oo [Bratenal and _pyseteical (elfjecrces _befiven ALI and predate La i =a frotonical | + Infants feed and breath sinnalfancovaly | upto approximately 3-4 months olue to otiference & upper aha anatomy. Ondt Hen, te: Prefer nese breathing Thexdfore , nasal breckage tan Sead to “incresged work ¢ bresdtivg and grea - a te tpophaticn +330€ (fomiils) and songve & enlarged - Ts naay contribute to Uppet alway Obetretion: K Aways infans ead are Smalley in Preteem . Thi offers very high Lesistante to airflow and any mucosal edema will incgease the work ef breathing - A Beonchia_wall stouctuee & different Wr Enfants - Cavtiage & less fism & ro st a which predispose to airway obstruction” & Collapse + Only fers alveoli dn ed children & ‘teeadfore Mes _gusfince Area ee Rares exchange + footy develped Collate ventilatory channels bebueen alvecl, gespivatory brengioly and teminal brortiole) unk 2-3 set aye sohch predisposes | | lt ar + Anatomica] differences in ‘gibcage No, Bucket handle miovemedt as Infants Lies ave horiaonfally positon! The infants & more cleperdend on a phsagnn fer 483pizatton dur to weak iafeocostals. + Less _efficient verttation avd Astoxtion Of chest wall_shepe on bapisaton due to the hovizontal andle ingeation of . diapheagna wlth, compliant cartilaginous aibage & Tfards # Jess spate for orien u infds a otter oans (Hymns) te heart§ and b faage Peptologieal # Less compliant lungs And alco Lace a Suufactsnds in ifort, parted preterm ulas Destiny pattem in neonates Cspevaly preterm, wohich may fead to apne: confquiation clonot albus ‘the_ isla fo ‘muesse Ling volume do he Same extent as adult Therefore ustan th fepiratorg cliffialties, the fant onust tneserne feapivatong gate, Zafer fr depth, ¢o maintain minke volome Deciease tn postweal tone Auging achive seep in neovates (auer apt feretena) cesidua) capacity (FA) MT WOB- reorases way sleep for uphe 2 hs ada go 7 0, this mney bein active sleep compared 2g, in nee rene et ee 40 abeolay ollap seSn adulb- | + susceptibility te fatigue a diaphecnn as neonates and preter infants atiop hace & Composed of Lesser sepe Aeiistand ‘gre 1 mule filers 0% Compared with adults. 4 chilsen have a hi i festhg pedal | Rede with 4 este onyge 1 clemard vshich (an cau ‘apa moxe epic * Hyperia dh ‘fans (280)_bradycard’a Sather than —lechycaetia * tafants ard childven Preferential vestilete toe opperwost Jung gepien Satveg than deperdent fang, 2egfong as Tn the adult # Small infauds, the closing, Volume exceeds the FRC : Exercise testing GU we) fo areas patients foe exercise Freiining, And b Provide dutwome rensuy el» 2 Test cued in meditine fo measure the heavts abilly te Resporel to extend St8035 om a cont rollecf chitel anviomort > Test measuges pireny % condioveypi- vlog stystem- Subsech~ o praced an a treadbail and & monitored wlth an Ech Dre worxload § tincseawl eunfll the Subsect feachey exhaustion” ow eoitl) Sigs of exertional) infelerance Ychshers Greals or + To cletect the presence schema. *To deteomie beretional aepoble | capacity trdbivviclsal- patacipler roan the Work bad) by Ns | speed ox grace en treadmill or | vesistamne % bieycle . oho iciHel wsovkload at & fou 0 teoms yf the Inllivitleas erabcipated aerobic thseshold. «Mainkin each work load ft" 1 lo ox Fenger upto 3 fin + Feorninaing te preatamme 4 enget % | “yoptoms ot a definable cub nosnaltly in ECC—_—— instoument> 5 used Bicyet ergomees, Treadbsill, Seppess, | cr, pulse ongeetet, Timer, Spiometey patients ease sheet, Defrbeillatoc, Stains > Fe patient & monitesed wits @ 2 lead EG ‘moet toe feat and kewvery , ifermaton £egacd easion wh * condlucton pe te. me ‘ rrticalent “) Exercise testing * *Ebiit abnormalita not pret at fest «Estimate ferttonel copacity + éstimate nosh - . Pffect 4 traded - cont rainctecahors ’ Absoluie : tnfpaction, unstable angiva acta Heat fellate , aortic Steress, Acde fect pelative : Moderate valwulno heost cbsexte, Hypedolemia, Diabeles , Rheumatoid doves, regen . Sefely preotlors VFerdwill Shouly have (ort and aide tail for Suosecty to § proms: = Should Le cbibrosen) me nbhly ~Emegencyy stop bidton should be there- Test sneuld be done ender the Supenisien of fi teiay). Mutatolle gacivalenl Refers @ a cent of oxygen uptake ” | publle exegciss 44 6-12 win pretest Preparation “Hog hilony of Lt heeded ov ppinted ghoul be asked- “Pak aboud fperily Nistor ed crenetal roeclical bis! sSubsect shoul! not eat ov srke ot feast 2 hows pros fo dew. + Unasual prasad exercise should not be done befooe es : Wistosy ghoul! be taken h Beckers ghoul be steyped godialls rot sable a f + Low bios se ep should be done. % devdinvos rao exercise chung, shih the repeat oxygen demoed & elevated patients wexinial Level * potocel should fave proper getled. eof down Boure Protocol 23 minade petied 40 aloo achieved 48 steady stecfe befese esovk lead & enaeased feo next Stege wee a siting, ox Jeatleg.Wats i: 5 a, : 6 minute taatk fey» eee chest x. di. ik pro Kachepraph i : 6 the cheat ond to hisgnae conditions $Fie he Conner perform ble . 6 a treadmill teyy » patient? are Affecting the cert, its lontents and rastrucled do walk down 4 100 fot neath Stmepuser - | Vices Corridor at theit pean pace, atte Po Cover aad wach ay possible. in 8 ming A te ere, distance voolted & Aebeomined & Syroptewas exPectenceod by pear ase Secordes. 2 Stair climbing S tnvolves caunBrg doe nembes of steps that Gan be climbed op and Bown in 2 minuhes 1) PA view: he font 4% te Jatents chet & against the gm DB tap the way beam passes fon posherky C0 ap fC010¥ « 2) Ap view if the patients canvot st or Sand. 3) LabegaP view? 4) Decubites oblique view : Side hey position Aesegs nen i Trahea shocle te obs) ty te te & : A- very or she B- bone & Salt Fissvepz Ede & the boner Steele be srraty. Asets for conshy cok? - C- Gsdiac + On PA torage , hearb§ oot Steeld be tess than Gore of chert wilh On AP inrage, Ses 50-607. af chart will JD Desphecgen: right higher tan Af. Coste phsenic 8 carchophaeni anes Should be visible. €- eps West ctoal ce Fe Feeley W Bissune- check bor ang Absene @ norma) fang mackngs 0 bats Blelels . Also check forcentsaindicable Any 0paeue r7a36, consolidaftr ef ratsotadicablernt 7 Onstable angina Recent Hhovacic Lud G-reaP vols : Assess corte & pelnensey) OF Belomiral snigerica, Recent ophthalrc vessels . | suegen, preunvt{rovx H—- Hil feb bikin newrrely paper wan | Test & boueg Velumer S capaities orien : Oe , / Test G done by spitornetey y “4 Shadex | Splremefen. it mensates tee & Mets faltiptatin Jbores _ white ais