Nonpharmacologic Airway Clearance Therapies Quiz
77 Questions
0 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

According to the AARC Clinical Practice Guideline, what is the recommendation for chest physiotherapy (CPT) in hospitalized, adult and pediatric patients without cystic fibrosis and uncomplicated pneumonia?

  • CPT is recommended for the routine treatment of uncomplicated pneumonia
  • CPT is not recommended for the routine treatment of uncomplicated pneumonia (correct)
  • CPT may be considered for the routine treatment of uncomplicated pneumonia
  • CPT is recommended for all hospitalized patients without cystic fibrosis

    • In patients with COPD, what is the recommendation for the routine use of airway clearance therapy (ACT), according to the guideline?

  • ACT may be considered for routine use in patients with COPD
  • ACT is recommended for routine use in patients with COPD
  • ACT is not recommended for routine use in patients with COPD (correct)
  • ACT is recommended for all patients with COPD

    • When is airway clearance therapy (ACT) recommended in patients with COPD, according to the guideline?

  • ACT is not recommended at all for patients with COPD
  • ACT is recommended for patients with COPD only in severe cases
  • ACT is recommended for all patients with COPD
  • ACT may be considered in patients with COPD with symptomatic secretion retention, guided by patient preference, toleration, and effectiveness of therapy (correct)

    • What is the recommendation for airway clearance therapy (ACT) in patients who are able to mobilize secretions with cough, according to the guideline?

    <p>ACT is not recommended if the patient is able to mobilize secretions with cough, but instruction in effective cough technique may be useful</p> Signup and view all the answers

    What is the purpose of the AARC Clinical Practice Guideline on nonpharmacologic airway clearance therapies in hospitalized patients?

    <p>To determine whether the use of nonpharmacologic ACT improves oxygenation, reduces length of time on the ventilator, reduces stay in the ICU, resolves atelectasis/consolidation, and/or improves respiratory mechanics</p> Signup and view all the answers

    What is the purpose of airway clearance therapy (ACT)?

    <p>To aid secretion mobilization and expectoration</p> Signup and view all the answers

    In which patients is incentive spirometry not recommended for routine, prophylactic use?

    <p>Postoperative patients</p> Signup and view all the answers

    What is the recommended peak cough flow for considering the use of cough assist techniques in patients with neuromuscular disease?

    <p>$&lt;270$ L/min</p> Signup and view all the answers

    What is the role of the mucociliary escalator and cough reflex in the respiratory system?

    <p>To defend the respiratory system by facilitating secretion clearance</p> Signup and view all the answers

    Who is responsible for recommending, performing, and educating patients and families on airway clearance therapy (ACT)?

    <p>Respiratory therapists, physical therapists, and nurses</p> Signup and view all the answers

    Which airway clearance therapy (ACT) is cautiously recommended for children with weak cough and strongly recommended in patients with Duchenne muscular dystrophy?

    <p>Mechanical insufflation-exsufflation</p> Signup and view all the answers

    In which patient population is the use of chest physiotherapy (CPT) not recommended for routine treatment of uncomplicated pneumonia?

    <p>Patients with COPD</p> Signup and view all the answers

    What is the peak cough flow threshold for considering the use of cough assist techniques in patients with neuromuscular disease (NMD)?

    <p>Less than 270 L/min</p> Signup and view all the answers

    Which nonpharmacologic airway clearance therapy (ACT) may decrease ICU stay for non-intubated patients with COPD, but lacks sufficient high-level evidence to support a recommendation for this therapy?

    <p>Intrapulmonary percussive ventilation (IPV)</p> Signup and view all the answers

    What is a well-known cause of morbidity and mortality in patients with neuromuscular disease (NMD)?

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

    What is the approximate percentage of patients with normal preoperative lung function who experience postoperative pulmonary complications?

    <p>7%</p> Signup and view all the answers

    Which factor puts patients at increased risk for postoperative pulmonary complications?

    <p>History of smoking</p> Signup and view all the answers

    What is the main cause of increased mortality related to postoperative pulmonary complications?

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

    Which therapy is commonly ordered for postoperative patients at risk for complications, despite recent meta-analyses showing no evidence of benefit in certain surgeries?

    <p>Incentive spirometry</p> Signup and view all the answers

    What do recent reviews conclude about routine physiotherapy and lung expansion interventions for postoperative patients?

    <p>They are not justified for postoperative patients</p> Signup and view all the answers

    Which statement best reflects the approach to airway clearance therapy for non-cystic fibrosis hospitalized patients?

    <p>Routine delivery of airway clearance techniques to non-cystic fibrosis hospitalized patients cannot be supported due to lack of evidence of significant benefit.</p> Signup and view all the answers

    What is the recommended approach for airway clearance techniques in the setting of atelectasis without retained airway secretions?

