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hey everyone it's Sarah register nurse
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rn.com and in this video I want to do a
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quick inlex review over the incentive
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spirometer and as always over here on
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the side or in the down in the
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description below you can access the
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resources that goes along with this
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video so let's get started first let's
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talk about the learning objectives of
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what I want you to learn from this
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lecture I want you to learn what an
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incos prometer is how to use it so you
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can educate your patient which I'm going
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to do a demonstration and walk you step
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by step on how to do that and then at
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the end I'm going to go over an inlex
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style question of what you could expect
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to be asked in your nursing lecture exam
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or on the inlex about an Inc spherometer
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so first let's talk about the definition
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of what an Inc spirometer is also known
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as an is the definition is that it's a
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device that encourages slow long deep
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breaths to help pop open the avioli
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Sachs which helps move secretions and
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keeps the sacks working because the
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biggest problem with a lot of patients
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who need to use an incin spirometer is
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that these Sachs have become deflated
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which we'll go over the cause here in a
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second so we want to prevent that or
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help treat that to help get those Sachs
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improving their function so it's used
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with helping with the prevention or if a
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patient's experience experiencing this
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with a condition called acasis and a lot
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of patients who are going for surgery or
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after surgery especially like thoracic
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or chest or abdominal we want to
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encourage them to use this device it's a
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little device that seems like it
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wouldn't have a significance to it but
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it really does and it really works
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another reason um we would use this
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device is to help patients with
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breathing disorders such as
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COPD because this helps increase their
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lung function had a lot of patent Pat
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who have severe COPD but and they
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regularly use their incin prometer every
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day and they report that they have they
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can breathe better and they can tolerate
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more activities compared to whenever
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they're not using their incentive
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spherometer regularly also if a patient
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has pneumonia one of the first things I
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would like to do whenever my patient has
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pneumonia is get them in Sim spirometer
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and educate them how to use that because
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what's going on with pneumonia you have
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nasty PFF infection going on in these
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aviol sacs and the bronchioles and we
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want to help move that out keep that
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lung function going and pop those open
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so the Big Goal with this incentive
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spirometer is to inflate get those aviol
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sacks working back and to keep that
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patient regularly deep breathing now
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let's talk about lung anatomy and
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specifically what is happening in the
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lungs whenever a patient is experiencing
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AC lecis because this is one of the main
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reasons we want to educate a patient to
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use inim spirometer so what happens is
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whenever you're breathing you have air
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that you've breathed in go down through
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your trachea down through your broncus
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into your right and left broni which
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branch off into that and then you have
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your bronchials and then it flows down
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into your avolar sacs and this in those
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sacks is where the gas exchange occurs
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and these Sachs are constantly infl
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fting and deflating as the air flows in
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and flows out but what can happen as you
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see with this little avolar Sac he's
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pitiful he is collapsed what's happened
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is that in these bronchioles some fluid
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or a mucus plug or maybe a tumor can get
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in there and the air as you see with the
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blue arrow is trying to flow into there
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and it can't it's stopped by that
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blockage so that sack becomes deflated
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now what you want it to look like is
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this nice and inflated the air exchange
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is just passing through really nicely
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now acusis the definition is that you
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have a lung or part of it part of it has
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collapsed and those AOL AR sacs are
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unable to inflate and deflate and
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perform the gas exchange and again like
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I said earlier this is very common after
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surgery especially after abdominal or th
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thorax surgery so as the nurse we want
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to educate our patients before they're
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going for surgery cuz they are at risk
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for this now let's talk about your role
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as a nurse with an incentive spherometer
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okay big role is that we're going to
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educate our patient how to use it and
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stress to them the importance because a
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lot of times patients see this little
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device and they're like what in the
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world is that going to do for me but
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like I said at the beginning it's it
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looks insignificant but is a very
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important device so we need to educate
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them how to use it
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also monitoring we need to monitor the
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lung sounds and make sure we're having
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Improvement for instance if you're
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educating your patient how to use this
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device for pneumonia monitor those
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breath sounds like at the beginning of
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the shift they sounded really bad but
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you encourage them to use in Sim
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perometer throughout the day and was
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their Improvement do those lungs sound
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better next observe the patient meeting
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their goal and make sure they're using
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it right um because a lot of times
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whenever patients want to use this
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device they either want to use it really
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fast which I'll demonstrate for you or
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they just want to blow into it and they
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use it incorrectly and they're not
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getting the full usage out of it so it's
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important You observe that they're using
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it right and that they're meeting the
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goal that the physician has ordered for
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it to be and how are goals figured out
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because as you can see on the inim
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perometer we'll go over the layout of it
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there's little areas that are measured
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in milliliters of how much the patient
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should pull whenever they're sucking in
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and it's based on a patient's height and
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their age so just for comparison for
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instance a a male patient who's 5'8
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who's age 30 should pull about 3,150
