Smoking Cessation / Pulmonary rehab

Smoking Cessation Program Parts: Instruction Group [blank_start]Counseling[blank_end] [blank_start]Nicotine[blank_end] Replacement Supplemental [blank_start]O2[blank_end] Pulmonary [blank_start]Rehab[blank_end] Behavior [blank_start]Modification[blank_end] [blank_start]Stress[blank_end] reduction Compliance: Measured by [blank_start]COHb[blank_end] levels in blood [blank_start]Exhaled[blank_end] CO levels [blank_start]Cotine[blank_end] in blood / urine. Medications: Bupropion hydrochloride – [blank_start]Zyban[blank_end]/Wellbutrin. Reduces [blank_start]withdrawal[blank_end]. Vareniclin – [blank_start]Chantix[blank_end]. Reduces [blank_start]cravings[blank_end].

Pulmonary Rehab Objectives: [blank_start]Alleviate[blank_end] or control as many symptoms. Maximize [blank_start]ability[blank_end] to do ADL Long Term benefits: Reduced severity of [blank_start]dyspnea[blank_end] Improve [blank_start]ability[blank_end] to perform ADLs [blank_start]Increased[blank_end] physical capacity Decrease [blank_start]frequency[blank_end] of hospitalizations [blank_start]Decrease[blank_end] HR, resting and during exercise [blank_start]Increase[blank_end] sputum clearance Improve [blank_start]diaphragmatic[blank_end] breathing Improve [blank_start]appetite[blank_end] Not intended to normalize [blank_start]ABG[blank_end] or [blank_start]PFT[blank_end]s

Pulmonary Rehab [blank_start]Pursed[blank_end] Lip Breathing Technique Pt upright or in semi fowlers Inhale slowly through [blank_start]nose[blank_end] Purse [blank_start]Lips[blank_end] and [blank_start]passively[blank_end] exhale Why: Increases tidal [blank_start]volume,[blank_end] decreases [blank_start]respiratory[blank_end] rate, decreases [blank_start]alveolar[blank_end] collapse, prolongs slow exhalation. Most beneficial with [blank_start]emphysema[blank_end]

Pulmonary Rehab Diaphragmatic Breathing Technique Relax [blank_start]Shoulders[blank_end] and [blank_start]chest[blank_end] Condition (abs, lower chest) [blank_start]Combine[blank_end] with pursed lip breathing Abdomen rises on inspiration Why: Improves efficiency of [blank_start]ventilation[blank_end]. Reduces the O2 [blank_start]cost[blank_end] of breathing [blank_start]Exercise[blank_end] Conditioning Segmental [blank_start]Breathing[blank_end] [blank_start]Upper[blank_end] Body exercises Walking