Q2 &PRN ……….. PEFR < 30% or no PF due to SOB 1
Q3 & PRN………..PEFR < 50% of personal best or
predicted
2
Q4 & PRN…….. PEFR 50%-70% of personal best or
predicted
3
QID & PRN………PEFR 70-100% of personal best or
predicted
4
Bronchopulmonary Hygiene
Q4…Copious secretions, SOB, unable to sleep, suspect
mucous plug
1
QID & PRN@noc…Moderate amount of secretions and poor
cough
2
TID…Small amount of secretions and poor cough, history of
secretions
3
BID…… Patient unable to deep breathe and cough
spontaneously
4
Hyperinflation Therapy
Q4 WA & PRN@noc…Patients with severe atelectasis and
low PaO2
1
QID……………Patients at high risk for or with
persistent atelectasis
2
TID…………….Patients at risk for developing
atelectasis
3
Q Shift WA…....Prevention of atelectasis
4
Oxygen Titration……… BID & PRN
to keep sats > 92%
*Respiratory Care performs only incentive instructs unless
ordered
through the protocol & patient is a triage 1 or
2. All others are turned over to nursing
staff after initial instruction. No evaluations will be
generated on routine post-op
incentive spirometry orders.
