Bronchial Hygiene Therapies Quiz
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Questions and Answers

What are the specific factors that can cause irritation and provoke sensory fibers in the lungs to signal a cough?

  • Pain, Neurologic dysfunction, Pulmonary restriction, Abdominal restriction
  • Anesthesia, CNS depression, Narcotic-analgesic, Inspiration
  • Infection, Thermal Changes, Inhaled Chemicals, Foreign bodies (correct)
  • Laryngeal nerve damage, Artificial airways, Abdominal muscle weakness, Abdominal surgery
  • What is the normal amount of deep inspiration needed for an effective cough?

  • $1-2$ L (correct)
  • $0.2$ sec
  • Shear forces
  • 500 miles/hour
  • What causes the reflex pulses to close the epiglottis and contract the expiration muscles during the cough process?

  • Irritation
  • Laryngeal nerve damage (correct)
  • Anesthesia
  • Inadequate lung recoil (emphysema)
  • What is the speed of the explosive flow of air during the expulsion phase of coughing?

    <p>$500$ miles/hour</p> Signup and view all the answers

    What can impair the mucociliary escalator?

    <p>Inhaled Chemicals</p> Signup and view all the answers

    Which factor can affect the expulsion of secretions during coughing by causing airway compression or obstruction?

    <p>Abdominal muscle weakness</p> Signup and view all the answers

    What is the time taken for the reflex pulses to cause the epiglottis to close and the expiration muscles to contract during the cough process?

    <p>$0.2$ sec</p> Signup and view all the answers

    Which factor may impair the mucociliary escalator?

    <p>Artificial airways</p> Signup and view all the answers

    What are the clinical manifestations of retained secretions?

    <p>Sputum retention not responsive to coughing</p> Signup and view all the answers

    What is a potential complication of bronchial hygiene techniques?

    <p>Pulmonary hemorrhage</p> Signup and view all the answers

    What are the indications for directed cough?

    <p>The need to aid in the removal of retained secretions from central airways</p> Signup and view all the answers

    How long should positions be held during postural drainage therapy?

    <p>3 to 15 minutes</p> Signup and view all the answers

    When should bronchial hygiene therapy be terminated in case of an adverse reaction?

    <p>Immediately</p> Signup and view all the answers

    Where should percussion not be performed during bronchial hygiene therapy?

    <p>Bony areas</p> Signup and view all the answers

    Which technique is recommended for infants with CF, ciliary dyskinesia syndromes, and bronchiectasis?

    <p>PDPV</p> Signup and view all the answers

    What is the primary goal of airway clearance?

    <p>Mobilize and remove retained secretions</p> Signup and view all the answers

    Which condition warrants the use of PEP, PDOV, and ACBT for appropriate airway clearance techniques?

    <p>Atelectasis</p> Signup and view all the answers

    What technique is recommended for asthma with mucus plugging?

    <p>HFO (flutter valve)</p> Signup and view all the answers

    Which disorders are associated with retention of secretions?

    <p>CF and bronchiectasis</p> Signup and view all the answers

    What is the abbreviation AD in the context of airway clearance techniques?

    <p>Autogenic drainage</p> Signup and view all the answers

    What can impair mucociliary clearance in intubated patients?

    <p>Both mechanical and treatment factors</p> Signup and view all the answers

    What are clinical signs consistent with retained secretions?

    <p>Absent or increased sputum production and labored breathing</p> Signup and view all the answers

    What does turning promote in the context of airway clearance?

    <p>Lung expansion and improved oxygenation</p> Signup and view all the answers

    Which technique is used for bronchial hygiene to improve oxygenation and V/Q mismatch?

    <p>Prone positioning</p> Signup and view all the answers

    What are the complications of positive airway pressure adjuncts?

    <p>Cardiovascular compromise</p> Signup and view all the answers

    What are the contraindications to manually assisted directed cough?

    <p>Elevated intracranial pressure</p> Signup and view all the answers

    Which bronchial hygiene technique is used for sputum retention and abnormal chest x-ray?

    <p>High-frequency chest wall oscillation (HFCWO)</p> Signup and view all the answers

    What is a relative contraindication for turning as a bronchial hygiene technique?

    <p>Unstable spinal cord injuries</p> Signup and view all the answers

    What is the purpose of positive airway pressure adjuncts?

    <p>Mobilize secretions</p> Signup and view all the answers

    Which condition is used as prophylaxis against postoperative pulmonary complications and as part of bronchial hygiene?

    <p>Atelectasis</p> Signup and view all the answers

    Study Notes

    Bronchial Hygiene Therapies: Key Points

    • Atelectasis is used as prophylaxis against postoperative pulmonary complications and as part of bronchial hygiene in various respiratory conditions
    • Contraindications to manually assisted directed cough include elevated intracranial pressure, reduced coronary artery perfusion, and acute unstable head or spine injury
    • Complications of bronchial hygiene therapies include reduced coronary and cerebral perfusion, incontinence, fatigue, headache, and bronchospasm
    • Assessment of need for bronchial hygiene therapies includes ineffective spontaneous cough, evidence of atelectasis, and postoperative patients
    • Prone positioning is used to improve oxygenation and V/Q mismatch
    • Forced expiratory technique (FET), active cycle breathing, autogenic drainage, and insufflation and exsufflation are bronchial hygiene techniques
    • Turning is contraindicated in unstable spinal cord injuries and relative contraindications include diarrhea and increased intracranial pressure
    • Positive airway pressure adjuncts are used to reduce air trapping, mobilize secretions, prevent atelectasis, and optimize bronchodilator delivery
    • Complications of positive airway pressure adjuncts include increased work of breathing, cardiovascular compromise, and air swallowing
    • Assessment of need for positive airway pressure adjuncts includes sputum retention, abnormal chest x-ray, and indications of respiratory distress
    • Positive outcomes of positive airway pressure adjuncts include increased sputum production, improvement in breath sounds, and positive subjective response
    • High-frequency chest wall oscillation (HFCWO), intrapulmonary percussive ventilation (IPV), and flutter valve are bronchial hygiene techniques with specific delivery methods and frequencies

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    Description

    Test your knowledge of bronchial hygiene therapies with this quiz. Explore key points such as indications, contraindications, complications, and assessment of need for various bronchial hygiene techniques. Sharpen your understanding of positive airway pressure adjuncts and specific delivery methods for bronchial hygiene therapies.

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