ld male patient being treated by physical therapy. In educating a patient with chronic obstructive pulmonary disease (COPD) about managing exacerbations at home, what advice should the physical therapist emphasize as MOST important?

A. Use of an incentive spirometer every 2 hours while awake.

B. Maintenance of a high-protein, low-carbohydrate diet.

C. Participation in daily, moderate-intensity aerobic exercise.

D. Keeping the home environment well-ventilated and free of irritants.

LINKS MENTIONED:

NPTE Tips & Tricks: www.nptegroup.com
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--- Support this podcast: https://podcasters.spotify.com/pod/show/thepthustle/support1d:T7b6,Contributor: Aaron Lessen MD Educational Pearls: Why is airway management more difficult in obesity? Larger body habitus causes the chest to be above the head when the patient is lying supine, creating difficult angles for intubation. Reduced Functional Residual Capacity (FRC) causes these patients to deoxygenate much more quickly, reducing the amount of time during which the intubation can take place. What special considerations need to be made? Positioning. The auditory canal and sternal notch should be aligned in a horizontal plane. Do this by stacking blankets to lift the neck and head. Also, try to make the head itself parallel to the ceiling. Pre-oxygenation. Use Bi-level Positive Airway Pressure (BiPAP) with Positive End Expiratory Pressure (PEEP) or a Bag-Valve-Mask (BVM) with a PEEP valve. PEEP helps prevent alveoli from collapsing after every breath and improves oxygenation. Dosing of paralytics. Succinylcholine is dosed on total body weight so the dose will be much larger for the obese patient. Rocuronium

Respiratory Interventions