BRTP06 Chest Physical Therapy Flashcards
What does CPT include
Postural drainage
Chest vibration
Chest percussion
Who does postural drainage not work for
Obese/ lots of edema
Pleural effusion
Increased intercranial issues
Stroke patients
Major purpose
Mobilize and remove retained secretions
How do you know a patient needs CPT
Sputum production more than 25 ml a day
How long do you do postural drainage
3-15 mins
How do you do/ how long do you do percussion
3-5 mins
Performed on inspiration and exhalation
Vibration
Performed 3 times
Only performed on exhalation
Primary ciliary dyskinesia syndrome
PCD
Rare genetic lung disorder
Mucus accumulation
Can lead to bronchitis
No cure
4 diseases with chronic copious secretions
CF
CHRONIC BRONCHITIS
BRONCHIECTASIS
PRIMARY CILIARY DYSKINESIA SYNDROME
Aspiration affects what lobe
Superior segment of right lower lobe
RLL
Treat w pt prone w bed flat
Apical RUL and LUL
Patient in high fowers leaning back against a pillow
Posterior RUL and LUL
Patient leaning forward grasping a pillow or sitting on side of bed and resting on bedside tabel
RUL and LUL ANTERIOR
Patient supine with bed flat and pilliw under knees
RML right middle lobe
Includes medial and lateral segment
Patient lying on left side rotated 1/4 turn away from therapist with pillow behind back. Bed is placed at 15 degree angle trendelenburg