| Knowledge |
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States Contraindications
and Relative Contraindications
of procedure.
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| Preparation |
| Clinical Standards for Procedures and Interventions. |
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| Assessment |
| Assesses Vital Signs and evaluates patient's ability to cooperate and follow instructions. |
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| Implementation |
| Positions patient upright or as close to upright as possible. Forward flexion of the thorax during exhalation enhances expiratory flow by upward displacement of the abdominal contents. |
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| Instructs patient to take a moderately deep breath through the nose slowly. |
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| Instructs patient to perform a forced expiration through an open glottis, generating short, staccato-like "huffs" from mid to low lung volumes to promote airway recruitment and secretion clearance. |
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| Encourages one or two forced expirations from middle to low lung volume followed by diaphragmatic breathing and relaxation to restore lung volume and reduce fatigue. |
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| Monitoring & Modifications |
| Monitors patient tolerance, breath sounds, oxygenation, and work of breathing. Discontinue if distress, desaturation, or bronchospasm occurs. |
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| Post-Intervention |
| Post-Intervention Management Steps. |
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