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Signs, Symptoms and Diseases
Let Me Clear That Up For You
This Is How You Do It
Here's What I Think You Should Do
In Theory...
100
Hypoxemia, atelectasis, a weak cough, and shunting can all be the result of a patient who has what?
What is retained secretions.
100
Something a patient with a neuromuscular disorder is at a high risk for developing.
What is atelectasis.
100
"Exhale normally, then inhale as deeply as you can, then hold your breath for 5-10 seconds."
What is how to perform the SMI maneuver with incentive spirometry.
100
To help with pulmonary atelectasis in a patient that has had upper abdominal surgery that still has a strong vital capacity (25 ml/kg).
What is an incentive spirometer.
100
This activity, when done in the head-down position, can markedly increase ICP.
What is strenuous coughing.
200
Tachypnea, diminished breath sounds inspiratory and expiratory wheezing.
What is the development of atelectasis.
200
This mode of lung expansion therapy is the most physiologically normal.
What is incentive spirometry.
200
"Take a breath in, then exhale for as long as you can, trying to keep the indicator in between these two lines."
What is how to use a PEP device.
200
To maintain lung function in cystic fibrosis, to prevent retained secretions in the acutely ill.
What is the use of airway clearance therapy.
200
Artificial airways, neuromuscular disease, systemic dehyration, and pain or fear of pain can all cause this to be ineffective.
What is a cough.
300
Cystic fiboris, ciliary dyskinesia, the presence of an ET tube, can all cause alter this.
What is normal mucociliary clearance.
300
Decreasing pleural pressure and increasing alveolar pressure are all accomplish this.
What is increasing the transpulmonary pressure gradient.
300
"Take normal breaths while you are breathing against this resistance. This therapy lasts 3-5 minutes."
What is instructions for using EZ-Pap.
300
For the patient that is not compliant with an IS or PEP therapy and is starting to develop severe pneumonia.
What is EZ-PAP
300
The phase that is affected in a patient with an ET tube from having an effective cough.
What is the compression phase.
400
Muscular dystrophy, amyotrophic lateral sclerosis,and cerebral palsy are all conditions that impair secretion clearance by affecting this reflex.
What is the cough reflex.
400
Having a restrictive disorder, abdominal surgery, the presence of atelectasis.
What is potential indications for incentive spirometry (hyperexpansion therapy).
400
"Lay down on your chest so I can hit your back for a while."
What is (not exactly correct) instruction for CPT.
400
A coughing technique for patients with COPD where strenuous expiratory efforts limit the effectiveness of coughing.
What is a "huff" cough.
400
Foreign bodies, tumors, inflammation, and bronchospasm all affect airway patency and cause this to be abnormal.
What is clearance of secretions.
500
Bronchiectasis, Cystic fibrosis, and chronic bronchitis are all conditions associated with chronic production of large volumes of this.
What is sputum.
500
Patients using hyperinflation devices that complain of dizziness and numbness around the mouth after therapy are most likely doing this.
What is hyperventilating.
500
"The doctor has ordered that I put you in the shoulder down position and have you stay there for about 10 minutes."
What is directions for postural drainage.
500
A "life-vest" type of machine that offers oscillations to help break up retained secretions.
What is a high frequency vest.
500
By filling underaerated segments through collateral ventilation and preventing airway collapse during expiration.
What is how PEP helps move secretions into the larger airways.