flow and eationute fang se. Fah - omy th asses the infeppat ef mechanical ais = - Bla bunetion og hang, Chest vsall, and Seth assuey — Del! ohile Resp iaatory muscles by manguting te = a total volume of als exhaled Grom a Dulmonacy Function qeat3 | oul i) (Totol dang Capati) te moximap) | : expioiten (residudl volume). | PFTs ase group @f “eats fea meadute howe well te Lungs care ch ann celease | Ltn volunoey ain and) bows ese They trend ses 55 | © ictal volume * ‘Nosed valine of, ais as orygen prom tre abrrosphae te the ‘napleeclfeapin es in each byeuh ery Quiet Sreaing Tv + 500 mo. | bey’ cnufation |Ompirat Jyexve Volume : Maximal | tnelicarions ee “ + Te agnose potma, boonthith, onpigten volume Gvr trab can be inpived ; of | After rowmal ingpirative - + % Giad Cacse of shownes O& breath . \ky «200 mp . bog Exncrien pre sagey °: = a + Assess OO & machcAHen @ Expratory xeseue Yow + progeess in Aieage treahrat. maximal velvere & aie ee an be BUD chitetenticte cbsproctive & gertrictie ei ve sormed eapiration. : ERV = (00 me. oe O Residual vote BG te volume Gals vennining In funy ae maximal expiration . RV=e ROO me. | Aa hung cpactHet @ mt Gprcty: Mor velume ¥ Bir te Can be napioed! aster nosmal Heal explettey, Te> TW tIRY= “ot 3009 53500 np @ Fxpiraong capacity: sox volume g vr Hat Gn be exphed alter romnal Hele ingpisetion EC= TVHERY beorl100-—) (600 2. O Ponctioved Recictuap Copactty ! Volume % as Patredinbg tn tong aff ermal tHaf expedion FRO= RU FE RY> [20041100 =) 2300 mb. @ view capacity Max ameunt of ody expulled after Aeegat pessive inspira”. Ve= TV4 IRUTE RV => 0 t Boot lleo D>4boo @ Total Long capacty : Volume ais present in marcioal ins pisation, “4 ve TLC= VEFRV > 4e00 1200-5900 mh. Hb a tat taf mensaey the eatery oxygen tension (pabr), Coabon » abide (pcg) aincl acidity (pe f. Blocet § chiara from an Atay ee) by 20 eater parctine oy Acceso) y ony q oer fetiap Cotheter. PME Fo cebemine tre presence & ore acidbate balance Fo. deck [Pr severe bethig Problems b bog clseas es: W3S- FHS pl 55-45 POs 780 HO, Qa- 29 L. sob 719 % $o-100 vty (nclitatley ' To evaluate pationty ventibfory day, % Stats, eit base balarce, O; carrying eapacitgy eps afory bitte, veshiated patient, cagcdiiac fee, Renal fpllace sepsis bbuunt, poniogcontenindilableus ceagutopabry, Atherosclerosis, ngectten vt instition site, Abnovmal modified piers text prlent text: pepe Chend, Crive prawee at ables ktuctiol voile ching Release premute & ulnar arte - naate gor Retuin of circolkton wikay (6 se papa kaif antorg,pardy at ys-b0% witsdinw 2-3 md ay blese! passively nett bese tetminedeys pH < 7-4 = heidemia- PH >2-Y> Alkaleniq Heh pa@,, Massive prbroneese ecfeona, mad overchse, Acule ainvng ebstsatten. Res pivatery piralesis tow Pas, ayperrortheton , seconcbueg + byppria,wechaniaad oves verHabion Metabolic _acielos's low HCO3 ,Dershea, Renal disease, ketoacidosis, (actle acilosss « alkalosis Hi Hs , Hype halen , Kecuryent Metabolic [ece/ ts dest trad cecos the electriap activity % fre heart. > & aq method ty uobih clectrial attivity @ plotte? en te yh poper with Smaallee division being mm be ard lnm & ight - 7 7 dsardad tly consits % Ie bed en: eat thee 6 aye Lino toads (',2,3aVK, avl,arF)and 6 age cardie Meds (re) > Bement assessatin Er pang ace - He, Heaat shyhor Hypestoply, infection 2 Helpfl wr: -pbnovml Heat Phyto (Br sig trots) | oI becked oy nacrpued riterios 0 yont heoat (oronaey cntery distit) | ae caused chest pan ox heart Attack: whether gou have hada Provices aftath 1 check patemalers ae working 60 not | | (nditabovs covdtiac fone | cerductoo Hock chest pir | ME | Ventricalep (botllattern | Hriol platter, bibrlleton | qo delemine beast Mgthm- | Heaar Prep feehous + . Rapid pobe | Shortness on Sres Venalingy ty perenenas De dine in billy 10 ROCKO:4 Noomal ECir | gts | Biochenaical _ Tals ase ne techarpve % measilna tho amomt ox Bt uty 4? potelas wire oo poser tn a soaple + Pp Ateiad depolae' zation * ORS complex -Vertriulor Aepolociza” eeSts Segment - Bejloning 4% verdriculey Aepolatisrton + T= venPoindae Aepolansaben “PR interal- Delay bekusen mapshe passes from SA node to AY node Normal (6 +P wave G upright - + PR infseal 13 0712- 0°20 sect 005 inbewal & 0-04-O-1 ¥C “T wave & upright “QT intOval G 0-32 -0-40 Ses: «PR Inder! shold be almost equal. Abnosmal EC a + Less mas - AMEE the PRS - Recognition a MI | “Damage 1 conducting tsi calles GES | + Inaessed muscle mags alte ample & dutaken oh PRORS waves ~ hecapniber | aA gps eephy gf tne nmsck i aiyered china beps a4 eal. plood os urine 0” Offer HSV} gor pe body Hemeatologiial fests . au the examsratten OF sar & bleed! to Cebemadne ts chomief , Piped ox Stilege hacen Vics.——— Loss of ting Volume fal a veoety & fos: — * (ontvlicd urebiratier?) |p cine pe \ volume & exerso. Thi combba \ ep kf postwsl, eohith Reduces preset » Ajelec tash - ¢0lapye % angfng bra 4 feu te the botole bg an te diaphsam, and enc ine uu Gr ee ee sto nsolide Ply - lo of pprctionieg 3 vidme btn, nab cep nfinap | ag UB the fish Ure qpeebiert « plewal effeaion, preumotion®, Hod listonsion, Rostoidtive alboodkts- -> causes may jotlude Shallow docathng,, prorehial “gosirvcin, abstr @ taped tant depict b compression | brewing > Fre Level & ati 5 condro lad 50 thad dhe fork pocorres Sst Lightly poealiles bab-avoicl maascle 4%, shen sfte § asked do lean back agoww a“ sual from apdomtre) clistersion- j twhen foeteatha bing volume, the A utile gt Msfher Breath back, clicrsibation @ we extta als should be wet bei Aecmegel & brow tang disetted te poorly ventilated Surg raking , colich wseuld ope te Aegieng + In postepertve oF tramoole beaatiing shytim « patent, 6 5 escally Murer lobes 3 pall’ “who Gee nop able fo ualht can se Contoalledl Detivit by spl feo | > loss g by velore 54 pootlem when gg uaa syeifeed aye ge "Wy Seufate ate Gas exchange “v compliance 2% wok 4% bradilng. ent bec do chais, Hen feb beat pat’ by folly “d ve back & tne dais cm bed! bowen paler have simply soled? ind Sie ng Hey ag be encoucaged de hela Techn ies + Conkrolled mebilization : fesitionlng : Breathing exeecies ' Nengo pryselogiaa? fecktaben + Mechanicd) aicls bike ipremetry, ERP, (PPS wm Appropriate pesitien | 2 Diseouraage brect~ belting senoucage 3 ready telarect pr enbhing > ty kehabilitetion hag teen Shown to accelerate gecoveiyy > Say mobilization & CeOnic Uy patients Saat sight bom teary me potiek evely 2 eweshous edd execeise Can be Staated ay $c6n as te patlens Kegalas conscicsneg., . Auivity & Cptmizes oxygen trmanspoy a Inaproving V/p. mbsmakes + (nesses bang volume: FD Recesces work @ brea: J mirimizes ho work & hoast- D enhances enuccelliany cleawance supine & unkelyged fos Burg vebave beawe the Haphiagrn 3 Inept & Less wosdinaded wlth chest wal) wechanicy. The sfempek poy tion ‘ unlrelpgl heause of pressure athe ciaghs ope from "Nid nd corbeabk. cbeitnge Homes ey ey FBOEN Klee (0 rine * Joe should be spent 1 set LG 5 free fyom tre adorrind Pees | coell! forest & that He al 4 can also be emrwicy ed for spe ~ AQ howl mined chage XS trop | £econrmende!