    <p>The use of airway clearance techniques in the setting of atelectasis without retained airway secretions does not appear to be effective, especially in the setting of upper abdominal and thoracic incisions.</p> Signup and view all the answers

    What is the stance on routine delivery of airway clearance techniques to non-cystic fibrosis hospitalized patients?

    <p>Routine delivery of airway clearance techniques to non-cystic fibrosis hospitalized patients cannot be supported due to lack of evidence of significant benefit.</p> Signup and view all the answers

    What is the recommended approach post upper abdominal and thoracic surgery?

    <p>Avoidance of pulmonary complications is the prudent approach post upper abdominal and thoracic surgery, and routine use of incentive spirometry cannot be supported.</p> Signup and view all the answers

    What is the stance on the use of CPAP by face mask for postoperative complications?

    <p>CPAP by face mask can alleviate hypoxemia due to low tidal volumes and airway obstruction, and may avoid reintubation, but there is no evidence to support routine use for the prevention of postoperative complications.</p> Signup and view all the answers

    According to the AARC Clinical Practice Guideline, what is the recommendation for the routine use of chest physiotherapy (CPT) in hospitalized, adult and pediatric patients without cystic fibrosis and uncomplicated pneumonia?

    <p>CPT is not recommended for the routine treatment of uncomplicated pneumonia</p> Signup and view all the answers

    In patients with COPD, what is the recommendation for the routine use of airway clearance therapy (ACT), according to the guideline?

    <p>ACT is not recommended for routine use in patients with COPD</p> Signup and view all the answers

    What is the recommendation for the routine use of incentive spirometry in hospitalized, adult and pediatric patients without cystic fibrosis?

    <p>Incentive spirometry is not recommended for routine, prophylactic use</p> Signup and view all the answers

    When is airway clearance therapy (ACT) recommended in patients with COPD, according to the guideline?

    <p>ACT may be considered in patients with COPD with symptomatic secretion retention, guided by patient preference, toleration, and effectiveness of therapy</p> Signup and view all the answers

    What is the approximate peak cough flow threshold for considering the use of cough assist techniques in patients with neuromuscular disease (NMD)?

    <p>Less than 270 L/min</p> Signup and view all the answers

    Which airway clearance therapy (ACT) is cautiously recommended for children with weak cough and strongly recommended in patients with Duchenne muscular dystrophy?

    <p>Mechanical insufflation-exsufflation</p> Signup and view all the answers

    What is the stance on the routine use of chest physiotherapy (CPT) in patients with uncomplicated pneumonia?

    <p>Not recommended</p> Signup and view all the answers

    In which patient population is the use of airway clearance therapy (ACT) not recommended for routine use, according to the guideline?

    <p>Patients with COPD</p> Signup and view all the answers

    What is the main cause of increased mortality in patients with neuromuscular disease (NMD)?

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

    What is the stance on the use of incentive spirometry for routine, prophylactic use?

    <p>Not recommended</p> Signup and view all the answers

    What is the recommended approach for airway clearance techniques in the setting of atelectasis without retained airway secretions?

    <p>No specific recommendation</p> Signup and view all the answers

    What is the purpose of airway clearance therapy (ACT)?

    <p>To mobilize and remove respiratory secretions</p> Signup and view all the answers

    What is the stance on the routine use of airway clearance therapy (ACT) in hospitalized patients without cystic fibrosis?

    <p>Minimal evidence to support routine use</p> Signup and view all the answers

    What is the stance on the use of continuous positive airway pressure (CPAP) by face mask for postoperative complications?

    <p>Not recommended</p> Signup and view all the answers

    What do recent reviews conclude about routine physiotherapy and lung expansion interventions for postoperative patients?

    <p>No evidence of benefit</p> Signup and view all the answers

    What is the approximate percentage of patients with normal preoperative lung function who experience postoperative pulmonary complications?

    <p>Around 10%</p> Signup and view all the answers

    What is the approximate percentage of postoperative patients with normal preoperative lung function who experience pulmonary complications?

    <p>7%</p> Signup and view all the answers

    Which factor puts patients at increased risk for postoperative pulmonary complications?

    <p>History of smoking</p> Signup and view all the answers

    Which therapy is commonly ordered for postoperative patients at risk for complications, despite recent meta-analyses showing no evidence of benefit in certain surgeries?

    <p>Incentive spirometry</p> Signup and view all the answers

    What is the main cause of increased mortality related to postoperative pulmonary complications?

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

    What is the conclusion of recent reviews about routine physiotherapy and lung expansion interventions for postoperative patients?

