2nd Edition

Cardiopulmonary Physical Therapy Management and Case Studies

By W. Darlene Reid, Frank Chung, Kylie Hill Copyright 2013
492 Pages
by Routledge

492 Pages
by Routledge

Cardiopulmonary Physical Therapy: Management and Case Studies, Second Edition is a unique and succinct textbook for the classroom that blends clinical notes on assessment and management together with case-based instructional approaches to cardiopulmonary care for acute and ambulatory care patients. This one-of-a-kind text describes current approaches that cover traditional physical therapist... Read more
Dedication

Acknowledgments

About the Editors

Contributing Authors

Introduction

Abbreviations

SECTION ICARDIOPULMONARY ASSESSMENT AND MANAGEMENT

PATHOPHYSIOLOGY OF THE RESPIRATORY AND CARDIOVASCULAR SYSTEMS

Chapter 1Anatomy and Physiology of the Respiratory and Cardiovascular Systems

Cristiane Yamabayashi, BSc(PT), PhD and W. Darlene Reid, BMR(PT), PhD

Chapter 2Respiratory Conditions

Patricia G. Camp, PhD, PT; W. Darlene Reid, BMR(PT), PhD;

Frank Chung, BSc(PT), MSc; and Kylie Hill, BSc(Physiotherapy), PhD

Chapter 3Cardiovascular Conditions

Frank Chung, BSc(PT), MSc and Lori Roy, BSc(PT)

Chapter 4Surgical Interventions

Frank Chung, BSc(PT), MSc and Lori Roy, BSc(PT)

Chapter 5Conditions That Can Compromise the Respiratory System

W. Darlene Reid, BMR(PT), PhD and Frank Chung, BSc(PT), MSc

CARDIOPULMONARY ASSESSMENT

Chapter 6Clinical Decision Making

Kylie Hill, BSc(Physiotherapy), PhD and W. Darlene Reid, BMR(PT), PhD

Chapter 7Chart Review and Patient Interview

Kylie Hill, BSc(Physiotherapy), PhD and W. Darlene Reid, BMR(PT), PhD

Chapter 8Arterial Blood Gas Interpretation

W. Darlene Reid, BMR(PT), PhD and Frank Chung, BSc(PT), MSc

Chapter 9Chest Imaging

W. Darlene Reid, BMR(PT), PhD

Chapter 10Pulmonary Function Testing

W. Darlene Reid, BMR(PT), PhD

Chapter 11Laboratory Investigations

Frank Chung, BSc(PT), MSc

Chapter 12Electrocardiogram Interpretation

Sandy Gilmour, BSc, RN and W. Darlene Reid, BMR(PT), PhD

Chapter 13Physical Examination187

Kylie Hill, BSc(Physiotherapy), PhD; Frank Chung, BSc(PT), MSc;

Lori Roy, BSc(PT); and W. Darlene Reid, BMR(PT), PhD

Chapter 14Surface Anatomy and Auscultation

W. Darlene Reid, BMR(PT), PhD and Mireille Landry, BSc(PT), MSc

Chapter 15Screening and Exercise, Strength, and Functional Performance Tests

W. Darlene Reid, BMR(PT), PhD and Kylie Hill, BSc(Physiotherapy), PhD

Chapter 16Oxygen Therapy, Noninvasive Ventilation, and Mechanical Ventilation

Shane Patman, BAppSc(Physiotherapy), MSc, PhD and

Kylie Hill, BSc(Physiotherapy), PhD

CARDIOPULMONARY MANAGEMENT

Chapter 17Adult and Patient Education

Judy King, PhD, MHSc, BHSc(PT)

Chapter 18Breathing Strategies and Exercises

Kylie Hill, BSc(Physiotherapy), PhD; Frank Chung, BSc(PT), MSc;

and W. Darlene Reid, BMR(PT), PhD

Chapter 19Positioning

Kylie Hill, BSc(Physiotherapy), PhD; Frank Chung, BSc(PT), MSc;

and W. Darlene Reid, BMR(PT), PhD

Chapter 20Airway Clearance Techniques

Jamie Wood, BSc(Physiotherapy); Frank Chung, BSc(PT), MSc;

and Nola Cecins, BAppSc, MSc

Chapter 21Mobilization and Exercise for Hospitalized Patients

Megan Harrold, BSc(Physiotherapy); Frank Chung, BSc(PT), MSc;

and Kylie Hill, BSc(Physiotherapy), PhD

Chapter 22Exercise Training in Cardiac Rehabilitation

Mireille Landry, BSc(PT), MSc and Andrew Maiorana, BSc, MSc, PhD

Chapter 23Exercise Training in Pulmonary Rehabilitation

Sunita Mathur, BSc(PT), MSc, PhD and Dina Brooks, BSc(PT), MSc, PhD

SECTION IICARDIOPULMONARY CASES

Preamble to Cases

SURGICAL CONDITIONS

Case 1Atelectasis—Postoperatively in an Obese Patient—Deep Vein Thrombosis and Pulmonary Embolus

