Respiratory Care Clinical Competency Lab Manual PDF

Respiratory Care Clinical Competency Lab Manual CH 27: Pulmonary Rehabilitation  Key Terms Active cycle breathing technique Reconditioning Autogenic drainage 6 minute walk test Borg scale Target heart rate Comorbidities Diaphragma...

Respiratory Care Clinical Competency Lab Manual CH 27: Pulmonary Rehabilitation  Key Terms Active cycle breathing technique Reconditioning Autogenic drainage 6 minute walk test Borg scale Target heart rate Comorbidities Diaphragmatic breathing Forced expiratory technique Inspirations muscle trainer Pursed lip breathing  Patient Interviewing Determine chief complaint related to diagnosis Other symptoms Duration of symptoms Loading… Orthopedic concerns, comorbidities, hospitalizations, smoking history, occupational exposure to hazards Baseline surveys allow tracking of program outcomes  Patient Interviewing Diagnostic and laboratory tests Activities of daily living PFT Used to assess functional status ECG ABG Vaccinations flu , RSV , phumococcal GOLD guidelines COVID (pneumonia) Global Initiative for Chronic Obstructive Lung Disease Respiratory support groups - pulmonary rehar Medication regimen. group SpO2 at rest Gold Stage 3 COPD atients are prime Nutrition Pcanadites. Fluid status  The 6 minute walk test Provides a baseline for exercise prescription - indicator for hypoxic level , how well they ambulate , if the desaturated. Borg scale is used to assess dyspnea, perceived level of exertion, and pain Loading… Other scales may be used including patient’s target heart rate (THR) Karvonen equation: Target HR = (Max HR – Resting HR) x Intensity Percentage + Resting HR level Exercising & the that want them to work. Wa Absolute contraindications Unstable angina maximum & rate. Recent MI 220-age =  Performing the 6 minute walk test Patient should: Wear comfortable clothes and shoes for walking Use walking aids as appropriate Have not exercised in past 2 hours Be resting in a chair for 10 min prior to test textbook way -  Performing the 6 minute walk test RT should: Apply pulse oximeter Set timer to 6 minutes Assess 0 minute stats including Explain to pt O2 (L/min) Walk the “course” as many times as possible FIO2 in 6 minutes SpO2 Slow down, stop, sit down, and rest if needed HR Begin test BORG 1-18 - Assess 3 minute stats Pain Same as 0 minute stats RR At the end of the test have the pt sit while Blood pressure you assess 6 minute stats Breath sounds · shortness of breath level of exertion · perceived  Pursed lip breathing Reduces dyspnea during exercise Removes trapped air auto-PEEP or - intrinsic PEEP. Allows better diaphragmatic excursion Inhale slowly and deeply through nose Exhale through pursed lips (similar to whistling) Allow I:E ratio of > 1:2 twice as long Expiration. Instruct pt to perform this during strenuous part of activity “The lift” or the part that you are working The hardest.  Diaphragmatic breathing Can be used alongside pursed lip breathing to decrease dyspnea Strengthens the diaphragm Place 1 hand on abdomen, 1 hand on chest Promote “belly breathing” Abdomen rises or pushes out during inhalation Keep chest and accessory muscle usage to a minimum  Negativeinspiratory. Using an inspiratory muscle trainer pressure NIF-suck Comparable to weight training for the diaphragm in Using a NIF meter, obtain 3 strong efforts from pt normal- Quick, deep inhalations or mip more neg Calculate 1/3 of best NIF effort Man-20. Set IMTresistance just above this level Pt will feel resistance during inspiration 1 session of 30 minutes per day, 5 days per week is the goal If pt is unable to complete, they may perform 2 15 minute sessions  Active cycle breathing technique Begins with 6-8 diaphragmatic breaths Deep inhalation, passive exhalation Loading… Perform 1-2 forced expiratory technique (FET) “huff cough” Light cough with active exhalation Perform 3-4 diaphragmatic breaths  Autogenic Drainage Goal: Loosen secretions, move them centrally, remove them goodinormal Step 1 IC : Perform diaphragmatic breathing during these 3 phases: 1st. Full inspiratory capacity, followed by low lung volume breathing 3100 2nd. Breathing at middle lung volumes 3d. Breathing at large lung volumes Step 2 Perform 1-2 FET Repeat steps 1 and 2 until all mucus is removed * Study A