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milliliters compared to a female who's
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the same height the same age will pull
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about
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2900 so it varies based on patients age
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and their hype now let's let me
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demonstrate for you how to use an
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incentive spirometer and go over an
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inlex question with you okay here we
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have a basic incentive spirometer every
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hospital is different on what they carry
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but generally this is the most popular
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and it will come in a little plastic bag
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and it'll come with the mouthpiece with
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the flexible tubing and the device and
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what you want to do as a nurse is you
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want to connect your mouthpiece tubing
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to the port of where it plugs in so
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you'll just push that on there like so
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and um let's go over the parts of it
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here you have the mouthpiece and it
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moves it's flexible and you have right
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here this little yellow marker and this
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is where you set how much what the
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patient's goal should be should they do
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about
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2,000 um 1,500 wherever they go this
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will just help the patient know hey this
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is my goal where I need to get then you
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have the yellow pist and this thing will
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osculate up and down as the patient
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breathes in and breathes out and you
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have your hand rail where the patient
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will hold it while they are breathing in
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and you could put this this is just a
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bed rail holder where you could put it
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on the bed if you wanted to and then
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over here is another very important part
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you have a face that is frowning a happy
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face and then another face that's
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frowning then you have in the middle
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this yellow indicator and whenever the
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patient breathes in they don't want to
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breathe in too fast or too slow just
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perfect and this will um go up and just
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stay right in there as the patient
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breathes and this is how where the
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patient wants to stay to get the best um
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usage out of this and then on the back
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some have this some don't there's a
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little oxygen Port if your patients on
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um oxygen you can plug it in here so
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they can get it while they're breathing
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now let me demonstrate how to use this
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okay first let's go over some wrong ways
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to use in sinometer a lot of times if
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patients haven't been educated properly
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they will do what they think you're
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supposed to do naturally with it by
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blowing into the
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device rather than actually inhaling
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from the device another wrong way
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patients may try to use in Sim prometer
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is by quickly inhaling and exhaling off
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the device like
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this now let's look at the right way to
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use in s perometer okay first what what
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you want to do is you want to set the
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goal for the patient with the yellow
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marker so they know where they need to
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get whenever using this incentiv spomer
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then you're going to have the patient
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set up and exhale completely then have
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them seal their mouth around the mouth
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piece tightly and they will inhale
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slowly and deeply making sure to keep
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the yellow indicator on the side within
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normal range they don't want that little
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yellow piece to go too high or too low
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and as they do this the Piston will rise
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up and have the patient keep inhaling as
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deep as possible until they can't inhale
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anymore and then they'll need to hold
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their breath for 6 seconds and then
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exhale slowly and allow the Piston to
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fall before repeating again and record
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the amount that they were able to get on
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thenc perometer and they will perform
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this at least 10 times every hour or two
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while awake so this is what it looks
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like in
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action okay here's a typical inlex
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question you may see on exam the inlex
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about inin spirometer a lot of these
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questions like to ask you about patient
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teaching or um How You observe the
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patient using it and are they doing it
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correctly so let's look at this question
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you're providing preop teaching to a
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patient who will be having abdominal
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surgery after discussing with the
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patient how to use an incentive
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spherometer you ask the patient to
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demonstrate how to use the device what
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action by by the patient demonstrates
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the patient understood your
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teaching a the patient inhales quickly
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and rapidly B the patient inhales and
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then exhales into the mouthpiece C the
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patient inhales slowly until they're
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unable any longer and holds breath for 6
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seconds and then exhales or D the
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patient slowly inhales and exhales
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multiple times and then hold holds
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breath for 2 seconds so whenever you're
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looking at this question you got to say
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okay how do you properly use an
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incentive spirometer and delete from
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there so let's look at option A A the
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patient inhales quickly and rapidly no
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we can mark this off because whenever
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you're using an Inus prometer as you
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just seen you do it
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slowly over time you don't do it quickly
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B the patient inhales and then exhales
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into the mouthpiece no the patient
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inhales into the mouthpiece but does not
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exhale into the mouthpiece so that is
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wrong okay C the patient inhales slowly
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until they're unable any longer and
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holds breath for 6 seconds and then
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exhales and this is right C is our
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answer because as you've seen with the
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demonstration you have the patient do it
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until they can no longer do it anymore
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because they're inhaling they're putting
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all that pressure on those avolar sacs
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and then after they hold their breath
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for 6 seconds and then exhale now let's
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look and see why D is wrong D the
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patient slowly inhales and exhales
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multiple times and then holds breath for
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two seconds no this is wrong because the
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patient is isn't going to inhale exhale
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inhale exhale and then hold breath and
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anywayss they hold it for 6 seconds
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instead of two so our answer is C okay
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that's a review over the incentive
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spomer now be sure to go and check out
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my other videos in this lung series for
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the inlex revieww and thank you so much
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for watching and please consider
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subscribing to this YouTube channel
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