Frank Chung, BSc(PT), MSc and Lori Roy, BSc(PT)

Case 2Metabolic Syndrome

Kylie Hill, BSc(Physiotherapy), PhD

Case 3Postoperative Laparotomy in an Older Patient

Simone Gruenig, BSc, MSc(PT) and W. Darlene Reid, BMR(PT), PhD

Case 4Postoperative Thoracotomy in a Smoker

Simone Gruenig, BSc, MSc(PT) and W. Darlene Reid, BMR(PT), PhD

Case 5Acute Myocardial Infarction—Coronary Artery Bypass Graft

Frank Chung, BSc(PT), MSc

Case 6Left-Sided Congestive Heart Failure—Pulmonary Edema

Frank Chung, BSc(PT), MSc and W. Darlene Reid, BMR(PT), PhD

Case 7Atelectasis—Postoperatively in an Older Patient—Hypotensive and Atrial Fibrillation

Frank Chung, BSc(PT), MSc

MEDICAL CONDITIONS

Case 8Aspiration Pneumonia and Acute Respiratory Distress Syndrome

Frank Chung, BSc(PT), MSc and Lori Roy, BSc(PT)

Case 9Elderly Patient With a Pleural Condition

Simone Gruenig, BSc, MSc(PT); Frank Chung, BSc(PT), MSc;

and W. Darlene Reid, BMR(PT), PhD

Case 10Amyotrophic Lateral Sclerosis in the Intensive Care Unit

Frank Chung, BSc(PT), MSc and Lori Roy, BSc(PT)

TRAUMA

Case 11Chest Trauma—Pneumothorax/Fractured Ribs3

Frank Chung, BSc(PT), MSc; Kylie Hill, BSc(Physiotherapy), PhD;

and W. Darlene Reid, BMR(PT), PhD

Case 12Acute Cervical Spinal Cord Injury

Kylie Hill, BSc(Physiotherapy)

CHRONIC RESPIRATORY CONDITIONS

Case 13Restrictive Lung Disease

W. Darlene Reid, BMR(PT), PhD and Frank Chung, BSc(PT), MSc

Case 14Stable Chronic Obstructive Pulmonary Disease

W. Darlene Reid, BMR(PT), PhD; Frank Chung, BSc(PT), MSc;

and Kylie Hill, BSc(Physiotherapy), PhD

Case 15Cystic Fibrosis and Lung Transplant

W. Darlene Reid, BMR(PT), PhD and Sunita Mathur, BSc(PT), MSc, PhD

CHRONIC RESPIRATORY CONDITIONS WITH AN ACUTE EXACERBATION

Case 16Asthma—Acute Exacerbation

W. Darlene Reid, BMR(PT), PhD and Frank Chung, BSc(PT), MSc

Case 17Acute Exacerbation of Chronic Obstructive Pulmonary Disease

W. Darlene Reid, BMR(PT), PhD and Frank Chung, BSc(PT), MSc

CARDIAC CONDITIONS

Case 18Acute Myocardial Infarction—Good Recovery

Frank Chung, BSc(PT), MSc

Case 19Chronic Heart Failure—Post-Myocardial Infarction—Class III/IV

Frank Chung, BSc(PT), MSc

Case 20Chronic Heart Failure—Cardiomyopathy—Class I/II

Frank Chung, BSc(PT), MSc

Case 21Peripheral Vascular Disease

Frank Chung, BSc(PT), MSc and Lori Roy, BSc(PT)