- peg has a marked fore i oa a because 4 eee ap side Tag rg te noe benefited er TA. cups Hon Sept side F sinply foaras oom suple de ole “4 @n Char ateletas fen | dependent 8Gpers \" Fae Aewessy Soom Stencth to Slum pect sitting do Supine | * PostHorhg affect V/0 Sabir. Venhiasen aed perfusion axe tavally matched) becawe the bate verdlated dependent tng & abe bebfep pofset pefuion 4 Alunys | bea Sake in Aepencing ates oP ition , gesulti % dvumaty inaprovement tn ys Chang € ‘ | —1 Geating_ Sree 7] 7 bephopmte Sem Thew ae (Eaten preabhing techniques Breathing ‘wlth: gous Aap oan ome ted an help you brethe easies. you fo use only one muscle instead 4 mang, whith rmegna ie will we Less Pe Saeals . | enetay 10 breatte- + improve oy xedistabbte ventilation - » Sitdown in a chair ox Cig down en rInuese the qedcieness 4 he aie qouk back » Breata Go sLoual togh mechanism dx provoke air Cleatance- | yse > hs you brake fn, + prevent postopezdtive pede | should move out 50 your chest coh fi Omplications | wilh ae Brathe pol slowsly teemgl “ Inoprove mne Stoength, endeeccae ard | puese Ops DAS you pbyeath out, ge Wwordimbion 4 muscle: of Venbilade,, Showd feed gone belly move ia- * Miaindain 1 Inoprove chest be -thoracic | Rescue positions 10 make beeatoirg easler spine nobility. woten you have copD: + Comect inelpicient ex abrosmal a D siting tone fect en ground > bean potters bk deweue the WOB anal gpamsel > aon on table > + promote xelaxaton be Gelteve stves epen ees & belly dat (preted —> head = Teath patient how to deal with bredth through rose & Aysprea | and ont ders posse Lips. (ndicahort [4 Sburding positon = Elbows on chais;? cyst Gibresis, Bronchiectesis, arokcksis, Jean fprned — pot weet én amg alscess, premomuceullar isenses, Tean belly fat fponlel > Brews treo pneamonia, capo Abe suger, gelaxatien ead mse bLouf Heorgh pots a > passed Up Breathing | contaainctications Fo breathe though pussed Lips - Mueased IeP, unstable head inane , URelre your mech b sheulden musues Emp iema, § spiced avy, Active hemoorbose, a Srealhe Sn slowly Xh wou eu WE uncentrolled hypertension , Aniccegeloton 3. passe’ gout Sips ike you ane whistling paste asthma, Tubereulosis Rib osteeperes's te Brcatte onb stously asough fot posed Mp: Aental Breatni Bprcotd bv atsieg “performed on a ceqerrecat of, hung . Acvandages + vw + prevent accomulrPion % pleetal flit and SEES nT + Meeate Pateton'a beat + Dettense pani eplsade * Improve’ “chest etl « Fechniquey D taken) costal expansion can be dere uniteberally oo bilatenlly . PaPenb tn sng or hook ping > ple fous hoes aly the Dterad aspedt 4 BewveH Bibs AK pablentdo brealh oud, feel si» cage move deonwarel brinwatel. > hs patie bseals out, place pion alousrasacel pressive tate sibs with palms € you banc > prov fo ingpleater, apply a @uick downertd 8 inccaad stretch to ches when patient pyeabhs out, assist by gently squeezing the lb eae na dowrusard Y Wnwoed dhection- 2) Posterior basal Egmnsion : patent sit ancl Lean forutud on plow, sl vording the hips place the PT hand over the posetion cape og the Lower Lib b co the Same precedvoe in fat. costal ex pansi 3d Right middle lobe ov Lingela expansion pasend in sitting > phe prhand ab eitter te sig ov lyr side of, pahends esr Just delow Gxilla + follow Saue proreduce. 4) Apical expansion. | > Glesso pharyngeal Brentoing Le meant of tncecastg a Prabicns$ nspinatony Copel then tose & | Sevece weakners musdes inspioalton, ja faughd 40 pater who have Affistty | duran ma deep breath - + Involves taking sovetal gps # abr , espa 6 to [0 Te In Sele to poll as info Qu, ushen artien 4% the insplactony musls15 bredequak.> Affe patient takes Several , aio, the mmeute & closed. > Tongue P35 Me ar back & aps Wn mo pratinx > fe ais & then | hho ihe Ling usten yen 6 pers > Tah Irreceoses The oleyln 4 | | HBplrarion & padtents insprovtory & vit wpacitte » Newiophysiol ke Realition ay) > Resploatlenn} (pre/npey | Promoting oy fastens the kesponse &% neupomescue mechanien Ysough prepricteptoay. | toll todtens. Vncascdccey oy ney alesd pobrects, Mewological elegia pas pally breathing, On & ventibctor, SHE chest, Relaxation Precekupe .Frociits fo his, sternum ox fae, enilden, Peipteabery ave, Feabieg sibs - preawWlens sensitive “orm Hisue0s fp Opn af toatmerd ue Yo emdes) rele preatment- Resell beer insplention, change fy RK, tov rag] ener expansion Ka, less necessity 6 sudbisoing , ata! “f'9 9 jIQUSNS - 1) peswoseal prssete: Stimellatien & provicked “4 applying gro PSELE fo pattords cypper Lp. Piitiates tT epigasrare snovernent- > Sustained pressere Prmee Gesther excursion & the thoveric Xefion, so doe patent appeals do be cleep brealiing. 2 vetebral pressure ; presste § appled to T2-Ty which D epigastnc airdemind) excusion & TA-TH which T nespiralory movenrent & apical thoren- pressure prety . 2D tareccostal Streteh* Aeolying pessute to uppee bower % A vib Inoscke do stretch Ihe cafewostal ouscles in downwatd cliseton Peplicatlen % stretch should be timed with Cxhabtion. can be pespermed carl bile telly Cay] sib pith exteption a bleating Alby on brated. 