CHEST PHYSIOTHERAPY Flashcards
a group of treatment that serves as a means of clearing the lungs of accumulated mucus
chest physiotherapy
indications of CPT
- increased mucus or thick secretions
- weak breathing muscles
- ineffective coughs
consist of diaphragmatic & pursed-lip breathing and effective coughing practices to achieve a more efficient and controlled ventilation
breathing / coughing exercises
strengthens the diaphragm during breathing
diaphragmatic breathing
- breathe slowly through nose
- abdomen moving out
- breathe out slowly through pursed lips
diaphragmatic breathing
when and how often should you do diaphragmatic breathing?
for 5 minutes, several times a day, before meals and at bedtime
improves oxygen transport, helps induce a slow, deep breathing pattern, helps prevent alveolar collapse
pursed-lip breathing
- breathe in nose for 1 count
- purse your lips like whistling
- breathe out gently for 2 counts
pursed-lip breathing
enhances effects of spontaneous cough, serves as prophylaxis against postoperative pulmonary complications
coughing exercise
- take a deep breath and hold for 2 seconds
- cough twice with mouth slightly open
- sniff gently
coughing exercise
A rhythmical force provided by clapping the cupped hands against the chest wall of the client to loosen or dislodge retained secretions
chest percussion / clapping
used after or alternately with percussion to loosen secretions
chest vibration / shaking
application of vigorous quivering or tremor to the chest wall during expiration to help increase the velocity of expired TV from the small airways
chest vibration / shaking
use of specific positions to drain secretions from the affected bronchioles of the lung segments into the bronchi and trachea through the force of gravity
postural drainage
schedule of postural drainage
2-3 times a day
patient prep for postural drainage
bronchodilator / nebulization
patient remain in each position for ___ minutes while performing breathing exercises and the nurse perform chest percussion / vibration over the area being drained
15 mins
position for draining anterior upper lobes
fowler’s
position for draining posterior upper lobes
sit upright, slightly leaning forward
position for draining anterior middle lobes
supine
position for draining left lower lobes
right side lying
position for draining posterior middle lobes
trendelenburg
position for draining right lower lobe
left side lying
contraindications for all positions
- ICP > 20 mmHg
- active hemorrhage
- spinal surgery
- pulmonary edema with CHF
- large pleural effusions
- rib fracture
- surgical wound
contraindications for trendelenburg
- ICP > 20 mmHg
- uncontrolled hypertension
- distended abdomen
- esophageal surgery
- recent hemoptysis
- uncontrolled airway
contraindications for reverse trendelenburg
- hypotension
- vasoactive medication
- a process of adding medications or moisture to inspired air
- improves airway clearance
nebulization
common medications for nebulization
- bronchodilators
- mucolytics
- corticosteroids
what to do if steroid are used in nebulization?
rinse mouth and gargle after treatment
when should you disinfect the nebulizer equipment with water/vinegar for 20 minutes
every 3 days
