13 terms

procedures unit 4

incentive spirometry
what are the goals of Incentive Spirometry
optimize lung inglation, improve cough mechanism, preoperative clean up, prevent pre op complications, psychological support bc patients can help with their own recovery, gives patient a goal reward system
what are the guidelines for incentive spirometry
patient must be cooperative and motivated, patient should be able to achieve an FVG of 15ml per kg of 1 BW or greater
what are contraindications for incentive spirometry
untreated pneumothorax, hemotisis of unknown origin, patient unable to generate an FVG of 15ml per kg of 1 BW or greater, patient does a valsalva maneuver
what is valsalve
an increase of intrapulmonic pressure as a result of forcing exhalation against a closed glottis. it causes a decrease in venous return to the right side of the heart
during IS how should the patient be positioned
Foler's or Semi Fowlers
During is what should the patients goal be
approx twice their normal VT, or use a nomogram
during IS use how should inspirations be
slow 5-15 seconds with a 2-3 second hold at the end of inspiration
how many manuevors should the patient do when useing IS
10 every hour while awake
What should the patient do when done with the IS manuevor
Cough (strong)
how do you evaluate the effectiveness of IS
absence or improvement in signs of atelectisis, improved cough or ability to cough up secretions, improved breath sounds, WOB easier, increase in VT or vital capacity
how does a spirocare or monaghan IS work
incorporates a laser beam, a spinning disk and a disposable flow tube, revolutions of the spinning disk are correlated to LPM of gas flow
how does a Triflow II IS work
three ping pong balls with different weights are sucked to the top of the device
how does a bartlett Edwards IS work
has a moveable piston enclosed in a cylinder