4) Co-contratton 4 abdomina) nusdes- pressure Lateral) over Lower Hibs & pelic at gight angles to patent , atleenating higher & tt sides & wae pressure gor upto 2 mins ox until desirect effect 24 in abdeuinal tone. hs Tone , excursion Te xip wit Stmulede cans © SeciPors pret - 9D Antecies snetch basal Lift + | Pheing bands ender gre Ribs 4 spre patients & Lipting paced. || pone enifbilnteraly Sustalaad stretch G& mnintaived be Te provement Ge in Gteral & posterior cretian en be seen ancl felt Tey ipeston moved [9 Medcate Manual presses + Gradeal 4 in Gib movemend vncler ER & preasune- speci Ge fer hocabized ang potictegy- —— xnee celled sosteined maxinwm inspivaben, & singly @ viseall and o# autlig feelback device Ped errotages slow cheep Inspiration. > shew, deep Inbalaton prom te force) Aerilud oa ople He otal Capiaty , ellewed by 4 5-10 see bro hold- , Types s Volume & flew ovbentay. eefects: Absente os Improvement % Prelechask, Beceeated RR, Resolalon EY ahnosmnal breath socrrebs irnproved fa0,, | TV, T Insphrateg mouse pefermane Technigoes Demonstration of grr sing 4 seperate device. potterds shoukd be tebxe! and posiHoned a3 pr ckep breathing, ; either side Dying ox siting cy ~w dps te ad he potent inhialey Stevly & Deeply. ho érd hsplvotory hold Sagainep. Faaevendy ! slo Gredhs every (2 hews while quate. +0 breokhy S-Hiney acbog- “15 beens oe 4 hevets - prinpler < Jo inctease frarspelmensey presse & fnsplratong volumes, T iret muse performance L greskebUh ev spinntde de Porm gutter a, pulimonaty hyperlrd btier ID when fre procedure 5 repeated on a Aegulep basis , ai nidag patency vay be rmaintaired § an akelecksis prevental & geverse. Inditahions + vppee alebemtnad / teerade ougey, prolonged bekest, copD, potions wilh Seaphate my opacity, Navomusifag disease, spiral cox Inauin, patents uandessoing cA6a- contrairdiatene sApatient usho @hnet be jnstroctel fo assuee Sppreprare oe sf alevie~ rcoopetaten (i absent, patent unable do urderstard- * Young. patent ath ceicepmenbl loys * confused or de fiziow parients complica Heng Hypetventlation Resplyator allabsis, fave, Infection Hyporemia — %—— |(rteqnied five Pree boating) ype Ae fo appicahen 4, insplaatooe pesttive presume fo a Spontareensly bacathig Ptlent As an pnfeprittend- or Short term tree pecatic eclalty- the pated stimulates insphation, watt positwe presewe Sop poH, and frleewedt 4 Ainuay pressure reteenlg to atmesphenec pressure with pessive expiration - gees + hope ved Ins phodony capac [vital copreite « +Enhanced cough) secretten clearance . Ima provect chest gadirogerph + tropreved breath Secind) a + proved orggenation- tweliaten lung expansion, presence 4 Atelectase, spulom Refensten, Following cudlioc SAGE, lasypcal clyefunction , phrenic newe pag Brain derarae fe-edlucation: Contraindication frieurne thovax , ep > 15 rm tg , Active 1B, Hips, Mor saallenirg Trecheoeseplogeed Gstvla, Kor Noused. Conn pricahors ; * abruey gesistane, Aosccomial inflection, Cesphafoy alhaless, bmpahed venous Setuin, Grastrle fetentin, sgctologiead Aepunderce. ? Lure | FOCeCLUs explain procediae te perient- Attach ciscelt cow bing, exphsabeas valve Line, nebulizer tabi 40 tppb machine - Block mouthpiee cults sterile 20 - sep eal popace meditablen as proscribed & Inset 1pPB nebalioeo- [rg autt patient to posse Zips asectre) mouthpiece. So ato donot fear, Keeping “Ke torque batt. Preadh theo mouth oul Inspive sleuely keckeeply net be ng Oy pelt’ Cheeks Out pause briefly ae Ord 4 Inapitation hen exhale 0, & Adiered by a sytem Hab maintains a positive prez sure in the aecuitey Be aiswags pacuphout “expvationn & Insphoadkor > aay pe otieoonys do kerain open ard geduce phe wwomn of breathing « g tmoproves Viq mismatch, Redruts “ork of, brewting. (nclicatleng + presence of conditions clevelypry palronoty Alectoris copper abdominal) eucgeny comp nee, -Tosctic Sugy- ° co“p ae per vd eatoiell ve org cliseases.contrrindiiahen! sp who cannot be awe agprpriate uae of device “We cwopecanen: * in patients unatte do dep breath eflective * Cpen tratheal Story. cenaplicatiens Hyperventiaten, éaceiladion ef bronthespaty Hypewa, law eallapse , Fatigue ifn rousnpiece Nasal mask, Nasal pilluos ovonasal meas, fell free, mst a a IQ PRespivatory J 2 [Respiratory Wd te Cical condition ted happen uthen the sesprohay Syptero ils do maintain 5 main bercter, ushich 6 as cAchange Yn ewhith pad, & Power tran GOmmitg bjor faa & fi li high thon 50mm % classified! ito ye! hype 2 Teel > Hypexemt - nespleatery fatese has fad, < bommdty with rosmel or subnosmel faloz- Gas exthenge g Snpatwed! at toe Sevel & abreco-apiliy membrane ox lung tissues tang donage > prevents atepvale Onygenation % bloeol Crapo ennte) « remalang rostral lung & stil Suffiiat fo exaete Cr beng prodveed by Hssve metaboliin Cavses: Vip mismatch, shunt, Alveolar Fappoverdilchon :pelrronaty echeng, ARD, couid-#, preumenta Tye: Hyperapric + Seapioatany geile has a paCls >50 wm dy Hypmenia G commen due tp Reaping ad pit elt fovelver fous O cust v ca. * occurs when aheoley yenhhion & inselfictat to exqiek the db produced «most common cause of cop). othes We hes wal} 7 ovmities | Respinad mule weaknets (OBS) contaal depression=~ (3 ges abony cend¥e - nv redulh() ‘heron overdye) op qyeds Jung ar 4 whale so CO atc d clF common F wee! & F Type! Dyspnea Dasprea change g hehavlowt = | ‘achygrea reitiity headache | Restersress (fuser = Coma | cones lo — Tachyasdia wan extremities Aste Aavhgtioni IMloeclewa. ty fal oo pay oe | 0315 Tat pen i Trobgcatdian aprosis Diagnosls MG, OFT, FT, Chak sudiogeepty, CEC, epehiny, bed waive abtere, Boron | Gmplicadions paimonoug » Smubeo 8, fibrosis - cadiovauula’ hypotension, VC, Asche tien, Jerlagcitts, fruke MI Gust vo idestinal ¢ Hemonthage, rleus, Diasohesn, Ducdenall uketation: Inutton = Nosocomial Preumona, ut, eathetel Adlated sepets Reralls rcude penal feilive red pase bellanee NudriHenal ; Malacdaiton wert Ma SD Aleaay ma cb maintain adegule verdlation and eorsection of Bloce jee abnormal Hes | + fosmral drainage 2 percussion fea 9 cosvecHon 4% ftypenorata nasal am, sinh fae mas . J corsetion & Agpencapnin Y xe edo audes's’ ea veatilaeny Spon o peserd ul gesp. poate | pmo mont te fn mechani 7 Shows ven sileled peck, conly ovement in OO ite proved (0 completes bie aed vendlotes depend & casper condibeas > pesttionig ‘To inpsoe Vig rast, erly OME ‘ feat Ce ye pad promote muttodliagy cleavance, 4 aeration via T bung volumes kaeducng WwoB- fade wae nyu couliany Ceaance + suctlon A Unb exemsal a Manvel he pecinfleton * Ingprvcato muscle toalning | : | + Bralhing Exercies * boty niolilizabien - he a chat tog itt oF tay Ha ah ee a Azone 05 Type! a“ ee e Hon Rebrentror mask ms we an cbseuvation ~ Fogph alng le nbwos | ‘teemer 4 orcs, agenion eee jon gpd - se psi tg om sésetvettion - cyenass eaminaton- Techy coda, | nad fpllee, pelvonaty eee che, (coughs - Dyspnea, Malan, Confyion eraminatton = Bahycatdia, | URE ' ' od ,fechni guy to eat] 4 mt 4 O{zytadoo}: Humidigicaten +e orl Oo WV intake of 4 peti. tiple (ued Infene LeQuised. & Lumich Mol ohalr or fee we breathe boy extemal wean} inclla.tien : % adminster roecbtal gasel and ¢> maintain normal fologteal tonditlon re 7 broalt : % detiver warmty Vhemldified gia. Te tread hypothermia loosen Sece Hons Fepes thane, passe: idley Suspension of Solid ov Di uid pow h te 24 be pretapentic purpose , Yiu omic? conslts” a pestonng the