INCENTIVE SPIROMETRY

Comment

Comment by Andrew B. Philippi on December 21, 2009 at 2:56am

Understanding the physiological effects is pretty much straight forward. The body in a febrile state needs to release the excess CO2 produced during this process. The incentive spirometer, as we already know, inflates the lungs and gives more surface area for diffusion to work. The post c-section is because of narcotic administration causing hypoventilation.(You already knew that.) The BMI is very confusing. Does the fat that accumulates around the thoracic cavity push in on the lungs preventing them from fully expanding? Definitely needs more looking in to.

Comment by EM on November 29, 2009 at 6:46pm

....or maybe the docs may have something else in mind for ordering IS... we need to find out. Have a nice day everybody.

Comment by EM on November 29, 2009 at 6:40pm

Hmmm... they might be ordering lung expansion therapy for those patients not because they have fever per se... post op patients(thoracic/ upper abdominal) tend to breath at lower volumes that might cause atelectasis...then pneumonia..then fever..If the atelectatic lung areas opens up, pneumonia might get resolved and hopefully so does your fever. Not to mention for those who are immobile, bed ridden, with poor pain management post op..or patients who are obese(like BMIs 30 or more) who needs to exert more effort in taking in more volume against the force exerted by the extra punds... I do agree with nazir that most IS and CPT orders are inappropriately ordered. But communication with the docs can make wonders... and every body ends up happy..and the patient gets the better end of the treatment process.

Comment by Nazir Burki on November 26, 2009 at 5:34pm

I agree with Dawn,
According to research 42 % of IS and CPT are orerd inapropriately. I have never ben convinces with Md orders for CPT and IS
do you do chest percusions on open thoracotomy. our thorasic surgeon orders it specifically

Comment by Dawn Lansinger on November 15, 2009 at 6:01pm

I always learned that when a pt. starts running a fever after surg. the MD starts thinking they have an infection. And one the most common things that happen in hospital after surg. is pneumonia. Which some of the reasons they think pneumonia is due to lack of movement, hypoventilation cause it hurts, increased use of pain meds. That's why pts. need to start walking, sitting up in chair as soon as they can.