RESPIRATORY HOME CARE

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CHAPTER 15 RESPIRATORY HOME CARE

PRETEST QUESTIONS

Answer the pretest questions before studying the chapter. This will help you determine your strong and weak areas in the material covered.

1. Which of the following O2 systems would be indicated for a very active home care patient?

A. O2 concentrator
B. Liquid O2
C. “H” cylinder
D. “E” cylinder

2. Which of the following is the LEAST important area for the respiratory therapist to discuss with the home care patient?

A. Pathology of the disease process
B. Cleaning of equipment
C. Side effects of prescribed therapy
D. Importance of proper therapy techniques

3. Which of the following IPPB machines is most convenient for use in the home?

A. Bird Mark 7
B. Bird Mark 8
C. Bennett PR-2
D. Bennett AP-5

4. Diaphragmatic breathing exercises should result in which of the following?

1. Increased VT
2. Less dependence on the diaphragm during quiet breathing
3. Increased FRC
4. Decreased respiratory rate
A. 1 and 2 only
B. 1 and 4 only
C. 2, 3, and 4 only
D. 1, 2, and 4 only

See answers and rationales at the back of the text.

REVIEW

I. HOME REHABILITATION

CRT Exam Content Matrix: IIIH1-8

RRT Exam Content Matrix: IIIH1-8

A. Goals of Rehabilitation
1. Help the patient become independent.
2. Help the patient improve the ability to cope with the disease.
3. Help the patient gain an understanding of the disease and the limitations that result from it.
4. Help the patient to set realistic goals for life and then help him or her attain those goals.
B. Conditions Requiring Pulmonary Rehabilitation
1. Chronic lung diseases
a. Emphysema
b. Asthma
c. Chronic bronchitis
d. Cystic fibrosis
e. Bronchiectasis
f. Pulmonary fibrosis
2. Neuromuscular diseases
a. Myasthenia gravis
b. Guillain-Barré syndrome
c. Poliomyelitis
d. Muscular dystrophy
3. Central respiratory center disorders
a. CNS injury
b. Hypoventilation syndrome (nonobese or pickwickian syndrome, sleep apnea)
c. Ondine curse (primary alveolar hypoventilation)

II. CARE OF THE REHABILITATION PATIENT

CRT Exam Content Matrix: IIA9b-c, IIB1, IIIF2d3, IIIK1,2,5,7

RRT Exam Content Matrix: IIA4a-c, IIIK2,5,7

A. Patient Care Plan
1. Humidity therapy
2. Aerosol therapy
3. O2 therapy: the use of reservoir cannulas and pulse dose O2 delivery systems aid in conserving O2.
4. Bronchodilator therapy
5. ABG sampling and analysis or pulse oximeter (SpO2) monitoring
6. Oropharyngeal and tracheal suctioning
7. Determination of breath sounds by chest auscultation
8. Chest physical therapy
9. Breathing exercises
10. Sputum induction
11. IPPB therapy: The Bennett AP-5 unit is commonly used because it operates on electricity rather than compressed gas.
B. Periodic Evaluations
1. Pulmonary function testing
2. Sputum collection and analysis
3. ABG collection and analysis
4. Exercise tolerance testing (6 to 12 min walk)
5. Chest x-ray films
C. Breathing Exercises
1. Pursed-lip breathing
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