Bronchial Drainage

Question 1

Upper lobes (apical segments)
What is the position of the table?

Answer 1

FLAT

Question 2

Upper lobes (apical segments)
Pt position?

Answer 2

Pt leans back on pillow at 30 deg angle against the PT

Question 3

Upper lobes (apical segments)
Technique?

Answer 3

PT claps with cupped hand over area btw CLAVICLE and TOP OF SCAP on each side

Question 4

Upper lobes (posterior segments):
Table position?

Answer 4

FLAT

Question 5

Upper lobes (posterior segments):
Pt position?

Answer 5

Pt leans over a folded pillow at 30 deg angle

Question 6

Upper lobes (posterior segments):
Technique?

Answer 6

PT stands behind pt and claps over upper back on both sides

Question 7

Upper lobes (anterior segments):
Table position?

Answer 7

FLAT

Question 8

Upper lobes (anterior segments):
Pt position?

Answer 8

Pt lies on BACK with pillow under knees

Question 9

Upper lobes (anterior segments):
Technique?

Answer 9

PT claps btw CLAVICLE and NIPPLE on each side

Question 10

R Middle Lobe:

Table position?

Answer 10

Foot of bed elevated 16”

Question 11

R Middle Lobe:

Pt position?

Answer 11

Pt lies HEAD DOWN on LEFT side and rotates 1/4 turn backward.
Pillow may be placed behind from shoulder to hip

KNEES FLEXED

Question 12

R Middle Lobe:

Technique?

Answer 12

PT claps over R nipple area
In females with breast development, use cupped hand with heel of hand under armpit and fingers extending forward beneath breath

Question 13

L upper lobe: Lingular segment:

Table position?

Answer 13

Foot of bed elevated 16”

Question 14

L upper lobe: Lingular segment:

Pt position?

Answer 14

Pt lies head down on RIGHT side, then rotated 1/4 turn backward
Pillow may be placed behind from shoulder to hip

Knees FLEXED

Question 15

L upper lobe: Lingular segment:

Technique?

Answer 15

Pt claps with cupped hand over L nipple area.
In females with breast development.. same technique as for R middle lobe.. (heel of hand at armpit with fingers extending under breast)

Question 16

Lower lobe (Anterior Basal Segment):
Table position

Answer 16

Foot of bed elevated 20”

Question 17

Lower lobe (Anterior Basal Segment):
Pt position?

Answer 17

Pt lies on side, head down, pillow under knees

The side that you are draining should be on top - aka, lie on L side if you want to drain the R anterior basal segment

Question 18

Lower lobe (Anterior Basal Segment):
Technique?

Answer 18

Pt claps with slightly cupped hands over lower ribs

Question 19

Lower lobe (Lateral Basal Segment):
Table position?

Answer 19

Foot of bed elevated 20”

Question 20

Lower lobe (Lateral Basal Segment):
Pt position?

Answer 20

Pt lies on abdomen, head down
Then rotated 1/4 turn upward
Upper leg is flexed over pillow for support

(To drain L lateral basal segment, pt would lie on R side)

Question 21

Lower lobe (Lateral Basal Segment):
Technique?

Answer 21

Pt claps over uppermost portion of lower ribs

Question 22

Lower lobe (Posterior Basal Segment):
Table position?

Answer 22

Foot of bed elevated 20”

Question 23

Lower lobe (Posterior Basal Segment):
Pt position?

Answer 23

Pt lies on abdomen, head down, with pillow under hips

Question 24

Lower lobe (Posterior Basal Segment):
Technique?

Answer 24

Pt claps over lower ribs close to spine on each side

Question 25

Lower lobe (Superior Segment):
Table position?

Answer 25

FLAT

Question 26

Lower lobe (Superior Segment):
Pt position?

Answer 26

Pt lies on abdomen with TWO pillows under hips

Question 27

Lower lobe (Superior Segment):
Technique?

Answer 27

Pt claps over middle back at tip of scapula on either side of the spine