Chest Physiotherapy

Question 0

What is the definition of CPT?

Answer 0

Removal of chest secretions in the lungs by physical means.

Question 1

DO NOT perform percussion over what areas of the body?

Answer 1

over kidneys, sternum, spinal cord, bony prominences, or tender/painful areas

Question 2

Some patients have to do CPT while they are in the hospital or while they are having a problem and some patients like a person with _______ have to do this every day of their life?

Answer 2

Cystic Fibrosis

Question 3

How is percussion performed?

Answer 3

Alternate rhythmic motion, alternating hands-on the chest wall
A hollow sound results when correctly done

Question 4

How do you create a vibration motion on the patient?

Answer 4

Flexing and Tensing with a hand with flat of hand on affected areas and the other hand on top which creates a vibrating motion

Question 5

How should the hand be shaped and where is the movement coming from while doing percussion?

Answer 5

Cupped hand/wrist

Question 6

Why would we use Gravity to assist in bronchial drainage?

Answer 6

-positioning your patient so that gravity is assisting with bronchiole drainage;

Study Tip: Think of the patient and the airway like an upside down tree with the main stem bronchus being the trunk, branching off to the right and the left bronchi and then into the smaller airways and then out to the little tiny airways.
Ex. So if you have a pt that has secretion in the right lower lobe you would position the pt on their left side and with their head lower than their chest. It helps the secretions to move from the smaller airways to the larger so the secretions can be suctioned out or coughed out

Question 7

After each position allow time to for the patient to ________ ?

Answer 7

cough

Question 9

Who can perform CPT’s?

Answer 9

trained individuals

Question 10

_______ is performed in postural drainage position with cupped hands

Answer 10

Percussion

Question 11

What are the 3 types of CPT used?

Answer 11

Percussion
Vibration
Postural Drainage

Question 11

We would position the patient in multiple positions that are the most beneficial. Once in position we would use _____ and ________ to help bring those secretions to the larger stem.

Answer 11

1. percussion
2. vibration
   •The three can help bring secretions to larger airways

Question 12

When are you NOT to perform percussion and the time frame?

Answer 12

do not perform after they eat; either before or 2 hours after a meal to avoid regurgitation or risk aspiration

Question 13

During percussion place towel over area to avoid ________ because it can take up to 15 minutes to perform the procedure

Answer 13

skin irritation

Question 14

When would a nurse implement CPT?

Answer 14

Excessive bronchial secretions over 25 ml/day and difficulty removing them from the airway.

Question 15

Commercial vibrators such as jackets or vest are used for what type of patients and why?

Answer 15

Cystic fibrosis because that is their way of life and must be done daily. There are also jackets or vests that can be used especially for these patients.

Question 16

CPT is also used when the patient has retained secretions in presence of an ______ airway which occurs during intubation.

Answer 16

artificial

Question 17

Lobar atelectasis suspected of being caused by _______ ?

Answer 17

Mucus plugging: CPT is used to help get the mucus plug out of the lungs;

Example: patients will be doing so-so then O2 saturation drops into the 80’s but then you perform the CPT on them and their O2 saturation elevates back into the 90’s.

Question 19

Why should the patient’s face should be visible?

Answer 19

to see how they are tolerating the procedure

Question 20

What are the benefits of using CPT for your patient?

Answer 20

It is used to assist in effective coughing, re-educate breathing muscles and to try to improve ventilation of the lungs.