potlet to allows ry te ass ly me davinage a setiesions fro Specific eos q lungs +1620 rr maindeinéa! Toons cleperats on paterts, ak PD bo the mowny helps cleat : 00 oe a Cov end po by Treteos ig m pd should be avided apter patients ave positioned! wi atea to be obrained cpppeemro st he most affectedt 046 & chained 6ist to rmve prevent | Wected seuetony opting Indo heallng hurd ss d 6 are olisease affects whole Lu tec oath Lobe Lequives Malnage , pe should be Mfontined Hf we cle comple 4 headache ,cbiscompost, aieetress, igen, poeathlesness oF palptiettens InclicaHow) + Productive ough, tele, Bronchiectasls, presence 4g asvigitiol aioe, Di fenlly with Secgetten cleagane - | contralndicaHow_: Head ingugles, hype, esophagertome, hagmoptysts 1, Aortic areuyprs , pelmon edema , Yersbon premotiorar, caedtac anita, Facial eolema, €4€ operten Fomiqvuey & Aplal egrets : potent SHE prolt with SU vaulatens acconling fo Peston 4G (elon ae fx * Pottertor seaments ! fighd Le on left sicle 4 15° tum ie ad Seating aga pillows > age a0 oe behind his back + Rit am fetr7g on Supposticg pillow + Right koe plored | deff le on gigak ede +4ys? onto As fact catth 8 plows —> Right asm behind bik aan hour bere Sep Lectures et | tet atm Lexting on pillows ¢ both Keres iyatly lerdd « & Antetioy segwrent : ger on batk + aims on side knees sigh Plexed Ove pillows — 6a | |A Middle Bbe * lateral of Medial segrrent ‘Pies on back, baty quastes fur to et matatoined by pillow ander glatt Shoulder > Feet © er & tne bed Sabsed fo 35cm 7 es if < Hited 15 Kaya + (gut Supetlos os iferios sqnrert 2 tio On baa wth body auartey tuned to Rt wandared 4 pillow undet Sete ‘shoulder. fect Qrend ated to H om, cet HME IS Aaa # tover Lobe : + Aphaad segerert : posre + head futred te ene side ¢ ats feloxed in emporpble pasion. + Ardectos basal & 2 plat on batt betters: Lestng or pio & free Fouat 4 Geo end qed pised Kohat Ht Xe + postecios bagal Seqrds 7 prone + ead femme! to pne sik ¢ VO Ce position side af head? pillow coder 4s + meatal basal~ fie en ait ste pillow undee hips + feet 0 bed gas o lateral posal Segmerd potent Le Cn oppsite de colts illus exncler ap 0 {jesaasion) < clapping an He Chest wit, Boose wri st And cupped hard, creabing, an every wave toed @ drangmitted to a . perfosmen) slightly upped hands applied allesmotely to tre chest val, with 4 Quler, velar eo! flexion g exfenion wwolsts- 7 WF Should be applied wer a blannet of four). Weliahewy: To Loosen Seevettens (Kew brenchial ual). contvaladicahony Rib Peace) , susqical incision) , Hemoptysss, Rute pleucttic pain, esteoposesés, actwe TB: Qrapiicaion: Onset q Cardiac av vas (lt fh CO b far BT bronchospasm atl sapid persion « ace) Handy ate placed 6a chest wxll ard dualeg expiaatin , d Vbiadhon action 4 the Aixeipy of the normal movsmert o the Klos | feartnittedd though de Une ting | weight Indladions’s hugusenss expinaten, Glew? Obstody e cod thick Secekens - Can be weed cDutlny enpledery phage 4 manual I pertaftation: tgrtraidicabions * Fachaed atts chest Tornsie3 , osteo pores, Herrpaigsisfine oscillation 0% hands Alvectedd 1 Breath control > Gentle tal Volvo Fontes aginst the chat performed — | brent colt Relanation 4 per on exhalation after a chep Iipraton |. these & Shoulders Same a8 pereusion and shaking but |? erat exparsion crerates (Ee): hes fer cehOn. Bre bane ob pe peed conalsts deep inspiradon & ray be Or the dep of te other and me | Hemmparted Sy peraation oF voraley Vibmtions ote curied out Auth GS pre helps to Loosen secchors . Ceplration by by conttaction | traete ung wane "oes Of, pectoral nascles & bicep tllateral yertlation, allowing air ty andtajors + Predtstedl lle , | qe behind secretory & asshts & = tos ow painful | their mosileatten. Sener a chnlave (FET). tontranditation: pretone of rnctsasis | Forced Speaiy fare Involves Yo had of aths or Spine, osteoporosts 4 Haggis prem id bung volume & a mi me @ five eye og Bratig (ABD) | @ntiwed down to low Lang volume corsids of yc of hyp (rom mid 16 ania the Se cletiony fem dow Lrg voliime Inkerspersecd colth a dt Uppee Atoways. Copper oleep beatin, L gebated! abdominal “4 seaelions md he, dened 4 4 . hat 7 ht volume- Fe breadting A Epp CEeual presse point) 4 he fore pet Digphtag matic pete mr che aires ope 4 br eaphli 4 PRs ty Peele ty a Diaphiagmabie \ fom a - Mog ashere dhe presse voenthing 4 deep browts | iy I (41-3 seconds Gal do pleut pressure - The Irptratoay bold) deren Cxplrateny maneuvey precleces | 4 deep Iwexths He compression 4 the aireay | | | Cee 3 secores Dia c “ph oy 10) Kx cholo peeip eal fo the Epp——_—_—_—— (ts pesiven sing, psec deine positing india! ! Iormobilize & ear excess ~ brenda) seccehont AgpicaXen : +B cathl es patient i fey we antl opstruch on, emphasls will be more On jreath donbol Mf stil retention of secretory, may add percussion, shabieg , vibraHens , pestutad chainage fo 6? hormuic — expanfon acer BE pat g MET. Stes centro! —> Beep brealas by peng red & lopragi > 3-4 brags => inhale & nese 5, exhale iHeovgh mouf, 2) Troyaule epension cxeeedie > place hard om kibtage > Take Goger & deeper breth—> inhale theo nese & exhale torceg Wwoukt, > 3-5 Hey. whiner g DK te prose 3) Fored Bapivabs: felipe > trhale fheorgt: nese Koen mouth bs huff exct Df Hrves > srroll bread, & be Aut 5385 Hmep > Srnall Grats & long duff / Gong brah & shoot Ay > efi date) Ie aims to matximize “™ wit the ar ra) npr hye cheatance x nus & vertlaton - puoceduse » prepase jhe potion? hydration ,cleH oyr nage keep treoat mmolst~ + Boesthing pechnigve 2 pe are an nest & ene or Sorach —> brentt, by Sewuch moves 28 Kola drole out as for a posible > Then Sraall bets Fn 4 long boat ort: new beeathing tato Cem) volume fing « ence fou feel 4 atom ov (eckle sound fo skaat mone higher > T the beets ti ancl every staal] bam ot > Now beehing frtp made 4g our af. > contiwe unbil get Aave 10 top Qung > cough 2 pra ke chery: d 6 [ positive expaatony presses e (PE y presse (¥O\ Mppleation of posiine presses at raoulh cbuping expization Boeafbing out ont desstane Y db Aout! are pene y e v Even clistiufon ventilatory 1% fenced? My fhco ugh coladvral chord oh &deag: yy rucociliany clacne G boostedInc font septic glbrasis, Boenchectasis, Cop D- * Fos patients uth mecterabe amocink g sprdom & thildhen cinder Ho 4 + Reduces the weideme ey che mbctlon SK helps tmprove bang gencon | proediue oY win mask, paterds adgusy pe ald Seal fr the comet 6h i vsing rout piece 4 nose chip & uted arg aloured to break, Gy voudt. + position an patiends ore bt tHe