By Elizabeth Dean PhD PT, Donna Frownfelter PT DPT MA CCS RRT FCCP

Utilized in conjunction with the 3rd variation of rules and perform of Cardiopulmonary actual treatment or by itself, this distinct advisor is helping emphasizes scientific challenge fixing and determination making via case stories that concentrate on quite a lot of sufferer stipulations, together with secondary in addition to basic cardiopulmonary disorder.

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Ventilatory strategies. In Frownfelter. , Dean, E. ). Principles and practice of cardiopulmonary physical therapy. St. Louis: Mosby. Weber, K. , Janicki, J. , Shroff, S. , & Likoff, M. J. (1983). The cardiopulmonary unit: The body's gas exchange system. Clinics in Chest Medicine, 4, 10 1-110. Copyrighted Material Medical Case Studies Chapter 3 Pneumonia Chapter 4 Chronic Airflow Limitation Chapter 5 Myocardial Infarction Chapter 6 Duchenne Muscular Dystrophy Chapter 7 Cerebral Palsy Chapter 8 Systemic Lupus Erythematosus Chapter 9 Crohn' s Disease Copyrighted Material Pneumonia PATHOPHYSIOLOGY Pneumonia is an acute inflamam tion of the lung parenchyma (the portion of the lung distal to the conducting airways) and involves the respiratory bronchioles and alveoli.

The procedure is performed in a sterile manner. Instillation of hypertonic saline may facilitate the removal of tenacious secretions. The suction pass time should be within 10 seconds. Mechanically ventilated patients are hyperoxygenated and hyperventilated before and after the procedure to minimize arterial desaturation and airway closure. Closed suction systems are preferable in mechanically ventilated patients because they maintain positive end-expiratory pressure. Hyperinflation can be achieved automatically with the mechanical ventilator.

Coughing Maneuvers increased intrathoracic and intraabdominal involves best secretions. can be or means the latter necessary patients after or with neuromuscular dysfunction (Frownfelter and Massery, 1996; Massery and Frownfelter, 1996). coughing can achieved motions, in the pOSItion or or a self-administered Heimlich-type maneuver. Maximal inspirations are and such as rocking, and a forceful cough is of a encouraged in the flexion blanket for the movement Assistance can involve or manual assist, such as applying use of a pillow or rolled over the anterior chest waH or during applying the abdominal The position, assisted or maneuvers includes coughs, type, of sessions, and course and progression Relaxation and Energy-C onservation Techniques and techniques are prescribed to reduce oxygen and energy oxygen transport demands on a causing Tension alters breathing mechanics and to become less Increased tension and more also increases sensitivity to discomfort and pain, which in turn further Relaxation can avoid, and gas naJ�cotlc:s, which are or reduce with deep UH,UUlUIJll".

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Clinical Case Study Guide to Accompany Principles and by Elizabeth Dean PhD PT, Donna Frownfelter PT DPT MA CCS
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