepare for the next phase of care after discharge.

What is physical therapist?

300

Rapidly worsening shortness of breath with crackles in the lungs may indicate this acute cardiopulmonary condition

pulmonary edema/acute heart failure

300

This is the best initial intervention for a patient who fears activity due to shortness of breath.

What are seated breathing exercises?

300

The three physiological conditions necessary for safe, early patient mobilization are hemodynamic stability with adequate cardiovascular reserved, sufficient oxygenation with adequate respiratory reserve, and ______.

What is cognitive ability.

300

Although not fully understood, the cause of this chronic lung disease is believed to involve inflammatory and autoimmune processes.

What is the etiology of idiopathic pulmonary fibrosis (IPF)?

300

Successful management of respiratory failure requires collaboration with this specialist to optimize airway clearance, oxygen delivery, and ventilator settings.

What is a respiratory therapist?


400

in the critically ill patient, the presence of what lower extremity medical device to access the femoral artery and vein would contraindicate mobilization?

what is a femoral sheath

400

Before mobilizing a patient with oxygen tubing and IV lines, this is the first step to ensure safety.

What is organize and secure all lines?

400

This secondary pathology should be taken into consideration due to a probable adverse drug reaction to immunosuppressants and long-term corticosteroid use.

What is Osteoporosis?




400

These physiological benefits of positive end-expiratory pressure (PEEP) make it critical in treating respiratory failure.

What are the prevention of alveolar collapse and end-expiratory lung collapse?

400

This vital sign is crucial in determining patient readiness for activity progression in acute care respiratory failure management.

What is oxygen saturation (SpO2)?

500

O2 desaturation is described as what and would warrant contraindication for exercise

Decrease O2 of >/5% during exercise exertion

500

This patient position is most effective in recovering from an acute episode of shortness of breath.

What is High Fowler’s (upright sitting)?

500

Continuous monitoring of O2 sat. is necessary for early mobilization treatment for respiratory patients using a FWW. In case of possible inaccuracies, what other locations can be used to get readings. Name at least 2.

Uninvolved hand, forehead, or the earlobe.

500

This condition, the clinical form of chronic rejection after lung transplantation, leads to inflammation and scarring of the small airways.

What is bronchiolitis obliterans syndrome (BOS)?

500

When progressing activity tolerance, therapists can use this measure, in addition to vitals, to monitor perceived exertion and dyspnea.

What is the Borg RPE scale?

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