Airway Clearance Therapy

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Terms in this set (24)
ICPintracranial pressureIPVintrapulmonary percussive ventilationMI-EMechanical insufflation-exsufflationFull obstruction, or _________ plugging, results in ________mucus/atelectasis or shuntingPartial obstruction increases __________ of breathing and leads to air ____________work/trapping and/or poor V/QDuring the initial treatment, a PEP device is set to deliver a pressure of 15 cm H2O. The patient complains of dyspnea and can maintain exhalation only for a short period of time. Which of the following should the RT recommend? a. Decrease the PEP level to 10 cm H2O b. Increase the PEP level to 20 cm H20 c. Discontinue the PEP therapy d. Add a bronchodilator to the PEP therapya. Decrease the PEP level to 10 cm H2OA patient is lying on her left side, turned one-quarter toward her back, with the head of the bed down. What division of the lung is being drained? a. Lateral segment of the right lower lobe b. Right middle lobe c. Left upper lobe, lingular segments d. Posterior segment of the right upper lobeb. Right middle lobeA patient is receiving postural drainage in the Trendelenburg position. The patient begins to cough uncontrollably. What action should the RT take at this time? a. Encourage the patient to use huff cough b. administer oxygen therapy c. administer a bronchodilator d. Raise the head of the bedd. Raise the head of the bedIn explaining the therapeutic goal of PEP therapy to a patient, it would be most appropriate to say: a. "This will help prevent pneumonia" b. "This will increase your intrathoracic pressure" c. "This will help you cough more effectively" d. "This will prevent atelectasis"c. "This will help you cough more effectively"A COPD patient with left lower lobe infiltrates is unable to tolerance a head-down position for postural drainage. What action would you recommend? a. Perform the drainage with the head of the bed raised b. Do not perform the therapy until 2 hours after the last meal c. Administer a bronchodilator prior to the postural drainage d. Notify the physician & suggest a different secretion management techniqued. Notify the physician & suggest a different secretion management techniqueActive patient participation is an important part of which of the following procedures? 1. Postural drainage 2.Directed cough technique 3. Airway suctioning 4. Positive expiratory pressure (PEP) a. I & 2 only b. 2 & 4 only c. 1 & 3 only d. 3 & 4 onlyb. 2 & 4 onlyAn RT is preparing a patient with bronchiectasis for discharge. Which of the following techniques would be most appropriate for self-administered therapy in the home? a. IPPB b. Flutter c. Suctioning d. Percussion and postural drainageb. FlutterMIE devices apply positive pressure of _____ to _____ cmH2O to airway for _____ to _____ seconds30 50 1 3After MIE device apply positive pressure - it then reverses airway pressure to ______ to ______ cmH2O for ______ to ______ seconds-30 -50 2 3