BronchialHygieneTherapy：bronchial卫生疗法.pptVIP

Bronchial Hygiene Therapy RET 2275 Respiratory Therapy Theory 2 Bronchial Hygiene Bronchial hygiene therapy involves noninvasive airway clearance techniques to help mobilize secretions and improve gas exchange Reading Assignment Egan’s Fundamentals of Respiratory Care NINTH EDITION (pgs. 921-932) Bronchial Hygiene Normal clearance Normal airway clearance requires a(an) Patent airway Functional mucocilary escalator Effective cough An effective cough can effectively move mucus from the lower airways to the upper airway. Bronchial Hygiene Normal clearance Bronchial Hygiene Abnormal clearance Abnormalities in airway patency, mucuciliary function, strength of breathing muscles, or cough reflex can lead to mucus retention. Mucus plugging can lead to atelectasis, pneumonia, and hypoxemia. Bronchial Hygiene Bronchial Hygiene Diseases associated with abnormal clearance Internal or external compression of an airway lumen (e.g., asthma, lung cancer) Cystic fibrosis Bronchiectasis Neuromuscular diseases can cause a weak cough. Bronchial Hygiene General Goals and Indications Bronchial hygiene therapy for acute conditions Acutely ill patient with copious secretions Patient in acute respiratory failure with clinical signs of retained secretions Patient with acute lobar atelectasis Patient with hypoxemia due to lung infiltrates Bronchial Hygiene General Goals and Indications (cont.) Bronchial hygiene therapy to prevent retention of secretions May be useful in acutely ill patients when combined with patient mobilization Cystic fibrosis patients benefit from chest physical therapy combined with exercise to maintain lung function. Bronchial Hygiene Determining Need for Bronchial Hygiene Therapy Bedside findings such as Loose, ineffective cough Labored breathing pattern Coarse inspiratory and expiratory crackles Tachypnea/tachycardia Fever The chest radiograph demonstrating atelectasis and infiltrates Bronchial Hygiene Bronchial Hygiene Methods Postural