CP

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Author:
jessiekate22
ID:
170381
Filename:
CP
Updated:
2012-09-13 03:16:46
Tags:
Treatment techniques
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Description:
VIVA
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  1. What are the techniques that can improve alveolar ventilation?
    • - DB- LBE
    • - DB- inspiratory hold
    • - incentive spirometry
    • - positioning
    • - mobilisation
  2. what are the techniques used for secretion clearance?
    • - cough
    • - huff
    • - FET (forced expiration technique)
    • - ACBT
    • - percussion
    • -vibes
    • - postural drainage
    • - positive expiratory pressure
    • - oscillating PEP (flutter, acapella)
  3. What are the techniques to reduce WOB and control dyspnoea?
    • - breathing control strategies (pursed lips)
    • - positioning for breathing control
  4. What is the best postural drainage position for upper lobe- apical segment?
    • - sitting up
    • - this is why pts dont get a great deal of pathology in this part
  5. What is the best postural drainage position for UL ant segment?
    • - supine
    • - bed flat
    • - vibes- both hands on front
  6. What is the best drainage position for UL posterior segment?
    • - 1/4 off prone
    • - bad lobe up
    • - pt cuddling pillow in lying
    • - L shoulders elevated 30 cm
    • - vibes on either side
  7. What position for postural drainage would you have for the middle lobe segments and lingula?
    • - 1/4 off supine (lean back on pillow)
    • - bed 1/2 tip (tip head down)
    • - head down
  8. what is the best postural drainage position for the Lower lobe apical segment?
    - prone- bed flat
  9. What is the best position for the rest of the segments of the lower lobe? (besides apical and medial)
    • - bed full tip
    • - 4 sides round
    • - supine
    • - prone
    • - sidelying L+R
  10. What is the best position for the medial segment of the Right lobe lobe postural drainage?
    - need to lie on that side
  11. Why is the ligula not a lobe?
    because it doesnt have a fissure to make it distinct
  12. Who dont you tilt?
    - pts with heart problems
  13. What is the point of vibes?
    • - compress chest
    • - force air out
    • - like a cough
    • - brings speutum up
  14. Where must the pillow be for the pt
    - under head not under shoulders
  15. What does modified mean?
    • - supine
    • - sidelying- affected side up- no tip
  16. Percs then vibes then percs- pt needs to be in a position for a while for drainage to occur
  17. What is TEE?
    - DB with hold
  18. Note no more than 2 huffs if unproductive
  19. When is FET used?
    • - huff and BC
    • - used when pt is hyperinflated eg COPD
  20. What is DB exercises- LBE used for?
    - improve alveolar ventilation
  21. What is the DB exercises- LBE performance physiological rationale?
    • - produce a large, increased transpulmonary pressure, which distends the lung and reinflates collapse
    • - with the aim to improve lung volume
    • FRC to TLC

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