Toleat position ber these alr adlvaced ACI, Siting wily elbows Reying na eble may protect te Gangs fom guar Bstension + fh Small gertfanee of chosen + wile pep rmsk held fem oer nae Be mowh. ase He patent do inbale gb Uh nosmap W, hal dre poeals of end Ipitaon Y inen exphe athe bof not Borel a a hy te SeuCHeMs move centrally , breaths wan ve aaker in q Kighee yolumet- * Brentting petern JI mt ba abeced. + exhalation should last no more fan y Ses. 4 (wo 1S rin OF ree 10 M$ SC%5log [etter | qne combined eters &% pep and oscillation ave oxplotke! by He , a device Kesembing & Short fab wpe & Suk do anyone who Can Hows budbley proceduse ‘to erm0ve prbrores arco) (em aracheobran Ha) tee pressete wh 06 whtroud Abela mn phee - 74p8 ‘ open kases: @ (lot : sesplratos J not hh enter wit extetnal énvisonmed exten the pitlent an ventilation: Reset types: Masotrachead, oxo \ Endebathenl, Fratheastony pepe thdlahons secretions aye aucssible fo cakebel, Sections are detrinental % he pent potent & enable to clear we secietort by otnee means. pabyont who & SEmiconteins wreak or neveole pal impaled . AtotOS pices et oanagel, ble cating + Invasion Hive 0 dsw8> yawym (NM cause atelec keris hyper las 19% m+ are erat In qhe bop eati ne peceulions + condraindicttect if, shih» 5 poeieat shelalive wntraledicebions ate unstable muidiovasculay system einelenind preeenaparay, hagmop tye « Wecten contro! if OF feak . Hepem os wromlolyhe clwgs: : palmoratg atema e (Guuaiac Rebabiikaper | tga maobiciscip inaty press of, eolucahon & exeecise established” te asmct Individusly yolth heart senses yo achieve op tinael ied, Psgebole al & functioned: Stokes itttn pie. Bells % yocis haat Arserse - : teoolt . 1 + Ye idiHade phapicall acid) ° + Te parent bar fs of actor 2 fo Limit adlvese ae og Wed 5 . Mect fication o KOK (a0 + {6 Improve cidlioyas cuby S478) ° Yo derby pipthologiced sanporse Jo edutat? portent gamit Sele plysioheraplt “Kssea the pale! segolatl . . To pavers decond ibaning ayer up 1 | 2 fo inpprove cacdvouascalas Oretore and tralaing - “6 imprve nquscaboskele ha fables. “B plan & formmalate home my gad tnstructiony Pased on fncbvider needs apd sitrattarsy- todteations_ Aeate MI, nb, Angi Pesiy [ valve Replacement, Heat pransplriahen, swegery hnvoli eat vessels, congestive reegrerme Contramelicaters, unstable angina ,uncend soled ata hy tomes, recon embolism , Meneate fo severe aortic Stemsis, Sestemi ness 08 fever, Ortroped'c protems ‘Y terteled Agpeatenson 1, pahends eonetling fe execttse. 4 ove compontnle a are + patent anesnert + Nudottional counseling ow managenerd - + op ma . Lipid mai + Dinberes manag omeh *fobaub cessaten: . Pigcheeccial Morastunr? ¢ uvierd » ern + Exewise paining ° . Physteat Activitg counsellig .Asressenen} Demegtaphic dota. “Date of inka even * Size & Site 4 MI + (erent toeatre nf + Weve sang & Sympoms > Aegina Seale CS Dyspnea stale + Exeedse ating protec! Bore prec! Bosgs sole RPE: + Prot ment » paflent Inder views + Assessment ¥ ovetal! egnitterr * watiorad Anpemator, spiel Laamadion Vink 54 W8 - Temp, putie op, &R “Rom, muse Si 1 Seaton , Srbance, ‘Coordination & gait + Exttemliy grambeaion + peripheral prbes - Rehabeli tes an phase 1: Inprtient LebabIi te hoyy Plese 2: Up 2-12 weexs Pease 31 4-b monty Prose 4 Sb months. Phase tos = Dutahon = 5-7 Component = redial evabityn Reagsmeane & Faucwsion ; corstcHen of ceardlar mbcen ceptier., Risx focter manent Ta indiriuabeet Mepheatton , Discharge ponnis . Sep ls prom, Ative ankle exettise, sey fecing , omentAton to pregeam |step 2: Same exercise, teas donald ot he side of bed. | skp 3: Aion sitting fn chai, Bebbicle wommede, more cetrs'lel drplarabion 4 prrgcam, (pat secterton , Assistet ADL, malting Se! minimal gestpance, Ps tae, patlert education, Wapat | Ahelties Inclepenctert pot, walkig | Step 5 + wedebate rerpeute, enblmitect sing, Sing ee meals, gers) ALL, conh rue Pent Clucahen. SHp& : muese Resiitante, walking to pathcom , Slecins slarctag AOL, pop mech, SP! Pérente progen, keubus MEY G “OHSEHVator fy prory peeknipuel- Sep 5 > Inceease erepeite Ph er wal & Intense rm ps 2 cpt ative, biswtt home excise Petam.pase 2. + immadiate pest cli per + Dfabion 8% dag = 6 eee’ - emperents ; Meotkel evalnaton, perssutance Ledutaten conedion % attiac mbconception, RIK fAvor assessrrent, Ind vival 200, arvbiiveatton, Dicheias pang: + Coal IneReage person pect na safe & Pregfess ive npanner 10 adap be, Ordlorasculee & us cufes oe ‘Initiale wit los Level ereniie Paaloing. * RUMWE anxichy 2 epromser * PrOyress we pblent tq poyeen incleperert Crenie payer + Exercise an. , + Feeepoenty ¢ 3G Hones] week: + Intensity: fasting HR= 720 yn mets -4 ® Time ° $30 pind - a1gpe sithgsteng guuntore/ auavines ; Ron exercises wtalking proe 3 ‘Duration » & weers to (2 weeks "Result ths teapare weed to Aetumine a sailed HR gos exeode fraining ool + linpoved & nagintaln pyle gress : # provide profesiond Sepenuisken {7 vere Continue with edenatorop f, veha viow) pragion: Mgpel of tradeing + Steady sake tang — ang, wali, Se ping & ing « workload KHR ait maintained at 4 Constant submaxler intensity - » Interval training - exeecse § fellows : by 4 feat lat ebind * vat training - Erop bys A SEUY q exercise actyings At the end 4 te Aa3t atin he Indictoal Statts fino dhe bginnng Kagan moves dheougs the Seviey- * ERE PACA Frequency 23-4 tHmes [wee A latensiny © 60-90 % maximal HR; 4 Time 20-10 ming jinclus ive vp. & lool Aouw # TEPC aerobic /enctusance faving warn |-ae «after 6 montes +Laeals +> continued Imp sovement & Madntaiaane 4 ines * Undupery ised exewise prrgton + Sey exercise 4 tom teen bebaviouref modification.* Prequeng Lene SeABlon obey 5 SoH ags juwer. * eae a 60-£0 % % Vor 5 *Tinne > clesited 30-60 mus * Tope; danchs Aa ewatking , Stakrame erescise. * Breicte_peegeans + Orggen & teQuiadd fos aetobi metabelbm do prctoce eneay. “OD Hetapy & phy Leeubed whenever . tisve oxygenation 6 brnpaived!, to all metabolic Reachers fe ated and fo peven complitahiont of bgpexena + Oxygen delapg & the aclminisrrotion oh, onygen ata concentration of prose gota tan tat fourd a the envivonmental atmosphere - “Te purpese & te frcresse Ouygen Sadugatin tp tiSees whee foc gatusation evel are +0 low due te illness ox inTUtg- “indications Docsrmentad Agporema, Severe avn Acube mi ) post anaestiehe Secov etry T wort of breathing, pulmonae lugpertention, pre Bi pest suctioning, (om plationy t Depression of, ventilation 2 Haperbacic 0, toxie ily = feng tein hapetbaric 6, treeapy Qn bead to prfmencey optic & ens torbty. 