Thursday 29 October 2015

RPFT Exam Question No 26

Question No 26:

The normal response to an increasing PaCO2is

A.
To maintain a constant VEuntil the PaCO2exceeds 55 torr.
B.
Adecrease in VEof 2to5L/min/torrPCO2.
C.
An increase in VEof 1 to 6L/min/torr PCO2.
D.
An increase in VEof 10to15L/min/torrPCO2.

Answer: C

Wednesday 21 October 2015

RPFT Exam Question No 25

Question No 25:

Prior to performing a multiple-breath U2 washout test, a pulmonary function technologist is
unable to zero the H2 gas analyzer. Which of the following may be responsible?

A.
Inadequate vacuum
B.
Exhausted fuel cell
C.
Chopper motor failure
D.
Condensation of water

Answer: D

Sunday 11 October 2015

October is National Healthy Lung Month

The Role of the Respiratory Therapist in Healthcare Services:

The role of the respiratory therapist as part of health care has changed dramatically in recent years. The first "oxygen assistants" have become respiratory therapists and has created its own professional company in 1947. According to the American Association for Respiratory Care (AARC) historian, was doctors who performed the field. In particular, Dr. Levine Chicago individuals required to monitor patients after surgery to prevent obstruction of the airways. He cites "discovered that the important part of thoracic surgery was not so much what has been done in the operating table, but what was done afterwards to prevent postoperative pneumonia control of secretion and breathing." At present there around 208 000 therapists in the US, 2,500 of them are practicing in Colorado.

Specialty care physicians for a variety of patients. Therapists have a strong presence in the neonatal intensive care units as the smallest ventilate the lungs. They offer surfactant and ventilate premature babies weighing just 450 grams, which is slightly less than a pound. Respiratory therapists specialized care will keep these babies alive and well. In addition, therapists working with pediatric patients to manage the case of cardiac surgery postoperative neuromuscular spinal surgeries. Therapists play a vital role in the release of the bronchial airways and delivery of inhaled drugs for patients with cystic fibrosis and bronchopulmonary dysplasia, many require long-term mechanical ventilation to survive tracheotomy. It is a specialty grade of the National Board for Respiratory Care validates their skills in working with babies and children. This specialty is called as neonatal pediatric specialists (SNP).

Respiratory therapists spend time managing patients with chronic obstructive pulmonary disease (COPD) and acute respiratory distress syndrome (ARDS) in intensive care units (ICU). COPD is now the third leading cause of death in the United States and is growing. ARDS is a serious disease in which the lungs become inflamed and filled with fluid. ARDS was discovered and named by Dr. Thomas Petty, well known pulmonary physician who practices and teaches at the University of Colorado Hospital. Dr. Petty was a doctor who carries not only the profession of respiratory therapy, but also an advocate for patients with lung disease. His legacy left an energetic group, connecting health lung Colorado (CLHCs) which provides for a "Moving Mountains" annual conference for patients by patients.

In the intensive care unit, respiratory therapists are responsible for managing the fans, drawing blood gas, starting Oximetery and capnography, artificial airway management and care oxygen therapy, aerosol therapy and airway clearance . Technology has changed the team of respiratory care, so that the formation of respiratory therapists saw an increase in rigor. Many therapists have a new title in the NBRC that validates their skills to work with adult patients in critical condition. This song is called specialists in intensive care for adults (ACCS).

The therapists specialized in the diagnosis performed a series of tests of lung function, including the main tool for the diagnosis of COPD, spirometry. Pulmonary function tests measure how the lungs expand, and diffuse pulmonary vacuum gas. Therapists also prove how the lungs react to drugs or exercise. Many therapists earn a degree of specialization of function calls NBRC authorized or licensed technologist pulmonary (or CPFT RPFT). In addition to working in a laboratory in lung function, therapist specializing in the diagnosis can also try the sleep apnea patients using polysomnography. Obstructive sleep apnea (OSA) is a condition in which patients stop breathing due to an excessive amount of tissue. Sleep apnea leads to cardiovascular disease and other complications after surgery, including low levels of oxygen to the tissues and increased hospital stays. There is also a degree of specialty NBRC called specialists in sleep disorders (SDS).

Respiratory therapists were created to provide therapy for postoperative patients under hospitalization. Although hospital care remains an important part of the respiratory therapist, there is a growing need to provide managed care to patients with chronic diseases such as COPD, cystic fibrosis, asthma, pulmonary fibrosis and pulmonary hypertension. In 2014, the US government implemented the Affordable Care Act in an attempt to expand health care coverage to more Americans. Implications for health care providers is less reimbursement in the hospital, hoping that the care will be provided if it is effective and cheaper. The new model of care also includes the aim of keeping patients with a chronic disease hospital and at home. This can be achieved through programs of pulmonary rehabilitation and home respiratory therapy provided by a multidisciplinary team coordinated. The transition from inpatient to outpatient care management for patients pulmonary patient is expected of all health care providers further application continues to grow.