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ippb/is hyperinflation therapy
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ippb is a short term breathing treatment which provides
pressures to be dilivered to the pt's lungs via pressure limited ventilator
what is meant by increased mean airway pressure
the avg mean presure in the airways during one breathing cycle
what is lung compliance
"bounce back of the lungs" indication of elastic recoil of the lung
to prevent pt from experiencing light-headedness, dizziness or faintness from reduced paco2 levels, encourage the pt to
breathe slowly and to pause between breaths
airway resistance is a narrowed
bronchioles. ex: asthma
lung compliance is the
bounce back of the lungs. indication of the loss of elastic recoil of the lungs
what are some types of indications for ippb therapy
inc wob
hypoventilation
pt who cannot take a deep breath
inadequate cough
inc airway resistance
atelectasis, esp in sedated postop pt and pt recovering from chest or abdominal surgery
pulm edema
list some hazards of ippb
excessive ventilation/oxy
dec CO
inc icp
pneumothorax
hemoptysis
gastric distention
nosocomial infection
if the ippb is given with o2 with copd pt, it may elevate the pao2 abouve normal level (50-60) which may
knock out the pt's drive to breathe
how do u prevent an inc icp
use low pressure and shorter itime and have pt position in the fowler or sitting up position
pt who complains of sudden chest pain, sob, tachy, must be suspected with having
pneumothorax and treatment must be stopped immediately
what should u do if pulse rate eincresease more then 20 bpm
stop treatment and notify dr
how would u instruct a pt using a ippb
tight lip seal, allow the machine to fill the lungs until it cycles off,
hold breath for a count of threee before exhaling to better med delivery and improve gas exhange.
pause before the next breath
what is the goal of is
to prevent atelectasis (collapse lung/alveoli)
treat pre-existing atelectasis
to imp cough
maintain airway during preoperative period
hazards of is
hyperventilation
pneumothorax
inc icp and stimulation of the vagal nerve reflex
how to instruct pt to use the is
hold the is in a upright position
tight seal on mouth piece (use nose plugs if theres a leak)
INHALE slowly and as deeply as possible.
hold breath for 3-5 sec then remove mouthpiece and exhale normally
rest n breathe for 30 sec
repeat 8 to 10x's per waking hour
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Author
Anonymous
ID
68239
Card Set
ippb/is hyperinflation therapy
Description
ippb/is hyperinflation therapy
Updated
2011-02-23T00:29:43Z
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