3 Fhe hazard - Oryaen enhance combustion of odner bic’ te Rebinepaly of prroatesitg a pabrnornariy toxicity & Aorption Atleckatis. | Conbrindicahions Untreated preumotnorax Emp seing ; Cnentrotled ai fever, Cleustoophobia, setae Bisonder, Mabignant disease. | Clossifleahon of oxygen peter syns | * Lou Plows Systems : > Cntoi bute to mspecal | client wale me aq: Nasal canes, stwple mak, hon Lebseatter rik, prasad rebrelien hask D hve Hae that tne exact fiackon % Oqge7 5 he traploedd abs (40x) will be based an he pore fends anatomic seserers & woinute ventibtion "Nasal canedh + it can caerg opto 16 Udo 0, per Say mine will F102! 0-24-0.4y4 ancl FiO; tecteniy 03 ventibilon Kae tneersey « t & the xecommedte obevice for ehildse é sen Leas fran Fie |ow [rc ited for Gag few 0, theaapy . ee dispesalde + plese cPeviae wtf 2 protanding progs for indeston Gato the ness, areectet de Okygen Soure shdverdager? (Liend able te talk and eat with 6; & place+ Sait osed by heme seitrg + Disaclvanteg May ause Nolkatten fo nogaf ard pheeyrgerd rneosa > 16 oryge@r flow xaieh 20e above 6 Yon 2: Simple _O%, 9 Made % cleas , plexible, plaste ox sublep Hat tin be melded to fitiwe face 2 Delivers 35-60% Ok ygen- Fey? 0%35-0-60 > Flow gate of’ B10" Mites per eminull- 9 Often it § used cuhenan Prcecased delivery G reeded ffor shoot petiods. 1esS than (2 hovb 3 hdvantagel an prove increased delivery o orygen for show period % tine © Disadvantages ‘Tight Seal pequised Jo deliver higher conuntration- - Diggicall te keep mask th noe & meuth * potential fer Skin breacdon(, swagting “ Orenestebe f° pl while eat t tg “Expenshe wlth nogal tube stan OVER presses) [ 3. partial gepscatter mask * + mase O have wilt e KEVO'S og mush £etnain Caflatel luting both Inspirotion be exproatin. #0, (lew fate nust be matafarred ab A plaienim OF bb [min to Cases frat the poet does not KebsentAe Saige arnourts exhaled aid 4 The aemaicing exhaled .als exis Hevagh 4. Nomkbreathee $004k 7 TS mosk provider hy & D exggen 45-100 ara flo vorts concert Iabng co fale b-l5 Yin 1 similar to postal Aebstatnee wahk except, to ene-oiy valve prevent conservation exhaled ais ~) the MB bas & oxygen esorvois ogg O07? dg | + btiyh, Flows systems : DDelwer specific and) constant petceed 4% | orggen Ielepe chen x chien breathing. | vented rth hS Mion foe aonctertiahor % "Oxygen gxom 40-50 At Mes flout 4% 4% 1b tlmin ' Advastage) £Dpelivets ost pace oxggen | ance ration | ? Dewsrit lly rouccus mmbuares. | + Disadberte DRG bY SKia leattadion: 2 prodice hespitcday okyresser ” | copd patent wth bg bith oxygen ine . er 4 | A encom portable y6 Aerosol mass, ‘eachee tomy oollass , T- tube aclaprets, arcl bre tents cante used wht high flee supplemerdo) o, syste bet rok all AefOmo! gererntoss con deli ver onggen tencertioden at the ocedted fled Sader TT [Mechanical Venton | a typically sell after an famsive inkubvien, a procectoe wshereh an endotracheal as txnchees tube & thserted tity he aivwoay. it & used th atu settings Such as (CU doting serloug tliness . > mechaniad ventiktion of a metted dp hnechankealy assis ae seplace spéntanesis breathing Goals + provide adequate oxygenation % ventlatir Restate patients wed + Minimise the ete be Bang caused by the Ventlatoy known af Verdilabos induced) Jung Insurg (viel). + lmprove caretlee function: + Deuease metebeiic clemand- Inclicabions enediat at, sagen tyes, i aeles’s , Inabll rota “eae as inabllity ’ Yes seqeHons, Preute Lung inmaty ,COPD, Apnea, Ly pends , Hy petersion a Hype: he Regadne pressure verdia Ploy). a positive prosure veatilaHen, negate pressuge vertibden G to | eveate negae pressure Crvisonmend- | accund tre patients chet, rus ait into the lungs + Pesene pressuie Ventlahe works by fingering toe pressute In patierts array and fos berry ais to “ep " Wectos 1 controled M Verdilabion (cmv): provides a wecharicad breath on Preset dintng patent Respirator Yous are [fort Only wed Hn euUnlongcl up patient : 2 fsslsk conte edo rendition (01) provider a mechanical bse oh Suck either a pe set Hdal volum 06 perk pressure evay flme the patiew ‘piHates te breath Abo teomel 04 Intemmnltend positive pressuce verdlasion copy) 4 Synchoonreedd _teterrnitferd Mandatory ventilation (Sihav) 2 provides a pre-set mechantal yrate ety Speclped number % Keords, He patent fals do Initiate a 5yOth , tte ventilator clelives @ mechartcal ospreths at the ord of each brat, ig wy posite End expleadory pressure (Pep) Functe fre same as cphp, but ies to tse of an elevated preisese using tre exphiehny plate & ventedoy ogee» Age cletiveny of the seF amount Ch brah by dhe Vendl[stos, pre patent then exhales pesvely - & Continues faa ive -Aivainy pressvee (fA) connmurs Level of elevate presse & provided through 76 pattert chet to bmintain adequate ox , decrense tre work of byerthing, andl decteate the vcore of heast. No cycling verdilatos ppxessutes occurs and de fort rus$ qnifiateR all breuts: It may be Fd Invaaswely Aheough an endotechoal tbe Ox Ivauggostomy OF non funvasively 6 presuce suppor venation (PSY ashen a pated attempts fr beets Spentanensiy trough an endotrathaal tube, the naroused Diameter 4 we divusry fesulls nm higher fesiskarce to aiaflow, and thes 4 gles WwoB: Comp lcabors Hy potersion, Ppneumothowx, Decmsed CO, Nosocomial preamonta bose useder Jalante, Diep, Alaowss fuaned off Aengencheral, 4} Deceensee, civecta dlegenctig peessute v oS a Respisadiony cates Like rong tion, Aixuay clearance, prevention ey ohare | comm plcahony & hastening wéaring 627 wechanial yerdiladten belniqugy bee: Sachonig , pe, percussion, vibeations, C6 ~ tology opens op collapsed alveot and prevents . alveolar collapse dutg exrtalten v Peep v Imeqases FRE ba alveclas Lecritvent v Impsoves vertilation tT vio, rere ongqenanors, y wo6 v prevenss, Cally 4 aioua clos we B aMvedlas collapse at are ere! & oie” v Ineteases the feinctong) geridnad cxpnsty Cr8C) og U Feecititetes better ogg!