Scribd
Upload
2K views4 pages

Module 2 - Incentive Spirometry (Student)

This document provides guidelines for using an incentive spirometer. It begins by listing the learning objectives which are to cite the benefits of incentive spirometry, describe the two types of incentive spirometers, and explain the procedure for assisting a client. It then describes the benefits of incentive spirometry as increasing lung volume and preventing atelectasis. The two types are flow and volume spirometers. Finally, it provides a 10 step procedure for assisting a client that includes explaining the purpose, positioning the client, demonstrating use, and monitoring effectiveness through auscultation.

Uploaded by

febie pacheco
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
2K views4 pages

Module 2 - Incentive Spirometry (Student)

This document provides guidelines for using an incentive spirometer. It begins by listing the learning objectives which are to cite the benefits of incentive spirometry, describe the two types of incentive spirometers, and explain the procedure for assisting a client. It then describes the benefits of incentive spirometry as increasing lung volume and preventing atelectasis. The two types are flow and volume spirometers. Finally, it provides a 10 step procedure for assisting a client that includes explaining the purpose, positioning the client, demonstrating use, and monitoring effectiveness through auscultation.

Uploaded by

febie pacheco
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 4

SKILLS LABORATORY MODULE NO.

2
INCENTIVE SPIROMETRY

LEARNING OBJECTIVES:
By the end of the module, the student will be able to:
1. Cite the different benefits of incentive spirometry.
2. Give the two (2) types of incentive spirometers.
3. Describe the procedure in assisting & teaching a client with an incentive spirometer.
4. Explain rationale for each step of the procedure accurately.

 Important Information related to this Module:


Incentive Spirometers, also known as Sustained Maximal Inspiration measure the flow of air inhaled
through the mouthpiece

A. Benefits of Incentive Spirometry:


▪ Induces the patient to take a deep breath and hold it for several seconds. This deep breath
increases lung volume, boosts alveolar inflation, and promotes venous return. This exercise also
establishes alveolar hyperinflation for a longer time than is possible with a normal deep breath,
thus preventing and reversing the alveolar collapse that causes atelectasis and pneumonitis.
▪ Usual indications: patients on prolonged bed rest, especially postoperative patients who may
regain normal respiratory pattern slowly due to such predisposing factors as abdominal or
thoracic surgery, advanced age, inactivity, obesity, smoking, and decreased ability to cough
effectively and expel lung secretions.

B. Types of Incentive Spirometers:


▪ Flow Spirometer
VELEZ COLLEGE – COLLEGE OF NURSING (Nursing Care Management 112 Skills Lab)

▪ Volume Spirometer _

 Nursing Skill to Develop in this Module & Materials/Equipment Needed:


Assisting & Teaching the Client with an Incentive Spirometer:
- Stethoscope
- Tissue
- Alcohol swab (for disinfection of device)
- Incentive spirometer with appropriate mouthpiece
- Kidney basin (for client’s secretions)

 Procedure Guidelines:
A. Assisting & Teaching the Client with an Incentive Spirometer
1. Explain the procedure to the patient, making sure that he understands the importance of performing
incentive spirometry regularly to maintain alveolar inflation.
2. Perform hand hygiene.
3. Help the patient into a comfortable sitting or semi-fowler’s_ position to promote optimal lung
expansion. If you're using a flow incentive spirometer and the patient is unable to assume or maintain
this position, he can perform the procedure in any position as long as the device remains upright.
Tilting a flow incentive spirometer decreases the required patient effort and reduces the exercise's
effectiveness.
4. Auscultate the patient's lungs to provide a baseline for comparison with posttreatment auscultation.
5. Instruct the patient to insert the mouthpiece and close his lips tightly around it because a weak seal
may alter flow or volume readings.

2
VELEZ COLLEGE – COLLEGE OF NURSING (Nursing Care Management 112 Skills Lab)
6. Instruct the patient to exhale normally and then inhale as slowly and as deeply as possible. If he has
difficulty with this step, tell him to suck as he would through a straw but more slowly. Ask the patient
to retain the entire volume of air he inhaled for 3 seconds or, if you're using a device with a light
indicator, until the light turns off. This deep breath creates sustained transpulmonary pressure near
the end of inspiration and is sometimes called a sustained maximal inspiration.
7. Tell the patient to remove the mouthpiece from the mouth and exhale normally. Allow him to relax
and take several normal breaths before attempting another breath with the spirometer. Repeat this
sequence 5 to 10 times during every waking hour. Note tidal volumes.
8. Evaluate the patient's ability to cough effectively and encourage him to cough after each effort
because deep lung inflation may loosen secretions and facilitate their removal. Observe any
expectorated secretions.
9. Auscultate the patient's lungs and compare findings with the first auscultation.
10. Place the mouthpiece in a plastic storage bag between exercises, and label it and the spirometer, if
applicable, with the patient's name to avoid inadvertent use by another patient.
11. Dispose of soiled tissues and perform hand hygiene.

 Special Considerations for Incentive Spirometry:


▪ Instruct patient that the mouthpiece of the incentive spirometer should be cleaned before & after use.
▪ If the patient is scheduled for surgery, make a preoperative assessment of his respiratory pattern and
capability to ensure the development of appropriate postoperative goals. Teach the patient how to
use the spirometer before surgery (Rationale: may speed your recovery and lower your risk of lung
problems such as pneumonia.).
A preoperative evaluation will also help in establishing a postoperative therapeutic goal.
▪ Demonstrating first may help with client teaching. After which, perform a return-demonstration to
evaluate client learning.
▪ AVOID exercising at mealtime (Rationale: To avoid aspiration).
If the patient has difficulty breathing only through his mouth, provide a nose clip to fully measure each
breath. Provide paper and pencil so the patient can note exercise times. Exercise frequency varies with
condition and ability.
▪ Immediately after surgery, monitor the exercise frequently to ensure compliance and assess
achievement.

 References & Suggested Readings:


▪ Berman, A., Snyder, S., & Frandsen, G.(2016). Kozier & Erb’s Fundamentals of Nursing: Concepts,
Process and Practice (10th ed.). Upper Saddle River, NJ: Pearson Prentice Hall.
3
VELEZ COLLEGE – COLLEGE OF NURSING (Nursing Care Management 112 Skills Lab)
▪ Nettina, S. & Mills, E.J. (2006). Lippincott manual of nursing practice (8th ed.). Philadelphia, PA:
Lippincott, Williams & Wilkins.
▪ Schilling-McCann, J. (2009). Lippincott’s nursing procedures (5th ed.). Philadelphia, PA: Lippincott,
Williams & Wilkins.
▪ Hinkle, J., & Cheever, K. (2014). Brunner & Suddarth’s Textbook of Medical-Surgical Nursing (13th ed.).
Philadelphia, PA: Wolter Kluwer Health/Lippincott, Williams & Wilkins.
▪ Williams, L. & Hopper, P. (2003). Understanding medical-surgical nursing (2nd ed.). Philadelphia, PA:
F.A. Davis Company.

You might also like