CPT Flashcards
A form of airway clearance therapy that is generally performed by a Respiratory Therapist with the goal of clearing mucus from the airways and lungs.
Chest Physiotherapy
It involves striking the lungs manually with your hands, with a cuff, or with an automatic percussor.
Chest Physiotherapy
You can help propel them forward by placing the patient in various _______ positions using gravity
Postural Drainage
Its purpose is to loosen secretions in the lung segment immediately below the area struck
Percussion
It is the forceful striking of the skin with cupped hands. When the hands are used, the fingers and thumb are held together and flexed slightly to form a cup
Percussion
When done correctly , the percussion action should produce a _____, _____ sound
hollow, popping
Percussion is avoided over the ____, ____, ____, ____
breast, sternum, spinal column, kidneys
A series of vigorous quivering produced by hands that are placed flat against the clients chest wall
Vibration
Is used after percussion to increase the turbulence of the exhaled air and thus loosen thick secretions
Vibration
Is the drainage by gravity of secretions from various lung segment
Postural Drainage
Before postural drainage, the client may be given _________ or________ therapy to loosen secretions.
bronchodilator medication or nebulization
Postural drainage treatments are scheduled __ or __ times daily
2 or 3
The best time to do postural drainage includes ______, ______, _______, _______
before breakfast, before lunch, in the late afternoon and before bedtime
Have the patient lean backward for 30 to 45 deg. angle and stay in this position for 5 mins. Have the patient lie on the abdomen, back and both sides while horizontal. What is being drained?
Anterior upper segment
Have the patient lean forward for 30 to 45 deg. angle and stay in this position for 5 mins. Let the patient brace the elbows on the knees to maintain this position or you can pad an overbed table for the patient to lean on.
Posterior Apical Surface
Patient lie flat on back with small pillow under knees and Percuss & vibrate just below the clavicle on either side of sternum
Anterior Segments or Left & Right Anterior Upper Lobe
The patient should lie on his right side turned 45 deg. on to his face with three pillows arranged to raise the shoulder 30cm (12in) from the bed. He should place his right arm behind his back with his left arm resting on the supporting pillows; both the knees should be slightly bent.
Left Posterior Segment
Patient should lie on his left side with arm over head in Trendelenburg position with foot of bed raised 30 cm. Place pillow behind back and roll patient 1/4th on to pillow. Percuss and vibrate lateral to right nipple area below axilla.
Right Middle Lobe
Patient should lie on his right side with arm over head in Trendelenburg position with foot of bed raised 30 cm. Place pillow behind back and roll patient 1/4th on to pillow. Percuss and vibrate lateral to left nipple area below axilla.
Left Upper Lobe Lingular/ Left Lingular
Patient should lie on back in Trendelenburg position with foot of bed elevated 45-50 cm. Knees should be bent on pillow. Percuss and vibrate over lower anterior ribs on both sides.
Anterior Segments - Lower lobes
Patient should lie on left side in Trendelenburg position with foot of bed raised to 45-50 cm. Percuss and vibrate on right side of the chest below scapula posterior to mid Axillary line
Right Lateral Segment (Lower lobes)
Patient should lie on right side in Trendelenburg position with foot of bed raised to 45-50 cm. Percuss and vibrate on left side of the chest below scapula posterior to mid Axillary line.
Left Lateral Segment (Lower Lobe)
Patient should lie on his abdomen in Trendelenburg position with foot of bed elevated 45-50 cm. Percuss and vibrate over posterior ribs on either side of spine.
Posterior Segments (Basal)
Patient should lie flat on his abdomen with pillow under abdomen. Percuss and vibrate below scapula on either side of spine
Superior Segments