    <p>Routine interventions may not be justified</p> Signup and view all the answers

    What did the systematic review of randomized controlled trials find about airway clearance therapies (ACTs) for individuals without cystic fibrosis?

    <p>ACTs provide small benefits in pulmonary function, gas exchange, and oxygenation</p> Signup and view all the answers

    What is the stance on routine airway clearance therapy in postoperative patients, mechanically ventilated patients, or patients with COPD?

    <p>Not recommended</p> Signup and view all the answers

    What did studies on positive expiratory pressure (PEP) therapy show?

    <p>No evidence supporting its use in this population</p> Signup and view all the answers

    What did studies on chest physiotherapy (CPT) demonstrate in relation to postoperative pulmonary complications?

    <p>No reduction in the incidence of complications</p> Signup and view all the answers

    What is the conclusion about the effectiveness of nonpharmacologic airway clearance therapies in postoperative patients?

    <p>There is a lack of high-level evidence to support any airway clearance therapy (ACT) in postoperative patients</p> Signup and view all the answers

    What is the recommendation for routine physiotherapy and lung expansion interventions for postoperative patients?

    <p>May not be justified for postoperative patients</p> Signup and view all the answers

    What is the conclusion about the use of cough assist techniques in patients with neuromuscular disease (NMD)?

    <p>Recommended only for patients with weak cough</p> Signup and view all the answers

    What is the peak cough flow threshold for considering the use of cough assist techniques in patients with neuromuscular disease (NMD)?

    <p>Less than 270 L/min</p> Signup and view all the answers

    What is the stance on the routine use of airway clearance therapy (ACT) in patients with COPD, according to the guideline?

    <p>It lacks sufficient high-level evidence to support a recommendation</p> Signup and view all the answers

    What is the recommendation for chest physiotherapy (CPT) in hospitalized, adult and pediatric patients without cystic fibrosis and uncomplicated pneumonia?

    <p>Not recommended for routine treatment</p> Signup and view all the answers

    What is the purpose of the AARC Clinical Practice Guideline on nonpharmacologic airway clearance therapies in hospitalized patients?

    <p>To provide guidance to clinicians in the identification, selection, and application of ACT techniques</p> Signup and view all the answers

    Who is responsible for recommending, performing, and educating patients and families on airway clearance therapy (ACT)?

    <p>Respiratory therapists, physical therapists, and nurses</p> Signup and view all the answers

    What is the role of the mucociliary escalator and cough reflex in the respiratory system?

    <p>Facilitate secretion clearance and prevent airways obstruction</p> Signup and view all the answers

    What is the approximate percentage of patients with normal preoperative lung function who experience postoperative pulmonary complications?

    <p>Around 10%</p> Signup and view all the answers

    What is the stance on the use of CPAP by face mask for postoperative complications?

    <p>Not mentioned in the guideline</p> Signup and view all the answers

    In which patient population is incentive spirometry not recommended for routine, prophylactic use?

    <p>Postoperative patients</p> Signup and view all the answers

    What is the stance on the routine delivery of airway clearance techniques to non-cystic fibrosis hospitalized patients?

    <p>It is cautiously recommended</p> Signup and view all the answers

    What is the recommended approach for airway clearance techniques in the setting of atelectasis without retained airway secretions?

    <p>Not recommended</p> Signup and view all the answers

    What is the stance on the use of chest physiotherapy (CPT) for patients with cystic fibrosis?

    <p>Not included in the guideline</p> Signup and view all the answers

    What is the stance on routine delivery of airway clearance techniques to non-cystic fibrosis hospitalized patients?

    <p>It is not recommended due to lack of evidence of significant benefit.</p> Signup and view all the answers

    What is the recommended approach post upper abdominal and thoracic surgery?

    <p>Avoidance of pulmonary complications</p> Signup and view all the answers

    What is the purpose of airway clearance therapy (ACT)?

    <p>To mobilize secretions and improve gas exchange</p> Signup and view all the answers

    What is the recommended peak cough flow for considering the use of cough assist techniques in patients with neuromuscular disease?

    <p>&lt;270 L/min</p> Signup and view all the answers

    What is the approximate percentage of patients with normal preoperative lung function who experience postoperative pulmonary complications?

    <p>20%</p> Signup and view all the answers

    In which patient population is the use of chest physiotherapy (CPT) not recommended for routine treatment of uncomplicated pneumonia?

    <p>Pediatric patients</p> Signup and view all the answers

    What is the role of the mucociliary escalator and cough reflex in the respiratory system?

    <p>To clear airway secretions and maintain lung health</p> Signup and view all the answers

    What is the stance on the use of CPAP by face mask for postoperative complications?

