Chapter 12

Question 1

1. What is the best way to clear secretions?

Answer 1

1. Cough is the best way to clear secretions. Some

2. adjuncts to cough may be needed.

Question 2

2. What are the Indications of Airway clearance?

Answer 2

Indications:

Any disease or condition that may result in increased volume and/or viscosity of secretions, retention of secretions, aspiration, and prophylaxis

Question 3

3. What are the Contraindications of Airway clearance?

Answer 3

1. Pulmonary hemorrhage (hemoptysis)
2. Feeding within one hour
3. Cerebral hemorrhage
4. Untreated pneumothorax
5. Fx ribs, burns etc.

Question 4

4. What are the Techniques of Cough?

Answer 4

1. Forced Expiration Technique (FET) “huff cough”
2. Autogenic drainage
3. Positive Expiratory Pressure (PEP)
   -EzPAP
   -Flutter Valve
   -Acapella
4. Cough Assist
   insufflator-exsufflator
   manual rib cage compressions
   Quad cough
5. High Frequency Chest Compressions (Vest)
6. Intrapulmonary percussive ventilation (IPV)
   auscultation

Question 5

5. What are the procedures Chest Physiotherapy?

Answer 5

Chest Physiotherapy (CPT, PD&P)

Procedure:

• Auscultation
• Postural drainage
• Percussion
• Vibration
• Removal of secretions (cough) Repeat

Question 6

6. What is Hyperinflation therapy?

Answer 6

1. Hyperinflation therapy IS
2. IPPB
3. Mask CPAP