Airway Clearance Techniques Flashcards
What are the 3 components of the Active Cycle of Breathing?
What is it used for?
- Breathing Control
- Thoracic Expansion Exercise
- Forced Expiratory Technique
assist secretion clearance in patients with asthma
What technique is theorized to improve airflow in small airways to facilitate movement of mucus without using postural drainage positions or coughing?
Autogenic Drainage (AD)
What are the 3 phases of Autogenic Drainage and how long is the average treatment?
- Unsticking Phase
- Collecting Phase
- Evacuating Phase
Average 45 minutes
What individuals should NOT use Autogenic Drainage?
young children and patients not motivated or easily distracted because it requires PATIENCE TO LEARN
What is the definition of huffing?
Forced expiratory maneuver performed with the glottis OPEN
How is the glottis positioned with a cough vs a huff?
Cough: contract expiratory muscles against the closed glottis
Huff: open glottis say “HA, ha, ha”
What are two brand names of handheld devices that combine positive expiratory pressure and high frequency airway vibrations to mobilization mucus secretions in airways?
Acapella and Flutter
high-frequency airway oscillation technique
Acapella and Flutter are two devices used with what technique?
High-frequency airway oscillation
What are two other words used for Percussion?
cupping and clapping
How long is each position maintained with postural drainage?
two to three minutes
Manual vibration should be performed during what part of the breathing cycle?
exhalation
What is the position for the apical segments of the right and left upper lobes?
sitting leaning pack 30-40 degrees
percussion and vibration performed above clavicles
What are the positionS for posterior segment of right upper lobe and posterior segment of left upper lobe?
Right upper lobe: turned 1/4 from prone on the left side on level bed (laying completely on left side)
Left upper lobe: turned 1/4 from prone on right side with HOB elevated 45 degrees
Percussion and vibration applied around the medial boarder of scapula
What lung has the lingula?
LEFT LUNG
LEFT –> LINGULA (PART OF UPPER LOBE)
LEFT LUNG ONLY HAS 2 LOBES
Position for Lingula?
Lingula is part of the LEFT UPPER LOBE (only 2 lobes on left)
patient turned 1/4 from supine on right side with foot of bed elevated 12 inches
Percussion and vibration over the left chest between axilla and left nipple
Position for ANTERIOR segments of right and left upper lobes?
patient supine on horizontal bed
Percussion and vibration below the clavicles
Position for right middle lobe?
NO MIDDLE LOBE ON LEFT
Patient turned 1/4 from supine on left side with foot of bed elevated 12 inches
Percussion and vibration applied over right chest between axilla and right nipple
Position for superior segments left and right LOWER lobes?
patient prone with horizontal bed
percussion and vibration performed below inferior border of left and right scapulae
Postion for anterior basal segments of left and right lower lobes?
supine with foot of bed elevated 18 inches
percussion and vibration performed over teh lower ribs on left and right side
Position for posterior basal segments lobes?
prone with foot of bed elevated 18 inches?
Percussion and vibration over lower ribs on left and right side of chest
Position for lateral basal segments of lower lobes of left and right lower lobes?
Patient in sidelying with foot of bed elevated 18 inches
percussion and vibration over lower ribs
lay on side opposite the lung you are percussing
What is the height of the bed for anterior, posterior, and lateral basel segments of the right and left lower lobes? Where is percussion applied?
foot of bed is elevated 18 inches
Percussion is over the lower ribs
What is the only segment where the head of the bed is elevated?
posterior segment of the left upper lobe
head of bed elevated 45 degrees with patient turned 1/4 from prone on right side
How do the positions for the lingula of the left upper lobe and right middle lobe compare?
Lingula of left upper lobe: 1/4 from supine on right side with foot of bed elevated 12 inches
Right Middle Lobe: 1/4 from supine on left side with foot of bed elevated 12 inches
When is vibration done during the percussion and vibration treatment? When should the patient be encouraged to cough?
Vibration done after 2-3 minutes of percussion. Vibration done during EXPIRATION
Encourage patient to cuff or hoff after two or three vibrations