    <p>It is not recommended due to lack of evidence</p> Signup and view all the answers

    Which statement best reflects the approach to airway clearance therapy for non-cystic fibrosis hospitalized patients?

    <p>It should be cautiously considered based on clinical judgment.</p> Signup and view all the answers

    What is the recommendation for airway clearance therapy (ACT) in patients who are able to mobilize secretions with cough, according to the guideline?

    <p>It should be cautiously considered based on clinical judgment.</p> Signup and view all the answers

    What is the purpose of the AARC Clinical Practice Guideline on nonpharmacologic airway clearance therapies in hospitalized patients?

    <p>To provide evidence-based recommendations for airway clearance therapies</p> Signup and view all the answers

    Who is responsible for recommending, performing, and educating patients and families on airway clearance therapy (ACT)?

    <p>The interdisciplinary healthcare team</p> Signup and view all the answers

    Study Notes

    Effectiveness of Nonpharmacologic Airway Clearance Therapies

    • Patient preference is an important consideration when selecting airway clearance therapy at home.
    • The expected outcomes of airway clearance therapy should be clearly articulated, and therapy should be discontinued if the therapeutic goal is not achieved in the specified time.
    • In the absence of high-level evidence, decisions regarding airway clearance therapy may be made based on clinical judgment.
    • There is a lack of high-level evidence demonstrating benefit from many airway clearance techniques, despite clinical enthusiasm for them.
    • Methodologically sound research is needed to improve the scientific basis for airway clearance techniques.
    • Routine delivery of airway clearance techniques to non-cystic fibrosis hospitalized patients cannot be supported due to lack of evidence of significant benefit.
    • There is a lack of high-level evidence supporting airway clearance techniques for neuromuscular disease patients, despite a large number of observational reports and guidelines.
    • Cough assist techniques may be beneficial for patients with weak cough, based on low-level evidence from observational studies.
    • Avoidance of pulmonary complications is the prudent approach post upper abdominal and thoracic surgery, and routine use of incentive spirometry cannot be supported.
    • Time-honored therapies without sufficient evidence should be abandoned in favor of multi-faceted approaches that include patient education, collaborative care, and early ambulation.
    • The use of airway clearance techniques in the setting of atelectasis without retained airway secretions does not appear to be effective, especially in the setting of upper abdominal and thoracic incisions.
    • CPAP by face mask can alleviate hypoxemia due to low tidal volumes and airway obstruction, and may avoid reintubation, but there is no evidence to support routine use for the prevention of postoperative complications.

    Effectiveness of Nonpharmacologic Airway Clearance Therapies

    • Patient preference is an important consideration when selecting airway clearance therapy at home.
    • The expected outcomes of airway clearance therapy should be clearly articulated, and therapy should be discontinued if the therapeutic goal is not achieved in the specified time.
    • In the absence of high-level evidence, decisions regarding airway clearance therapy may be made based on clinical judgment.
    • There is a lack of high-level evidence demonstrating benefit from many airway clearance techniques, despite clinical enthusiasm for them.
    • Methodologically sound research is needed to improve the scientific basis for airway clearance techniques.
    • Routine delivery of airway clearance techniques to non-cystic fibrosis hospitalized patients cannot be supported due to lack of evidence of significant benefit.
    • There is a lack of high-level evidence supporting airway clearance techniques for neuromuscular disease patients, despite a large number of observational reports and guidelines.
    • Cough assist techniques may be beneficial for patients with weak cough, based on low-level evidence from observational studies.
    • Avoidance of pulmonary complications is the prudent approach post upper abdominal and thoracic surgery, and routine use of incentive spirometry cannot be supported.
    • Time-honored therapies without sufficient evidence should be abandoned in favor of multi-faceted approaches that include patient education, collaborative care, and early ambulation.
    • The use of airway clearance techniques in the setting of atelectasis without retained airway secretions does not appear to be effective, especially in the setting of upper abdominal and thoracic incisions.
    • CPAP by face mask can alleviate hypoxemia due to low tidal volumes and airway obstruction, and may avoid reintubation, but there is no evidence to support routine use for the prevention of postoperative complications.

    Studying That Suits You

    Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

    Quiz Team

    Related Documents

    AARC Clinical Practice Guideline: Effectiveness of Nonpharmacologic Airway Clearance Therapies PDF

    Description

    Test your knowledge on the effectiveness of nonpharmacologic airway clearance therapies with this quiz. Explore the evidence, patient preferences, and clinical considerations for selecting and discontinuing airway clearance techniques.

    More Like This

    Use Quizgecko on...
    Browser
    Open
    Browser
    Browser