Venous Thromboembolism (VTE) Part 2: PEs

Thanks for tuning in to part 2 of this two-part feature of VTE. The first segment, which focuses on DVTs, can be found here! So now we are going to focus on the more critical version of a VTE. Yes, DVTs are critical. They are important to assess and treat quickly. But they are lessContinue reading “Venous Thromboembolism (VTE) Part 2: PEs”

The Counting Talk Test

Time to give you guys another tool. This one is especially important for patients with COVID-19, and it’s not terribly often that we get an objective measure for exertion. I’ve found the counting talk test to be critical in quantifying exertion in my patients with respiratory diagnoses. This measure is phenomenal for taking breathlessness inContinue reading “The Counting Talk Test”

Orthostasis

“Whoops! Down I go! I thought I was going up, but apparently not!” I have heard this many times. Sometimes I hear it from the people around me just generally throughout the day. They black out or see stars or feel “whoozy” or report being lightheaded when they stand up from the couch or getContinue reading “Orthostasis”

NIV/NIPPV

Already updated since first posting!!! So many acronyms… Non-Invasive Ventilation (NIV) and Non-Invasive Positive Pressure Ventilation (NIPPV) are some of the more advanced respiratory interventions being provided to some patients who experience COVID-related and non-COVID-related ARDS. These interventions are pretty much what they sound like: mechanical ventilation is provided to the patient with or withoutContinue reading “NIV/NIPPV”

Pulse Oximetry and O2 Saturation

This may seem simple… but it is my constant battle: valuable but so difficult. This is one simple vitals measurement with one tiny tool. There can’t be that much to it… Let’s go for a ride down the river. The first day at your new job, there are lots of jobs for your team toContinue reading “Pulse Oximetry and O2 Saturation”

Acute Respiratory Distress Syndrome (ARDS)

UPDATED This is a pretty hot topic lately. the presence of the acronym has increased exponentially all over the internet and media. Prior to two months ago, I’m betting you didn’t really think much about ARDS, but now I feel like I hear about it daily. Of course, my research direction definitely influences that. ButContinue reading “Acute Respiratory Distress Syndrome (ARDS)”

Renal Failure???

Yes, that’s right. Renal Failure. You may be asking yourself, “Why are we talking about renal failure?” You may also be asking yourself, “Has Doctor B lost her marbles? COVID-19 is a pulmonary disease!” You may also be thinking, “I just learned all this stuff about the lungs and now I have to learn aboutContinue reading “Renal Failure???”

CO2 Retainers

So I’ve been talking about a lot of different techniques for increasing inflation, ventilation, and (ultimately) perfusion that therapists can utilize with patients. However, I’ve been mentioning here and there that some of these need to be utilized with caution in patients who have obstructive lung conditions. Please heed my warning. Here’s one of theContinue reading “CO2 Retainers”

Segmental Breathing

Thanks for checking out the next post in the pulmonary rehab toolbox! We’re going to talk about the performance and use of segmental breathing techniques. In relationship to COVID-19, segmental breathing can be utilized to target specific lung segments that have been affected by alveolar collapse or damage, but it can also be utilized toContinue reading “Segmental Breathing”

Glossopharyngeal Breathing

Hi everyone! Thanks for sticking with me on my post series for the pulmonary rehab toolbox! In my post on V/Q matching I talked a little bit about the use of dynamic hyper inflation techniques including glossopharyngeal breathing. This is a technique that we typically utilize for patients who have spinal cord injuries or otherContinue reading “Glossopharyngeal Breathing”