PHTY304 Lecture 6: Week 6
Document Summary
Hfcc (vest: treatment cycle (4-6 per session, (cid:1007) (cid:373)i(cid:374): high f(cid:396)e(cid:395)/lo(cid:449) p(cid:396)essu(cid:396)e (cid:862)hu(cid:373)(cid:373)i(cid:374)g(cid:271)i(cid:396)d(cid:863, (cid:1006) (cid:373)i(cid:374): lo(cid:449) f(cid:396)e(cid:395)/high p(cid:396)essu(cid:396)e (cid:862)thu(cid:373)pe(cid:396)(cid:863, forced expiration manoeuvres inhalation and other, acts. Improves cardiopulmonary fitness and muscle strength: de(cid:272)(cid:396)eases (cid:271)(cid:396)eathless(cid:374)ess (cid:894)o(cid:859)neil et al (cid:1005)(cid:1013)(cid:1012)(cid:1011)(cid:895, promotes feeling of well being (stanghelle et al 1988) Increases fev1 and sputum clearance (zach et al 1981: does not replace airway clearance physiotherapy. Risk management: standard precautions additional precautions to prevent cross infection, hand washing, gloves, gown, mask. Inhaled agents - bronchodilators: unstick/loosen secretions, chest percussion, expiratory vibration, oscillatory pep modalities, flutter. Inhaled mucolytics: acapella, pulmozyne (rhdnase, triple/hypertonic saline, mobilise secretions. Increase speed of expiratory airflow: chest percussion, vibrations, fet, huffing, acbt, ad, positioning, mpd, pd, hypertonic saline (3,4. 5,6%, osmotic effect, normal saline (0. 9%) Increases ciliary beat frequency, cough frequency, bronchospasm: clear secretions, cough & swallow, cough & expectorate, suction posterior pharynx.
