CPT

Question 1

What is CPT?

Answer 1

A Chest Physical Therapy treatment usually consists of postural drainage and chest percussion.

Question 2

What is Percussion?

Answer 2

clapping (POPPING NOT SLAPPING) on the chest wall with cupped hands. Air is trapped under the hand to cause vibration of the lung. Secretions are shaken loose.

Question 3

What is Postural Drainage

Answer 3

patient is positioned to allow gravity to facilitate removal of secretions. (don’t really do anymore and usually only wanted by CF patients)

Question 4

What is the purpose of CPT

Answer 4

-clears the airway for patients with thick secretions
-improves distribution of ventilation – occlusion
-strengthens respiratory muscles

Question 5

Lung Segments

Answer 5

Right Lung: 3 Lobes, 10 segments
Left Lung: 2 Lobes, 8 segments

Question 6

Right Lung Upper Lobe Segments and landmarks

Answer 6

Anterior-between clavicle and breast
Apical**-between clavicle and scapula
Posterior-under scapula

Question 7

Right Lung Middle Lobe Segments and landmarks

Answer 7

Medial-directly under the breast, medial
Lateral-directly under the breast, lateral
**these 2 segments drain as 1 segment

Question 8

Right Lung Lower Lobe Segments and landmarks

Answer 8

Anterior
Lateral
Medial-sits directly against the heart, cannot percuss
Posterior
Superior
ALPS

Question 9

Left Lung Upper Lobe Segments and Landmarks

Answer 9

Anterior
Apical Posterior
Superior Lingular
nferior Lingular
**S & I lingular are like the RML

Question 10

Left Lung Lower Lobe Segments and Landmarks

Answer 10

Anteriomedial Basilar**
Lateral
Posterior
Superior
ALPS
**the lower lobes of both the right and left lung are also called Basilar.

Question 11

CPT Positions

Answer 11

Anterior Apical
Posterior Apical
Anterior Segments
Posterior of LUL
Posterior of RUL
Left Lingula
RML
Anterior Basal
Posterior Basal
L Lateral Basal
R Lateral Basal
Superior Basal

Question 12

Anterior Apical

Answer 12

RUL & LUL -sitting, lean back 30-45 degrees
-percuss above the clavicle

Question 13

Posterior Apical

Answer 13

RUL & LUL
-sitting, lean forward 45 degrees
-percuss above scapula, stand in front of patient

Question 14

Anterior Segments

Answer 14

RUL & LUL
-bed flat
-percuss above the breast

Question 15

Posterior of LUL

Answer 15

1/4 turn from prone onto R side
-HOB elevated 45 degrees
-percuss over L scapula

Question 16

Posterior of RUL

Answer 16

-1/4 turn from prone onto L side
-percuss over the R scapula

Question 17

Left Lingula

Answer 17

1/4 turn from supine onto R side
-FOB elevated 12 inches
-percuss above L nipple, under armpit

Question 18

RML

Answer 18

1/4 turn from supine onto L side
-FOB elevated 12 inches
-percuss above R nipple, under armpit

Question 19

Anterior Basal

Answer 19

RLL & LLL
-supine, FOB elevated 18 inches
-percuss over lower ribs, more on the side

Question 20

Posterior Basal

Answer 20

RLL & LLL
-prone, FOB elevated 18 inches
-percuss over lower ribs

Question 21

L Lateral Basal

Answer 21

on L side, FOB elevated 18 inches
-percuss over lower ribs

Question 22

R Lateral Basal

Answer 22

on L side, FOB elevated 18 inches
-percuss over lower ribs

Question 23

Superior Basal

Answer 23

RLL & LLL
-prone, bed flat
-percuss below the lower margin of the scapula

Question 24

Position Modification indications

Answer 24

-positions can be modified for patients with medical problems which can lead to adverse reactions
-the Trendelenburg position is not appropriate for patients with cardiovascular compromise (unless its hypotension **)
also not appropriate for patients with intracranial disease or post-op neuro surgery because it will increase intracranial pressure and post – op eyes surgery
-patients with chronic lung disease may become short of breath in certain positions (most positions)
-any time an adverse reaction occurs, the therapy should be stopped immediately!!!! Check them and notify nurse/ doctor

Question 25

Contraindication and Hazards of CPT

Answer 25

-do not percuss after eating
-do not percuss or drain patients who have compromised cardiovascular status
-CPT is hazardous to patients with an undrained empyema or lung abscess, as well as to those patients with large amounts of hemoptysis of unknown origin

Question 26

CPT Devices

Answer 26

Manuel Percessors
Pneumatically powered
Electrically Powered