Case 22Exercising Outpatient—Arrhythmia and Hypotension

W. Darlene Reid, BMR(PT), PhD

RESPIRATORY AND CARDIAC CONDITIONS

Case 23Lobar Pneumonia and Angina

Frank Chung, BSc(PT), MSc and W. Darlene Reid, BMR(PT), PhD

Case 24Pleural Effusion Complicated by Cardiac Effusion and Cardiac Tamponade

Frank Chung, BSc(PT), MSc and W. Darlene Reid, BMR(PT), PhD

SECTION IIIANSWER GUIDES

Answer Guides: Chapters

Answer Guides: Cases

Appendix: Summary of Common Laboratory Values and Clinical Implications

Financial Disclosures

Index

Biography

W. Darlene Reid, BMR(PT), PhD is a Professor in the Department of Physical Therapy at the University of British Columbia, Vancouver, British Columbia, Canada. She earned her physical therapy degree from the University of Manitoba in Winnipeg, Manitoba in 1979. She went on to complete graduate studies in pathology at the University of British Columbia and obtained her PhD in 1988.

Dr. Reid performs graduate professional entry-level and graduate research teaching related to physical therapy respiratory care and muscle injury, and she supervises research by graduate and undergraduate students in the Rehabilitation Sciences, Kinesiology, and the Experimental Medicine programs at the University of British Columbia. Physical therapy teaching is focused on research design, exercise physiology, and physical therapy management of patients with cardiopulmonary conditions. Research graduate teaching is related to exercise physiology, advanced techniques in the management of cardiovascular and respiratory patients, and research design. In addition, Dr. Reid is involved in continuing education related to these areas.
Dr. Reid has held scholarship salary awards from the B.C. Health Research Foundation and the Killam Foundation. Her areas of research interests include muscle injury, muscle performance, and pulmonary rehabilitation. Clinically, she has specialized in physiotherapeutic treatment for patients with chronic pulmonary disease. Her clinical research has focused on the understanding of mechanisms contributing to poor muscle performance and noninvasive measures of muscle dysfunction in people with chronic disease.

Dr. Reid has published more than 90 peer-reviewed manuscripts in addition to abstracts, review papers, and chapters. She has been an invited speaker at a number of national and international conferences related to physical therapy, intensive care, and pulmonary medicine in Canada, the United States, Japan, Belgium, and Mexico.

Dr. Reid has served on several national and local committees related to cardiorespiratory physical therapy and research including the Cardiorespiratory Division Executive of the Canadian Physiotherapy Association, the Executive of the Canadian Physiotherapy Cardiorespiratory Society of Lung Association, and Co-chair of the Scientific Program for the Canadian Respiratory Conference. She is also Associate Editor of the Cardiopulmonary Physical Therapy Journal.

Frank Chung, BSc(PT), MSc graduated with a BSc (Physical Therapy) degree from McGill University in Montreal, Quebec, Canada in 1981 and obtained an MSc degree in interdisciplinary studies (respiratory and exercise physiology) from the University of British Columbia in 1989.

He has taught at the School of Rehabilitation Sciences at the University of British Columbia, instructed postgraduate physical therapy courses, engaged in research and knowledge transfer, contributed as manuscript reviewer for Physiotherapy Canada, and published more than 20 papers in peer-reviewed journals in areas related to physical therapy practice. Frank was a member of the national examination test construction and implementation subcommittee of the Canadian Alliance of Physiotherapy Regulatory Boards. He is also an examiner of the Canadian Physical Therapy National Examination. He works as a physical therapist at Burnaby Hospital in British Columbia, Canada.

Kylie Hill, BSc(Physiotherapy), PhD is an Associate Professor at the School of Physiotherapy and Exercise Science, Curtin University in Perth, Western Australia. She graduated from Curtin University with a BSc (Physiotherapy) degree in 1994 (with distinction). She has more than 10 years of clinical experience and has worked as a senior physiotherapist across 3 states in Australia. Her main areas of clinical experience include the management of patients admitted to the intensive care unit as well as following cardiothoracic and major abdominal surgery. In 2006, Dr. Hill completed a PhD (with commendation from the chancellor) in the area of pulmonary rehabilitation. In 2009, she completed 3.5 years of ­postdoctoral study at the University of Toronto, with Professor Dina Brooks and Roger Goldstein.

She is currently involved in teaching undergraduate and graduate entry master's physical therapy students at Curtin University. She is also heavily involved in the supervision of masters by research and doctoral students at Curtin University. She is a member of the Australian Physiotherapy Association and the European Respiratory Society and was the national convenor of the Physiotherapy Special Interest Group for the Thoracic Society of Australia and New Zealand. She has presented at several national and international scientific meetings and has published more than 50 papers in peer-reviewed journals in areas related to physical therapy practice.