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Test Your Skills: Cough Assist Vest & Therapy Vest Quiz

Think you've mastered IPV therapy vest and cough assist machine knowledge? Dive in and prove it!

Difficulty: Moderate
2-5mins
Learning OutcomesCheat Sheet
Paper art illustration showing cough assist vest IPV therapy vest airway clearance devices icons on golden yellow background

Attention respiratory therapists and students! Take our free "Can You Master the Cough Assist Vest & Therapy Vest Quiz?" to test and sharpen your skills with cough assist machine settings, IPV therapy vest techniques, airway clearance vest selection, and respiratory therapy vest troubleshooting. You'll learn best practices and pinpoint any knowledge gaps. Mastering these devices can significantly improve patient outcomes. Ready for an extra challenge? We've included questions that pair perfectly with an airway management quiz and cover crucial concepts like tactile fremitus and pneumonia . Dive in now, embrace the challenge, and elevate your clinical confidence!

What does "IPV" stand for in IPV therapy vests?
Intermittent Pressure Ventilation
Intrapulmonary Percussive Ventilation
Intermittent Phasic Vibration
Internal Pulmonary Vibration
IPV stands for Intrapulmonary Percussive Ventilation, a method delivering rapid bursts of gas to mobilize secretions in the lungs. This technique is distinct from external oscillation devices. It was first described by Dr. Forrest Bird for airway clearance. Source
What is the primary purpose of a cough assist vest?
Improve oxygen diffusion
Enhance cough effectiveness to clear secretions
Monitor lung volumes continuously
Deliver aerosolized medications
A cough assist vest augments the patient's natural cough by externally compressing and releasing the chest, helping expel mucus. It is especially useful in patients with weak respiratory muscles. It does not directly administer medications or monitor volumes. Source
Which patient population most commonly benefits from cough assist vests?
Patients with chronic asthma
Individuals with neuromuscular disorders
Adults with acute bronchitis
Children with cystic fibrosis
Patients with neuromuscular disorders (e.g., ALS, muscular dystrophy) often have weak cough due to respiratory muscle weakness and benefit most from mechanical cough assistance. While cystic fibrosis patients use oscillation vests, they generally maintain their own cough strength. Source
A typical frequency range for chest wall oscillation in therapy vests is:
1–5 Hz
5–25 Hz
30–50 Hz
60–80 Hz
Chest wall oscillation vests usually operate in the 5–25 Hz range to optimize mucus mobilization without causing discomfort. Frequencies below 5 Hz are less effective, and much higher frequencies may not improve mucus clearance. Source
What mechanism does intrapulmonary percussive ventilation use to mobilize mucus?
External mechanical vibrations
High-frequency percussive airflow pulses
Ultrasonic acoustic waves
Continuous positive airway pressure
IPV delivers high-frequency percussive pulses of air directly into the airway, loosening and mobilizing mucus. This differs from external oscillation, which vibrates the chest wall. The technique enhances gas exchange and secretion clearance. Source
Which of the following is a contraindication to using a cough assist or IPV vest?
Stable chronic bronchitis
Pneumothorax without chest tube
Well-controlled hypertension
Mild seasonal allergies
An untreated or unresolved pneumothorax is a contraindication because pressure changes can worsen the air leak. Hemodynamic instability and active hemoptysis are also contraindications. Chronic stable conditions are generally safe. Source
How should a cough assist vest be cleaned on a daily basis?
Autoclave at high temperature
Wipe down with mild detergent and water
Soak in full-strength bleach
Launder with fabric softener
Daily cleaning with a mild detergent and warm water prevents buildup of secretions and maintains device hygiene. Autoclaving or bleach can damage the vest materials. Fabric softeners may leave residues. Source
To enhance clearance when secretions are particularly thick, which setting is most appropriate to adjust on a therapy vest?
Increase oscillation frequency
Increase pressure amplitude
Decrease treatment time
Lower humidity level
Increasing the pressure amplitude generates stronger percussive forces, helping to loosen thick secretions. Frequency changes can have an effect but amplitude has a greater impact on mobilizing dense mucus. Treatment time and humidity level are less directly related. Source
If a patient reports chest discomfort during cough assist vest therapy, what is the first recommended adjustment?
Decrease pressure amplitude
Increase oscillation frequency
Extend treatment duration
Add saline nebulization
Reducing the pressure amplitude lowers the force applied, often alleviating discomfort. Frequency adjustments have less impact on perceived pressure. Treatment duration or nebulization may address secretions but not immediate discomfort. Source
What is the main difference between high-frequency chest wall oscillation (HFCWO) and IPV vests?
HFCWO delivers internal air bursts
IPV uses external compressions only
HFCWO provides external oscillations; IPV delivers internal airflow bursts
They are identical in function
HFCWO vests oscillate the chest wall externally to mobilize mucus, while IPV vests deliver rapid bursts of gas internally. Both aim to clear secretions but use distinct mechanisms. Recognizing this difference is crucial for clinical application. Source
Which setting controls the inspiratory-to-expiratory ratio on a cough assist vest device?
Pressure amplitude
Frequency
I:E time ratio
Treatment temperature
The I:E time ratio governs the duration of inspiration versus expiration in each cycle, critical for patient comfort and effective secretions mobilization. Pressure amplitude and frequency influence force and rate. Temperature is unrelated. Source
Which of the following is a potential complication of improper therapy vest use?
Skin breakdown and pressure sores
Hypoglycemia
Hearing loss
Renal calculi formation
Continuous or overly tight vest application can cause skin breakdown or pressure sores at contact points. Hypoglycemia, hearing loss, and kidney stones are unrelated to mechanical chest therapies. Monitoring fit and duration prevents this complication. Source
A cough assist vest is set to deliver +40 cm H2O inspiratory and -40 cm H2O expiratory pressures. If the cycle frequency is increased from 2 to 4 cycles per minute, what primarily happens to the delivered tidal volume per cycle?
Tidal volume per cycle increases
Tidal volume per cycle decreases slightly
Tidal volume remains unchanged
Tidal volume becomes unpredictable
At a constant pressure amplitude, increasing cycle frequency shortens each inspiratory period, slightly reducing tidal volume per cycle. Pressure amplitude largely determines peak volume, but time influences volume delivered. Source
Clinical studies combining IPV therapy with nebulized hypertonic saline have shown approximately what percentage improvement in mucus clearance?
5–10%
20–30%
50–60%
70–80%
Research indicates that adding hypertonic saline to IPV therapy improves mucociliary clearance by about 20–30% compared to IPV alone. Hypertonic saline hydrates and loosens secretions, complementing percussive action. Source
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Study Outcomes

