Clinical Management Notes and Case Histories in Cardiopulmonary Physical Therapy.Clinical Management Notes and Case Histories in Cardiopulmonary cardiopulmonary /car·dio·pul·mo·nary/ (kahr?de-o-pool´mah-nar-e) pertaining to the heart and lungs. car·di·o·pul·mo·nar·y (kär d Physical Therapy Reid WD, Chung F. Thorofare, NJ 08086, Slack Inc, 2004, paperback, 304 pp, illus, ISBN: 1-55642-568-6, $34.95. This book is divided into 4 sections, including a section devoted to answer guides and another containing 5 appendixes. Section 1 is titled "Cardiopulmonary Assessment and Management," and contains information on clinical decision making, chart reviews and patient interviews, physical examination physical examination n. Abbr. PE , and a number of examination techniques (eg, auscultation auscultation /aus·cul·ta·tion/ (aws?kul-ta´shun) listening for sounds within the body, chiefly to ascertain the condition of the thoracic or abdominal viscera and to detect pregnancy; it may be performed with the unaided ear (direct or immediate a.) or with a stethoscope (mediate a.) ., arterial blood gas blood gas A medical examination to determine a person's health or physical fitness, especially for a specified activity or service. n. interpretation, laboratory investigation, and electrocardiogram interpretation). The management portion covers a number of techniques, including breathing exercises, airway clearance, and mechanical ventilation. This section also includes overview chapters on respiratory conditions, cardiopulmonary conditions, and surgical interventions. The chapters in this section cover some of the most common respiratory, cardiovascular, and surgical conditions seen by physical therapists and are organized by etiology, pathophysiology, clinical presentation, and disease course. Information on medical and physical therapy interventions also is included. The interventions are very brief outlines that can be used as guidelines for treatment. Any of the gases that become dissolved in blood plasma, including oxygen, nitrogen, and carbon dioxide. The chapters in section 2, "Case Histories," discuss several cases dealing with surgical and medical conditions, chronic respiratory conditions, chronic respiratory conditions with an acute exacerbation ex·ac·er·ba·tion ( g-z s![]() r-b, and respiratory and cardiac conditions. The chapters in section 2, "Case Histories," discuss several cases dealing with surgical and medical conditions, chronic and acute respiratory conditions, and conditions involving both the cardiovascular and pulmonary systems. The case histories in this section are a rich source of information on many of the most common cardiac and pulmonary conditions likely to be treated by a physical therapist. Section 3 provides the answers to the questions posed in the assessment (ie, examination), management, and intervention chapters, as well as questions generated from the case histories. Section 4, the final section, contains 5 appendixes. Each appendix presents evidence-based information in the form of critical reviews of the literature on clinical trials of various physical therapy techniques. For example, reviews of clinical trials on positioning, exercise programs, and secretion removal in patients with cystic fibrosis can be found in this section. Overall, this is a very interesting text, loaded with valuable, well-referenced information. The authors have ranked the various techniques they present by level of evidence. Normal values for heart rate, respiratory rate, oxygen saturation, and blood pressure can be found, along with information on normal and abnormal breath sounds. Although each chapter presents some information in narrative form, a significant amount of factual material is organized in tabular and chart form, making this a very user friendly text. Normal arterial blood gas values, pulmonary function test PFT values, sputum culture information, contraindications and precautions for exercise, graded exercise test protocols, and optimal postural drainage positions also are found throughout this text. This book has something to offer both the new and experienced clinician as well as the student and the teacher. Students and instructors should find the case histories and evidence-based format particularly useful. Any of several breathing tests that measure the function of the lungs, including the rate of air flow and the volume of exhaled air, performed to assess lung function and to detect the presence of respiratory disease. John P Sanko, PT, EdD University of Scranton Scranton, Pa Dr Sanko is Associate Professor and Chair of the Department of Physical Therapy. He teaches cardiovascular and pulmonary physical therapy, research, and sports physical therapy. |
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