CPT Flashcards
time length of postural drainage
3-15min
time length of percussion
3-5 min
When performing vibration, when do you do the vibrations?
only on exhalation x 3?
you should do vibration after what therapy?
percussion
Purpose of CPT
Mobilize secretions and move them out of the lungs
4 chronic dz that produce copious secretions?
CF, bronchiectasis, PCD, Chronic bronchitis
Which CPT can be performed on inhalation and exhalation?
percussion
who do you never perform CPT on?
Increased ICP and stroke
***not on bare skin
How much sputum productions requires CPT?
greater than 30mL
What will a pt chest x ray look like that would need CPT
show a little white (atelectasis/consolidation)
position for left lingula and right middle
Both trendelenberg with bed at 15 degrees, pillow between knees, and 1/4 away from the therapist
**If right side, turn left and vice versa
The lower lobes will always have the bed at what angle?
30 degrees
RLL superior
bed flat, pt prone with with pillow under stomach
what 4 things allows you to decide what position someone needs to be placed in?
auscultation/x-ray/percussion/progress report
Where do aspirations usually land?
Superior segment of RLL
`frequency of percussion/vibration
TID/QID no longer than 30 min
When do you never do percussion/vibration
hypoxemia/increased ICP/hypo-hypertention
Brnochodilators can be given with what?
PEP treatments. You cant do this with CPT.
what does PEP do?
contains a valve that increases resistance to expiratory flow
If someone cant handle doing the Acapella device, which should they try next?
Threshold PEP
PEP does what two specific things?
splints floppy airways and allows collateral ventilation
PEP pt teaching
10-20 breaths….2-3 hough coughs x4-8 on a 20 minute time
Goal in order to create adequate back flow
10-20 cmH2O
color of acapella
high flow is green low is blue
Autogenic drainage mainly treats
Cystic Fibrosis
How many phases are their to autogenic drainage?
three phases
What three modes are involved in the Metaneb
CPEP for 2.5 min then CHFO for 2.5 min, aerosol
Frequency of metaneb
10 min, 2-4 times a day
Which metaneb mode is known as lung expansion?
CPEP
Which metaneb mode helps with airway clearance?
CHFO