  1. Understand Cough Assist Vest Technology -

    Gain insight into the mechanics and therapeutic principles behind cough assist vests and how they facilitate effective airway clearance.

  2. Identify IPV Therapy Vest Indications -

    Learn to recognize clinical scenarios where an IPV therapy vest is appropriate and understand key contraindications to ensure patient safety.

  3. Compare Airway Clearance Devices -

    Differentiate between cough assist machines, IPV therapy vests, and other airway clearance devices based on features, benefits, and clinical applications.

  4. Apply Proper Setup and Positioning -

    Master the steps for correct vest application, pressure settings, and patient positioning to optimize respiratory therapy outcomes.

  5. Analyze Patient Outcomes -

    Assess the clinical benefits of respiratory therapy vests, including improvements in mucus mobilization, lung function, and patient comfort.

  6. Evaluate Troubleshooting Techniques -

    Develop problem-solving skills for common device malfunctions and patient tolerance issues to ensure uninterrupted therapy sessions.

Cheat Sheet

  1. Oscillation Principles of Airway Clearance Vests -

    High-frequency chest wall oscillation (HFCWO) vests, also known as airway clearance vests, deliver 5 - 25 Hz vibrations to shake loose mucus in bronchioles. University of Pittsburgh studies show that using a respiratory therapy vest at 15 Hz for 20 minutes can increase mucus expectoration by up to 50% compared to conventional methods.

  2. IPV Therapy Vest Mechanics -

    An IPV therapy vest delivers percussive bursts of pressurized gas at 200 - 300 cycles per minute to enhance gas mixing and secretion mobilization. A handy mnemonic is "PERCUS" (Percussion, Expulsion, Reinforcement of Cough, Cycle, Use Settings, Safety) to remember key operation steps from the American Physical Therapy Association.

  3. Cough Assist Vest & Machine Settings -

    Cough assist machines, including specialized cough assist vests, use mechanical insufflation-exsufflation with +30 to +50 cmH2O insufflation and -30 to -50 cmH2O exsufflation pressures and a 2:3 second I:E ratio. A quick formula - Pressure Differential = Pinsp + |Pexp| - helps predict peak cough flow effectiveness.

  4. Patient Assessment and Contraindications -

    Always evaluate patients using tools like the BODE index and screen for contraindications such as untreated pneumothorax or unstable hemodynamics before vest therapy. According to ATS/ERS guidelines, avoid using HFCWO if acute rib fractures or severe osteoporosis are present.

  5. Device Cleaning and Maintenance -

    Proper maintenance is vital: disassemble airway clearance vests and IPV therapy vests after each use, wash with manufacturer-approved detergent, and replace filters every 30 days or after infection. Remember the mnemonic "CLEAN" (Cycle parts, Lubricate seals, Examine tubing, Alert provider, Note expiry) to ensure ongoing safety.

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