Podcast
Questions and Answers
What is the primary target volume for incentive spirometry based on a patient's inspiratory capacity?
Which of the following statements about EzPAP is correct?
What is one of the main objectives of PAP therapy?
Which device is NOT associated with vibratory therapy?
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What is required from a patient in order to use the Acapella device effectively?
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What is a distinguishing feature of EzPAP compared to older IPPB therapies?
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What is one purpose of incentive spirometry?
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What physiological effect does PAP therapy primarily aim to achieve?
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What is a key requirement for a patient when using incentive spirometry?
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Which statement about EzPAP is accurate?
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What is an advantage of using the Acapella device in vibratory therapy?
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What is the primary therapeutic range for effective administration of EzPAP?
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What is the purpose of PAP therapy in respiratory care?
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Which of the following devices is designed to use a percussive effect for therapy?
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How is the flow from the flowmeter in EzPAP amplified?
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When calculating inspiratory capacity for incentive spirometry, which formula is used?
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Which parameter is essential for successfully administering incentive spirometry?
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What is a potential advantage of using EzPAP therapy over incentive spirometry?
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Which device among the following is associated with vibratory therapy?
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What is a critical outcome of PAP therapy during respiratory treatments?
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Which therapeutic range is often cited for effective EzPAP administration?
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What is an important consideration for using a mouthpiece with the Acapella device?
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Which statement accurately describes the Coanda effect in EzPAP therapy?
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What is the primary goal of using vibratory therapy in respiratory care?
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Study Notes
Incentive Spirometry
- Sustained maximal inspiration (SMI) for 5-10 seconds to reach inspiratory capacity
- Target is 30% of inspiratory capacity (IC)
- IC calculation: IBW (kg) x 45
- Example: 75.45 kg individual = 75.45 x 45 = 3,395.45 ml
- Target IS: 3,395.45 x 0.30 = 1,018 ml
- Requires patient cooperation and ability to use mouthpiece effectively
EzPAP
- First-line alternative to incentive spirometry
- Can be administered to unconscious patients
- May use a mouthpiece or a mask
- Therapeutic range of 8-12 cmH2O
- Can be coupled with a nebulizer
- Replaces older IPPB therapy
- Uses "Coanda" effect to amplify flow from the flowmeter
Vibratory Therapy
- Used to loosen and remove secretions via percussive effect
- Devices:
- Acapella: Variable resistance
- Flutter Valve
- Aerobika
- Metaneb
- Acapella: Can use a mouthpiece or mask, requires patient cooperation, can be tied to a nebulizer
PAP - Positive Airway Pressure
- Objectives:
- Prevent or improve atelectasis:
- Recruits collapsed alveoli
- Improves gas distribution
- Reduces work of breathing
- Increase functional residual capacity (FRC) and improve oxygenation
- Open up the airways
- Prevent or improve atelectasis:
Incentive Spirometry
- Sustained, maximal inspiration (SMI) with a 5-10 second breath hold.
- Targets 30% of inspiratory capacity (IC).
- IC calculated: IBW (kg) x 45.
- Example: 75.45 kg individual IC = 3,395.45 ml.
- Target IS: IC x 30%.
- Requires patient cooperation to attempt the therapy.
- Patient must be able to effectively use a mouthpiece.
EzPAP
- First-line alternative if a patient cannot perform incentive spirometry (IS).
- Can be effectively administered on an unconscious patient.
- Can be used with a mouthpiece or mask.
- Best therapeutic range 8 to 12 cmH2O (some sources say 20 or 30 cmH2O).
- Can be coupled with a nebulizer.
- Replaces older IPPB therapy.
- Uses the "Coanda" effect to amplify flow from the flowmeter.
Vibratory Therapy
- Used to loosen and remove secretions by using a percussive effect to disengage mucus.
- Devices include: Acapella, Flutter Valve, Aerobika, Metaneb, and Acapella.
- Acapella can use a mouthpiece or mask, has variable resistance, and can be tied to a nebulizer.
PAP Therapy Objectives
- Prevent and improve atelectasis:
- Recruits collapsed alveoli.
- Improves gas distribution.
- Improves work of breathing (WOB).
- Increase functional residual capacity (FRC) to improve oxygenation.
- Open up the airways.
Incentive Spirometry
- A sustained, maximal inspiration (SMI) that involves a 5 to 10 second breath hold and inspiratory effort to reach the patient's inspiratory capacity
- Target is usually 30% of the patient's inspiratory capacity (IC)
- IC is calculated by multiplying the patient's ideal body weight (IBW) in kilograms by 45
- The patient must be cooperative and be able to utilize a mouthpiece effectively
EzPAP
- First line alternative if a patient cannot perform incentive spirometry (IS)
- May be effectively administered on an unconscious patient
- A mouthpiece or mask can be used
- Best therapeutic range is 8 to 12 cmH2O (some sources suggest 20 cmH2O or even 30 cmH2O)
- May be coupled with a nebulizer
- Replaces older IPPB therapy
- Utilizes the "Coanda" effect to amplify the flow from the flowmeter approximately 4 times
Vibratory Therapy
- Used to loosen and remove secretions through a percussive effect that disengages mucus from airway walls
- Devices include:
- Acapella: variable resistance
- Flutter Valve: used for chest physiotherapy techniques
- Aerobika: used for chest physiotherapy techniques
- Metaneb: used for chest physiotherapy techniques
- Acapella: can use mouthpiece or mask, variable resistance, requires patient cooperation, and can be coupled with a nebulizer
PAP Therapy - Objectives
- Prevents or improves atelectasis by:
- Recruiting collapsed alveoli
- Improving gas distribution
- Reducing work of breathing (WOB)
- Increases functional residual capacity (FRC) to improve oxygenation
- Opens up airways
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Description
This quiz assesses your knowledge of various respiratory therapy techniques, including incentive spirometry, EzPAP, and vibratory therapy. It covers the principles, applications, and patient cooperation required for each method. Test your understanding of how these therapies facilitate respiratory function and secretion management.
