CPT Flashcards
What is CPT?
A Chest Physical Therapy treatment usually consists of postural drainage and chest percussion.
What is Percussion?
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.
What is Postural Drainage
patient is positioned to allow gravity to facilitate removal of secretions. (don’t really do anymore and usually only wanted by CF patients)
What is the purpose of CPT
-clears the airway for patients with thick secretions
-improves distribution of ventilation – occlusion
-strengthens respiratory muscles
Lung Segments
Right Lung: 3 Lobes, 10 segments
Left Lung: 2 Lobes, 8 segments
Right Lung Upper Lobe Segments and landmarks
Anterior-between clavicle and breast
Apical**-between clavicle and scapula
Posterior-under scapula
Right Lung Middle Lobe Segments and landmarks
Medial-directly under the breast, medial
Lateral-directly under the breast, lateral
**these 2 segments drain as 1 segment
Right Lung Lower Lobe Segments and landmarks
Anterior
Lateral
Medial-sits directly against the heart, cannot percuss
Posterior
Superior
ALPS
Left Lung Upper Lobe Segments and Landmarks
Anterior
Apical Posterior
Superior Lingular
nferior Lingular
**S & I lingular are like the RML
Left Lung Lower Lobe Segments and Landmarks
Anteriomedial Basilar**
Lateral
Posterior
Superior
ALPS
**the lower lobes of both the right and left lung are also called Basilar.
CPT Positions
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
Anterior Apical
RUL & LUL -sitting, lean back 30-45 degrees
-percuss above the clavicle
Posterior Apical
RUL & LUL
-sitting, lean forward 45 degrees
-percuss above scapula, stand in front of patient
Anterior Segments
RUL & LUL
-bed flat
-percuss above the breast
Posterior of LUL
1/4 turn from prone onto R side
-HOB elevated 45 degrees
-percuss over L scapula
Posterior of RUL
-1/4 turn from prone onto L side
-percuss over the R scapula
Left Lingula
1/4 turn from supine onto R side
-FOB elevated 12 inches
-percuss above L nipple, under armpit
RML
1/4 turn from supine onto L side
-FOB elevated 12 inches
-percuss above R nipple, under armpit
Anterior Basal
RLL & LLL
-supine, FOB elevated 18 inches
-percuss over lower ribs, more on the side
Posterior Basal
RLL & LLL
-prone, FOB elevated 18 inches
-percuss over lower ribs
L Lateral Basal
on L side, FOB elevated 18 inches
-percuss over lower ribs
R Lateral Basal
on L side, FOB elevated 18 inches
-percuss over lower ribs
Superior Basal
RLL & LLL
-prone, bed flat
-percuss below the lower margin of the scapula
Position Modification indications
-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
Contraindication and Hazards of CPT
-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
CPT Devices
Manuel Percessors
Pneumatically powered
Electrically Powered
