Before initiating PEP therapy,the respiratory care practitioner verifies the physician's order for PEP therapy.Upon review of the patient's chart,it is noted that the patient has an acute sinusitis and a history of epistaxis.What should this tell the practitioner about the patient?

Question

Quizplus · Accepted Answer

The patient should be carefully evaluated before PEP therapy is initiated.Relative contraindications for PEP therapy include 1)patients unable to tolerate the increased work of breathing (acute asthma,COPD),2)intracranial pressure (ICP)>20 mm Hg,3)hemodynamic instability,4)recent facial,oral,or skull surgery or trauma,5)acute sinusitis,6)epistaxis,7)esophageal surgery,8)active hemoptysis,9)nausea,10)known or suspected tympanic membrane rupture or other middle ear pathology,and 11)untreated pneumothorax.

Before Initiating PEP Therapy,the Respiratory Care Practitioner Verifies the Physician's