NBRC KETTERING SEMINARS -
THERAPEUTIC
PROCEDURES .QUESTIONS AND
ANSWERS.
Describe the ideal breathing pattern for improving ventilation regardless of the type of
therapy being administered. -
\slow, deep inspiration, inspiratory pause (1 - 3 seconds), exhalation is slow, passive
and relaxed, relaxed with normal tidal volume breathing.
Describe how a patient should be positioned to enhance oxygenation with the following
pathologies: CHF, Obesity, ARDS, and Unilateral lung disease. -
\prone position for ARDS, fowler's position for CHF, lateral fowler's position for obese,
good lung down for unilateral lung disease.
List the three benefits of performing inspiratory muscle training. -
\increasing muscle strength and endurance, decreasing dyspnea, and the need for
medication and hospital visits.
Describe how a baseline is determined for a patient who has an order to receive
inspiratory muscle training. -
\the concept based on progressive resistance which means that over time, greater
resistance is imposed on the inspiratory muscles after first measuring MIP
State the main indication for Incentive Spirometry (IS) or Sustained Maximal Inspiration
(SMI). -
\prevention or treatment of atelectasis for patients who are willing and able to
spontaneously take a deep breath.
Incentive spirometry utilizes __ and __ to encourage patients to take a __. -
\visual motivation, feedback, deep breath
IS or SMI therapy should be performed __ while the patient is __ for approximately __
breaths. -
\hourly, awake, 10
When is the best time to instruct a surgical patient on IS techniques? -
\prior to surgery so that they better understand the procedure and the therapist can
establish a post-op volume goal.
, Post-operatively, the respiratory therapist should expect a patient to achieve
approximately __ of the patients pre-op inspiratory capacity. -
\1/2
If a patient is unable to achieve the targeted volume during therapy, the respiratory
therapist should? -
\check connections and patient mouth seal before reducing volume target.
Describe five indications for IPPB therapy. -
\prevent or correct atelectasis (unable or unwilling to take deep breaths), prevent or
decrease pulmonary edema, decrease the work of breathing, distribute aerosols more
evenly in the airways for better deposition, and improve and promote the cough
mechanism.
List the four contraindications for IPPB therapy. -
\unskilled practitioners and users, hypotension, untreated pneumothorax, and elevated
ICP.
Hyperventilation and impending venous return are hazards of IPPB therapy. Describe
the effects of each of these hazards of therapy. -
\
Hyperventilation - patient will complain of? -
\dizziness, tingling of fingers, slower breathing pattern.
Impending venous returen - results in? -
\decrease cardiac output and increase ICP.
Describe how a Bird Mark 7 Ventilator is classified? -
\pneumatically powered and pressure cycled.
What effect does increasing the flow have on inspiratory time? -
\if the flow control is turned to a lower number (increases inspiratory time)
The volume delivered to the patient can be changed by adjusting which control? -
\by adjusting the pressure limit.
How would the respiratory therapist recognize that there is a leak in the circuit? -
\leaks in the circuit will prevent normal cycling to exhalation
State the recommended sensitivity control setting for the Bird Mark 7 Ventilator. -
\negative 1.0 - 2.0 cm H20
Describe how each of the following control changes will affect the Volume Delivered. -
\
THERAPEUTIC
PROCEDURES .QUESTIONS AND
ANSWERS.
Describe the ideal breathing pattern for improving ventilation regardless of the type of
therapy being administered. -
\slow, deep inspiration, inspiratory pause (1 - 3 seconds), exhalation is slow, passive
and relaxed, relaxed with normal tidal volume breathing.
Describe how a patient should be positioned to enhance oxygenation with the following
pathologies: CHF, Obesity, ARDS, and Unilateral lung disease. -
\prone position for ARDS, fowler's position for CHF, lateral fowler's position for obese,
good lung down for unilateral lung disease.
List the three benefits of performing inspiratory muscle training. -
\increasing muscle strength and endurance, decreasing dyspnea, and the need for
medication and hospital visits.
Describe how a baseline is determined for a patient who has an order to receive
inspiratory muscle training. -
\the concept based on progressive resistance which means that over time, greater
resistance is imposed on the inspiratory muscles after first measuring MIP
State the main indication for Incentive Spirometry (IS) or Sustained Maximal Inspiration
(SMI). -
\prevention or treatment of atelectasis for patients who are willing and able to
spontaneously take a deep breath.
Incentive spirometry utilizes __ and __ to encourage patients to take a __. -
\visual motivation, feedback, deep breath
IS or SMI therapy should be performed __ while the patient is __ for approximately __
breaths. -
\hourly, awake, 10
When is the best time to instruct a surgical patient on IS techniques? -
\prior to surgery so that they better understand the procedure and the therapist can
establish a post-op volume goal.
, Post-operatively, the respiratory therapist should expect a patient to achieve
approximately __ of the patients pre-op inspiratory capacity. -
\1/2
If a patient is unable to achieve the targeted volume during therapy, the respiratory
therapist should? -
\check connections and patient mouth seal before reducing volume target.
Describe five indications for IPPB therapy. -
\prevent or correct atelectasis (unable or unwilling to take deep breaths), prevent or
decrease pulmonary edema, decrease the work of breathing, distribute aerosols more
evenly in the airways for better deposition, and improve and promote the cough
mechanism.
List the four contraindications for IPPB therapy. -
\unskilled practitioners and users, hypotension, untreated pneumothorax, and elevated
ICP.
Hyperventilation and impending venous return are hazards of IPPB therapy. Describe
the effects of each of these hazards of therapy. -
\
Hyperventilation - patient will complain of? -
\dizziness, tingling of fingers, slower breathing pattern.
Impending venous returen - results in? -
\decrease cardiac output and increase ICP.
Describe how a Bird Mark 7 Ventilator is classified? -
\pneumatically powered and pressure cycled.
What effect does increasing the flow have on inspiratory time? -
\if the flow control is turned to a lower number (increases inspiratory time)
The volume delivered to the patient can be changed by adjusting which control? -
\by adjusting the pressure limit.
How would the respiratory therapist recognize that there is a leak in the circuit? -
\leaks in the circuit will prevent normal cycling to exhalation
State the recommended sensitivity control setting for the Bird Mark 7 Ventilator. -
\negative 1.0 - 2.0 cm H20
Describe how each of the following control changes will affect the Volume Delivered. -
\
