Exam 17: Hyperinflation Therapy

A 35 year-old patient is admitted for gall bladder surgery.The patient has a 40 pack/year smoking history,and has a past history of minor health problems.Breath sounds reveal expiratory wheezing and coarse crackles bilaterally.The patient is 5'6" and weighs 250 lbs.What risk factors does this patient have for post-operative atelectasis and what should be done?

While administering IPPB with a inspiratory pressure of 25 cmH₂O,a patient develops sudden shortness of breath.When assessing the patient it is noted that breaths are absent on the right side.Percussion of the right side yields a hyperresonant percussion note.No chest tube has been placed yet.Which way would the patient's trachea shift?

Which control on a pressure ventilator should be used if the patient is having trouble triggering the ventilator into inspiration?

What is defined as a combination of high-frequency phased pulse gas delivery and the administration of a dense aerosol?

When using flow measuring incentive spirometer,two balls are suspended for 4 seconds.One ball indicates 800 ml/second,two balls indicates 1000 ml/second,and three balls indicates 1200 ml/second.What is the volume the patient achieved?

A patient with atelectasis is ordered to have IPPB therapy.The patient is recovering from a motor vehicle accident in which he suffered a concussion.During the therapy,the patient exhibits bulging around the eye orbits and his sensorium decreases.Which of the following could be happening to the patient?

During IPV (intrapulmonary percussive ventilation)therapy,how is the frequency of percussion to the airway controlled?

The patient position for IPPB therapy is with the patient ________________ I.sitting on the edge of the bed. II.sitting upright in a chair. III.in Fowler's position. IV.in semi-Fowler's position.

During IPV,what happens to the peak pressures during percussion when the source pressure is increased?

After inhalation during IPPB therapy,exhalation should _________________

During hyperinflation therapy,the patient complains of dizziness,light-headedness,and tingling in the fingers.How should you treat this patient feeling and concern?

A patient has been ordered to receive IPPB in the intensive care unit.He has an arterial line in place which indicates a decreased blood pressure during the therapy.How can this be corrected?