CHEST PHYSIOTHERAPY Flashcards

1
Q

a group of treatment that serves as a means of clearing the lungs of accumulated mucus

A

chest physiotherapy

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2
Q

indications of CPT

A
  • increased mucus or thick secretions
  • weak breathing muscles
  • ineffective coughs
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3
Q

consist of diaphragmatic & pursed-lip breathing and effective coughing practices to achieve a more efficient and controlled ventilation

A

breathing / coughing exercises

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4
Q

strengthens the diaphragm during breathing

A

diaphragmatic breathing

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5
Q
  • breathe slowly through nose
  • abdomen moving out
  • breathe out slowly through pursed lips
A

diaphragmatic breathing

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6
Q

when and how often should you do diaphragmatic breathing?

A

for 5 minutes, several times a day, before meals and at bedtime

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7
Q

improves oxygen transport, helps induce a slow, deep breathing pattern, helps prevent alveolar collapse

A

pursed-lip breathing

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8
Q
  • breathe in nose for 1 count
  • purse your lips like whistling
  • breathe out gently for 2 counts
A

pursed-lip breathing

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9
Q

enhances effects of spontaneous cough, serves as prophylaxis against postoperative pulmonary complications

A

coughing exercise

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10
Q
  • take a deep breath and hold for 2 seconds
  • cough twice with mouth slightly open
  • sniff gently
A

coughing exercise

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11
Q

A rhythmical force provided by clapping the cupped hands against the chest wall of the client to loosen or dislodge retained secretions

A

chest percussion / clapping

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12
Q

used after or alternately with percussion to loosen secretions

A

chest vibration / shaking

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13
Q

application of vigorous quivering or tremor to the chest wall during expiration to help increase the velocity of expired TV from the small airways

A

chest vibration / shaking

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14
Q

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

A

postural drainage

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15
Q

schedule of postural drainage

A

2-3 times a day

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16
Q

patient prep for postural drainage

A

bronchodilator / nebulization

17
Q

patient remain in each position for ___ minutes while performing breathing exercises and the nurse perform chest percussion / vibration over the area being drained

A

15 mins

18
Q

position for draining anterior upper lobes

A

fowler’s

19
Q

position for draining posterior upper lobes

A

sit upright, slightly leaning forward

20
Q

position for draining anterior middle lobes

A

supine

21
Q

position for draining left lower lobes

A

right side lying

22
Q

position for draining posterior middle lobes

A

trendelenburg

23
Q

position for draining right lower lobe

A

left side lying

24
Q

contraindications for all positions

A
  • ICP > 20 mmHg
  • active hemorrhage
  • spinal surgery
  • pulmonary edema with CHF
  • large pleural effusions
  • rib fracture
  • surgical wound
25
Q

contraindications for trendelenburg

A
  • ICP > 20 mmHg
  • uncontrolled hypertension
  • distended abdomen
  • esophageal surgery
  • recent hemoptysis
  • uncontrolled airway
26
Q

contraindications for reverse trendelenburg

A
  • hypotension
  • vasoactive medication
27
Q
  • a process of adding medications or moisture to inspired air
  • improves airway clearance
A

nebulization

28
Q

common medications for nebulization

A
  • bronchodilators
  • mucolytics
  • corticosteroids
29
Q

what to do if steroid are used in nebulization?

A

rinse mouth and gargle after treatment

30
Q

when should you disinfect the nebulizer equipment with water/vinegar for 20 minutes

A

every 3 days