/ [petiphee? vaste Diente | He alco alled as peripheral Chery diseases - > Thicee 89 Internals Binns q te astery Ate * Cenetricted bed vessels * Blo! flows Biminishes > Obsterchon oy Gauge avperien not wliln dre loxeNary ache avch vasculaire oo benin- _tdassigicationt stat TO Ee Recey abicive dase * Artetial thrombosis > Kh suclden cessation % blood bow fe an Sel csvally eetisng emergent Seugteal Inteevention - * Artetel Embolitm, + 89 sudden Tntecruption % bleel flow fo an Organ ® 6 oF bods dee te an embolus adhering to pre wall & an aedeey blocking ge few of, bleed. a) cueulc asgetial lnsuppicioneg : # Athefoscleposis + chatacterPzed by nodulag deposition moderial Hat can Line the ant? of the Anttig * Thamivangilt obliterans < Also Kuowh as Bevergers A'sense., Affeds me Small vessels the extrenabies beg lnnng distal ane! movilg preninnally : 3) Fanctonal astectal Akoxders ¢ * Ragnavds phereenon ' Spasms 4? anterioles affects the clin tts along osifts tnterrotttant pallor & foe skin. eh S Cprrass C? the aisdel extremes. [tS /prcall affect handy and fiyes oe toe feet ard te. * Grythnwelapin : Bilderal vest” attectig the extoemitieg, Cipertally the geot - Mackay by gedrese, one and PAtobbing Serjahions and tn@eAsed skin dew petabetp Diente a, ver ) fewte venous Cieas ep 2 + Supes pital vein Htowbosy 2 ebstovettcy % the tbod few the vein Setonclarg to 4 collection 4 Copulahecr blood:_ ° & .. , Deep veo fhiombosis > & fe eomation @& bbad Cot th 4 wep vein, predorniacniiy in wy. 9) varicose yeing ¢ ate vetrs that have become enlaiged & foros. | | & (085 + Gait petfexn -) opsavaten, + (Cellulitis 00 edema a piscoloyation 4 skin # Cyan0sis or pallos wound : 4, pair , evidence 4 stabos * 3) cheanic venous (nsapficiency ¢ A ' || 25 Motor Sewyor § Chacatetived by boty miso? || f cll apiion da si : , ster + senso tar bight jong : presse =) Tempetahue in temp v 4) Lymaphecerta + Causeol by 4 blockage ip dyer hatic sys ten, pak we immune & civeulabeog | Systems Kosats fren cbswucton, CtiiteaHon & GuncHored inbalf Chere: ¢ q lgraphatic $e Charley Wand gestehions : pale, yen sealirg evounds, oles, ae Poy skin, coampieg Ae i Examination jy Treafwen! @ rqmiaahler) — patient hastory » Subsective examination - ~ obechve examination in ptectal inaofficiere 2 = sion femp in Versus (rh opie Site of 10 choral > Grist reas estemerds Ly vageudag excuminah ov 4 pubsez A dugenltchon Dopplee US a special tests * Suenos Siig Jo assess Venous Grcule” pation! supe. affecteot extremly elevated. patien® nals the exten Ort edag of dreatmend whe Time gecoxtes when 'tS CP of foot have Aefillec! Normal ging = appror 5 ss PIS = Aotegial Insafpicmnes rail AlS= VenousYM Rubos 4, dependency ‘ Provide tafosmation dren the Stake a both the Artetiad & Venoug systems + | Pade nt Supine. coltay & both feet arming Affected Linh elevated | for few Seconcly & Lowered | ‘Tire cecuctey for Coloww of sted {ret to mak, vat bet: asterial disease > 20=30 secs Venous Aiseage = (ram ectiakehy V claudication test t 1 provides infosmaton about astern | : involvement. - Oanpig Opell in bowes % mesele due to insofficient bleocp do wong pauscley - Recorded! af dime at eahich fringed spin ong: | |v Oy Jo chet preseme 4 VT BP cuff around Lowep fa Nidflate 4 unable’ to tolerate more than HO om Hy ie provablty ¥ active DvT- Als done by bereqal Squtere of cep OF fasive DE & Gf by examine). pesitve dept S severe pain foman's Stn +Vve vu percussion fest In determining, vae dompetony lower tx Freral ty, 10 dependent” positon . xaah Saphencut vel g prpated cbiste! to knee ae ane har while te vein GY 6-8 inches proriind 0 jee wilh otbep hand- 1f weve g plot a detected uncles Abid pepeton site, sls indlatey ineonpetent valves | V Trendelenbueg tert 1 assess if valves are fatten! Prepeg fatiet Supine & le elevated 75 ste venous bled to emp - Tornigvel- [laced ators (igh to proved Sapepial venous pack flew LE tow phced ” chepeotbend position - process Of verious filing & obwened, 'h supenfteiad veg fil euch, vahes 4 pesfosados ven have Leconse bro svpetend 4 jenmediate fll”g rome Kutease f tousnigued, seperfictal system hog incompetent valves§ V his plergsmoneypt: > com 03512) permed fos go leatech minute changes in tecincon & sesvbeall ecleme, 4 volume proidet geartctie | 2 thucalng pollnt about Ky yeleying ofe) Vena ( ”, mneas ole 4 yerors Adflax, deve yy 6 one ey al pen function, faldal | cyeric_ asletial disease - welume aftel theese | pot dt skin cate, tinb protechion explanation 4 dis age press y V Stemmers (21k: [ aise gallos nocchi fication fo clarify Hoe pretence 0 evidence i 1 of, Cymphectenta ph i's inability | _y veyostoatn - vacua com pressior to pik up 2 fold @ siin at theeapy ctevice provickl altenelny base of, second tee g pete? | ge pile & megane ; G it teem extrewnit | preset whith afpected extoe ty /, m1 “ests Ingide ate dambep. hy Be Arteti | Vvenegtaphy Arsetiog i] [5 pdemnittent coupression pump: Akbivey high pressutey at Quick Manageorent — | bursts that ev empl the enor maedleal: IV. Hepaalad 2theor | ple Sun + haomb ectemy., gfent Tate “a, week 1-3 Gages qfafts,, Embole t yt 7 "1 > Preacises » [sornetae Quicly & Hams Endastesedtomg Agora: hakle pps, heel slicks , pest Operative plgslaad terapg heel X foe sabi in sites > Intensines + 2-3 Hones La 5 passive kow) ensites :3 Sets, 15 ep, Imes i > ped Ket Gantionny hal) if {> fmbalehon Ie to 4 mile or DyT present Test pri» f0 Cloucdicahon- > ence teprored festorction % rohit | eee eee eet ifeK YG Breathlessness | A Erercises + Atom kAesstve erdey a, % creas batt 7 0 boove exercises + Standing fe False, sis wall caves, hip & > Is Kightenng & Distsessirg tne, ple enettises, ith < 4 4 * | an iv fo fnaease fevels ¥ 75> (ena 3 sehs, 20 10p3,25 oy | feat, ameichy , panic © depeessier? 2 Prebelation: Vy te bile or Prt 5 ray Limit pip! gonial ‘the known 25 Dyspnea of claudvaton > veut yen! hebmes Week 2-10 Pompnent > Exercises - pontinue Lerifive ecercsel , ui pport Jouesge hegistrnce as felesated I Movement of, 2182 Teen on fen A tutensity + 3 Sets, 20 eeps, 8 ail open 4 window, feeling of - > Pmbulbaten » 1 ¢ miley og clistarté oe ges fee con faduce BERET fr" 6 3 tented Be Posi toning sit stand in Bearing fenvaed posites 7 fe apest L fat Ayms on fable 07 kmer Standing - Army on fable gC Bath SPaignt yin =eS pills undep Shower (onseeve qn cnet: Avo tiednet, by pacing yourself - plan & allow te don efe ackiines - Had AgkS (when yee have mest ont Ask ee help uohen ready -8 Gain Conficlence | > prevent chest complicators ¢ + Teach cheep Ce exoetises Selxation | + Teach semigowlee pesiten Beouig & heffing « as patient to eke a full cep Aiaphaayeatc byeat, ao then cough tasile» + Feath ad i to the pahest who has dlgialty ta engl os fa pried + Incentive sp tearely fr frotbict. * Deep preabiog eveey oe ‘ Dicowtaged 7 smoking lo Teath pataeal Gesaseness Dont beret tavsardls incision - |_> teach tneision Pe + spintig ¥ | inckion frog by wg pillows | by both hero > each aim , Prank & te mobility exeraties. | thokle pemps do mininni2e phlebitss | g facilitate venouk Ketan |> mobility auound bea.