IPV.txt

Is a form of chest physical therapy administered to the airways by a pneumatic deviced called the Percussinator.

The breathing circuit of the IPV

mini bursts of gas are delivered into the lungs at rates ___________

The three ways IPV can be delivered.

Is depressed creating a continuous percussion with the patient breathing through the percussion as desired.

Allows dense aerosols to be delivered to promote:

What is the traditional medication that is used for IPV

What is the dilution of racemic epi. used?

What effect does sputum have on FRC?

What effect does spasm have on FRC?

What effect does collapse have on FRC?

What effect does swelling have on FRC?

What effect does Hyperinflation have on FRC?

What type of bias flow pattern is used by IPV?

When gas flows over a thickly lined mucus layer, a shear force directly proportional to the velocity of the gas is produced.

If the Asymetric flow is maintained and exceeeds the cohesive and/or the adhesive forces of the mucus, the mucus will move?

This is the mechanical device that delivers the pulsed gas to the Phasitron in the patient circuit.

How is the percussionator operated?

The percussinator is triggered by?

Volume of pulsatile gas is controlled by adjusting the?

What is the pressure that the IPV can deliver?

As the pressure is increased, the volume delivery is?

How is frequency levels controled on the IPV-1C?

How is the frequency level controlled on the IPV-2C?

the frequency is adjustable between _________

I:E ratios of the IPV?

High frequencies cause what kind of I:E ratios?

Low frequencies cause what kind of I:E ratios?

The pulses of gas are delivered fro here.

Each pulse of gas from the phasitron has an I:E ratio of?

Phasitron: Gas is entrained during the inspiratory phase from the nebulizer through _____?

Phasitron: Open to ambient during expiratory phase.

Aerosolized medication is admitted through tthe entrainment port and delivered to the patient's airway through the ?

The patient is free to breathe aerosol passively from the nebulizer without any percussive effect whem this is open.

Prevention and/or reversal of atelectasis, retained recretions in patients who are unable to deep breathe and cough effectively, Expected increase in pulmonary secretions secondary to injury or pathophysiology.

What is the abosolute contraindication for IPV

This IPV machine is suitable for the management of patients with cardiopulmonary disease in which secretion mobilization is desirable. is an acute care IPV.

Is the most complex of the IPV vents. is an advanced post-surgical model intended for acute care use. Has the most control fetures giving the practioner great flexibility in the clinical application of the device.

This is the on/off valve that controls the operation of the IPV-2. On i allows the practioner to operate the ventilator delivering IPV therapy, or IPV therapy with continuous positive airway pressure. This is termed oscillatory demand CPAP.

Regulates the percussive ventilation, flow of gas going out of the oscillator cartidge, and has the effect of reducing the percussive amplitude by modulatinf the output of the oscillator cartridge.

This contril gives the practioner the ability to control the rate of inspiratory pressure rise during pulsed gas delivery, The control consists of a needle valve downstream from the oscillator.

Allows the practioner to control the frequency of pulsed gas delivery to the Phasitron.

Is a pressure reducing valve that determines the impact velocity of the percussive pulses.

It is recommended to begin therapy at?

An adjustable regulator used to provide CPAP during oscillatory or demand ventilation.

Located in the front panel to manually trigger the ventilator into the oscillatory mode. Is provided in the event the ventilator is used for cardiopulmonary resuscitaion efforts.

Controls the frequency of the pulsed gas delivery to the Phasitron.

High density Aerosol Therapy, Extarthoracic percussion, IPPB, Mechanical Chest Thumpers, Squeezers and vibrators, upper airway secretion mobilizers, Bi level (I-E PAP) breathing devices CPAP devices, and Postural drainage are what?

These are What kind of patients that will benefit from IPV; Caridio pulmonary shock, acute COPD, Smoke inhalation and'or pulmonary burns, aspiration of irritants CHF, asthma, atelectasis or surgery leading to atelectasis, acute pneumonia, and infants with BPD meconium.

These are what kind of patients will benefit from IPV: Cyctic fibrosis, chronic bronchitis w/ emphysematous changes, bronchiectasis, neuomuscular disease or immobility, fibrotic disease, refractory hypoxemia.

These are what kind of patients: Continue to smoke or visit smoking areas, abuses alcohol/drugs, malnurished, negative view on life, not follow exercises, not able to keep a daily record, Stressfull family life or lassitude, not follow the directions precisely, and non-compliant.

Prevention and/or reversal of atelectasis, retained secretions in patients who are unable to deep breathe and cough effectively, expected increase in pulmonary secretions secondary to injury or pathophysiology are what for IPV?

Known bullous emphysema, S/P acute intracranial event, s/p intra-occular surgery, s/p head trauma, s/p repair of tracheosophageal tear, hemoptysis, hemodynamic instability, nausea, and active TB are what to IPV?

Hyperventilation, pneumothorax, impedence of venous return leading to decreased cardiac output, increased intracranial and/or intra-occular pressure, gastric insufflation, hemoptysis, hypoxemia secondary to changing V/Q and/or decreased cardiac output, air trapping, auto peep, and/or overdistension of alveoli are what to IPV?

How much medication or diluent is needed for every minute of treament desired?

part of the start up: where should the percussiong control knob be set?

Part of the start up: What IPV operating pressure should it be started at?

Start the IPV TX by instructing the patient to breath mist for?

When do you stop the treatment?

Gen Guid. for IPV on vents: Place the vent on SIMV or CPAP mode. Assit contro/CMV mode is _________

Gen Guid. for IPV on vents: Pressure support should be ______?

Gen Guid. for IPV on vents: should volume or pressure modes be used?

Gen Guid. for IPV on vents: A rise of _______ in peak airway pressure is often required to administer effective airway percussions.

Gen Guid. for IPV on vents: Increase the _____&______ to avoid alarm violations

Gen Guid. for IPV on vents: the IPV treatment should not be used w/o ________

aerosol is delivered at approx.

If using a mask delivery, tight seal is not necessary but may need to?

If giving O2, percentage is between?

Be prepared to suction how long after TX?

Is the device gravity dependent?

When should you lube the connections?

disassemble phasitron for cleaning espcially if using?

How often should it be calibrated?

When should it be overhauled?

Increased sputum production, improved breath sounds, improved lung and chest wall mechanics, resolution of lung infiltrates and atelectasis as shown on CXR are what to IPV?

compare and contrast IPPB and IPV: This has positive pressure insp. max, min. rates, patient and seal dependent, min. airway support, pressure barotrauma risk, min. aerosol deposition.

compare and contrast IPPB and IPV: This has step inflation pressure splint, percussive rate max 200, patient and seal semidependent, max. airway support, min barotrauma risk, max aerosol deposition, time saving, two treatments in one, frequency of TX can be decreased as desired.

IPV appears to be the most effective means of reducing?

IPV has been shown to increase pulmonary function and improve Oxygenation by?

IPV can significantly improve oxygenation and has little harmful effect on?

IPV delivers mini burst of air on?

IPV is as effective as CPT, flutterm or chest vest therapy in?

IPV has shown more clinically important improvement in atelectasis than?