rapy Acronyms Again文档格式.docx

rapy Acronyms Again文档格式.docx

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WORDWIZARD

AcronymsAgain?

1.activecycleofbreathing2.adultrespiratorydistresssyndrome3.autogenicdrainage4.posturaldrainagepercussionandvibration5.chestphysicaltherapy6.continuouspositiveairwaypressure7.expiratorypositiveairwaypressure8.forcedexpiratorytechnique9.high-frequencychestwallcompression10.Hertz11.intracranialpressure12.intrapulmonarypercussiveventilation13.mechanicalinsufflation-exsufflation14.positiveexpiratorypressure

AIRWAYCLEARANCE15.Reference:

page923

PhaseImpairmentsA.IrritationAnesthesia,CNSdepression,narcotics

B.InspirationPain,neuromusculardysfunction,restrictionC.CompressionLaryngealdamage,artificialairway,abdominalweakness/surgeryD.ExpulsionAirwaycompression,obstruction,abdominalweakness16.Reference:

Fullobstruction,ormucusplugging,resultsinatelectasisandimpairedoxygenationthroughshunting.Partialobstructionresultsinpoorairflowthatincreasesworkofbreathing,airtrapping,and

mismatch.

17.Reference:

page923A.500milesperhourB.>

100mmHg

DISEASEANDBADCLEARANCE

18.Reference:

page924

A.foreignbody:

externalB.tumor:

externalC.secretions,bronchospasm,inflammation:

internal

19.Reference:

A.cysticfibrosisB.bronchiectasis20.Reference:

A.musculardystrophyB.ALSC.myastheniagravisD.poliomyelitis（andcerebralpalsy.tonameafew）SECRETIONMANAGEMENT:

GOALSANDINDICATIONS

21.Reference:

page924,Box40-2

A.copioussecretionsB.acuterespiratoryfailurewithretainedsecretionsC.acutelobaratelectasisD.unilaterallungdisease22.Reference:

page925

Pneumoniamaybepresentwithoutsignificantsputumproduction.Uncomplicatedasthmaalsomaynothavesignificantsputumclearanceproblems.

Chronic

23.Reference:

Bronchialhygienetherapyforchronicconditionshasprovedtobeeffectiveifcopioussputumproductionispresent.Examplesincludecysticfibrosis,bronchiectasis,and,insomepatients,chronicbronchitis.Ingeneral,sputumproductionmustexceed25to30mlperdayforbronchialhygienetherapytobesignificantlyhelpful.

24.Reference:

page925A.Bodypositioningandpatientmobilizationmaybeeffectivetopreventretainedsecretionsinacutelyillpatients.B.Exerciseandposturaldrainage,percussion,andvibrationhavebeenshowntobeeffectiveprophylaxisforpatientswithcysticfibrosis.

25.Reference:

FactorSignificance

A.HistoryPulmonaryproblemsknowntoincreasesputum.Also,forpatientswithupperabdominalorthoracicsurveywhohavehighriskduetoCOPD,obesity,age,anddurationoftheprocedure.

B.AirwayPresenceofartificialtrachealairwayC.ChestradiogaphAtelectasisorinfiltratesD.BreathsoundsDecreased,crackles,rhonchiE.VitalsignsFever,tachypnea,tachycardia

BRONCHIALHYGIENEMETHODSPosturalDrainage26.Reference:

page928

A.reducedvenostasisB.preventionofskinulcers27.Reference:

pages925,926

A.turningB.posturaldrainageC.percussionD.vibration28.Reference:

A.absolute1.unstablespinalcordinjuries2.tractionofarmabductorsB.relative1.severediarrhea2.markedagitation（andriseinICP,dropinBP,hypoxia,arrhythmias）29.Reference:

Plumbingproblemsduringturningincludeventilatordisconnection,accidentalextubation,aspirationofcircuitcondensate,anddisconnectionofvascularlinesandurinarycatheters.

30.Reference:

∙Pronepositioningsimplymeanstoplacethepatientfacedowninthebed.

∙PronepositioninghasbeensuggestedtotreatpatientswithALIandARDSthatarerefractorytooxygentherapy.

∙Pronepositioningimproves

relationshipsandthusimprovesoxygenation.

∙survival

31.Reference:

page929

1.5to2hoursaftermealsortubefeedingstopreventaspirationandgastroesophagealreflux

32.Reference:

page929

3to15minutes

33.Reference:

page930,Table40-2

InterventionsA.Administeroxygen,orraisetheFio2.Repositionpatient.B.Stop.Restorepatientposition.Consultphysician.C.Stop.Restorepatientposition.Consultphysician.D.Stop.Restoreposition.GiveO2.GetphysicianNOW!

E.Stop.Suction.O2.Position.Airway.PhysicianASAP.F.Stop.Position.O2.Requestbronchodilatorfromphysician.G.Stop.Position.Give/increaseO2andcontactphysician.

34.Reference:

Coughingshouldbeavoidedinhead-downpositionstoavoidincreasingICP.Ifcoughingisnecessary,sitthepatientuporusetheFET.

35.Reference:

page931A.Itmaytakeupto24hourstoseerealeffectivenes