ippb/is hyperinflation therapy

pressures to be dilivered to the pt's lungs via pressure limited ventilator

the avg mean presure in the airways during one breathing cycle

"bounce back of the lungs" indication of elastic recoil of the lung

breathe slowly and to pause between breaths

bronchioles. ex: asthma

bounce back of the lungs. indication of the loss of elastic recoil of the lungs

• 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

• excessive ventilation/oxy
• dec CO
• inc icp
• pneumothorax
• hemoptysis
• gastric distention
• nosocomial infection

knock out the pt's drive to breathe

use low pressure and shorter itime and have pt position in the fowler or sitting up position

pneumothorax and treatment must be stopped immediately

stop treatment and notify dr

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

• to prevent atelectasis (collapse lung/alveoli)
• treat pre-existing atelectasis
• to imp cough
• maintain airway during preoperative period

• hyperventilation
• pneumothorax
• inc icp and stimulation of the vagal nerve reflex

• 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