PEP Therapy.txt

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Author:
MagusB81
ID:
114710
Filename:
PEP Therapy.txt
Updated:
2011-11-05 18:32:01
Tags:
PEP Therapy
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  1. What are the indications for PEP therapy?
    • 1. To reduce air trapping in asthma and COPD
    • 2. To aid in mobilization of retained secretions (in cystic fibrosis and chronic bronchitis)
    • 3. To prevent or reverse atlectasis
    • 4. To optimize delivery of bronchodilators in patients receiving bronchial hygiene therapy
  2. What are the contraindications for PEP therapy?
    • No absolute contraindication
    • 1. Inability to tolerate increased work of breathing
    • 2. Intracranial pressure (ICP) > 20 mmHg
    • 3. Hemodynamic instability
    • 4. Recent facial, oral, or skull surgery or trauma
    • 5. Acute sinusitis
    • 6. Epistaxis (Nose bleed)
    • 7. Esophageal surgery
    • 8. Active hemoptysis
    • 9. Nausea
    • 10. Known or suspected tympanic membrane rupture or other middle ear
    • 11. Untreated
  3. What are the possible adverse reactions associated with PEP therapy?
    • 1. Increased work of breathing that may lead to hypoventilation and hypercarbnia
    • 2. Increased intracranial pressure
    • 3. Cardivascular compromise
    • 4. Myocardinal ischemia (reduced blood flow to part of the body)
    • 5. Decreased venous return
    • 6. Air swallowing with increased likelihood of vomiting and aspiration
    • 7. Claustrophobia
    • 8. Skin breaks and discomfort from mask
    • 9. Pulmonary barotraumas (tear due to back pressure)
  4. What are the three devices used for PEP therapy?
    • 1. DHD TherapPEP Device
    • 2. Acapella
    • 3. EzPAP
  5. What device(s) are able to deliver medication to the lungs with PEP therapy?
    SVN w/ adapter, SVN w/o adapter, MDI Spacer/holding chamber
  6. What are the pressure range commonly used with PEP therapy?
    10-20 cmH2O
  7. How many breaths should a patient be instructed to take during one attempt during PEP therapy?
    10-20
  8. Which device is used for Vibrational Therapy?
    Acapella (Green, Blue, or Teal)
  9. What liter flow should EZPAP Therapy be started at?
    5 LPM
  10. When should the pressure measuring port on the EzPAP device be closed or opened?
    Closed with cap if no pressure motoring is being done; if measuring then should be open/exposed to ambient air while in use
  11. What rates should be used when delivering an EzPAP treatment?
    10-20 breaths 4-6 times

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