Pulmonary Interventions

NPTE Clinical Files | Physical Therapy

Kyle Rice

Health & Fitness

4.9 • 631 Ratings

🗓️ 10 July 2019

⏱️ 12 minutes

🔗️ Recording | iTunes | RSS

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Summary

Paul is a patient with a 4-year history of ALS and has been having recurrent respiratory infections

The physical therapist is challenged with determining the proper treatment to facilitate lung clearance.

How well do you know your pulmonary interventions? Let's test your knowledge in this excellent episode about pulmonary interventions.

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Did you get this question wrong?! If you were stuck between two answers and selected the wrong one, then you need to visit www.DestroytheNPTE.com, to learn about the #1 solution to STOP getting stuck.

Transcript

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0:00.0	You are now tuning in to the MPTE Clinical Files, two mock MPTE-based questions told and solved
0:07.0	week by week. Thank you for tuning in to the MPT clinical files. My name is Kyle Rice, the MPT
0:12.2	prep coach, the founder of the PT Hustle and the creator of the MPT Prep Success Coaching Program.
0:18.4	And if you would like a free cheat sheet that goes along with this specific
0:22.4	question, tune in to the end of this episode. And I'm going to give you more information on how to
0:27.7	get that. All right. So for our next MPT clinical file, we have our patient Paul. And Paul
0:33.7	is a 53 year old male with a four-year history of ALS, amyotrophic lateral sclerosis, and recurrent respiratory infection.
0:48.2	The patient presents with significant abdominal weakness and crackles that are heard during inspiration and expiration.
0:56.3	Which are the following interventions would best facilitate the clearance of lung secretions?
1:02.3	So we have A, high frequency chest wall oscillation vest.
1:07.8	B, patient education on the huffing technique. C, mechanical insufflation, exsufflation device.
1:16.9	And D is manual percussion in the appropriate postural drainage position. All right. So we got a ton of
1:22.9	answers tonight, ton of people putting different things. So let knock this down so up at the top we have
1:31.0	paul 53 year old male with a four year history of a ls now that's important to slow up real quick
1:39.6	you need to understand what a ls is i you need to be ready for it on the NPT. Trust me here. Be ready for it.
1:47.2	It's one of those conditions that can be very slippery as far as your ability to retain all the
1:53.6	different information about it. But one thing I need you to remember is that this is a neurodegenerative.
2:03.2	It's a progressive neurodegenerative condition that has both upper motor neuron and and lower motor neuron symptoms. Don't forget that.
2:09.9	All right. Both of those. The question also says that the patient has recurrent respiratory infections.
2:15.7	Well, I expect that as well out of this
2:17.7	patient population. Reason being is that they start to have a lot of just widespread weakness,
2:24.4	you know, throughout their legs and their arms and their chest and the respiratory muscles.
	...

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