Manual Secretion Techniques Flashcards
How long should you do percussion or shaking or vibration
Around 3-5 minutes
Upper lobes apical segements
Lean backward on PT at 30 degrees angle with pillow on back upright
Upper lobes posterior segements
Sitting leaning forward over pillows to allow lobes to drain 30 degree angle
Upper lobes anterior segments
Not apical remember difference
Flat on back patients knees bent to support lumbar spine
Right middle lobe
1/4 turn form supine on lying on left side and bed elevated 16 inches trendenberg postion
Left lingular segements
1/4 turn from supine on right side and bed elevated 16 degrees
Lower anterior basal segements
Lies on noncongested side and then table elevated 20 degrees and patient lies on side
Lower lobes lateral basal segements
Table 20 degres 1/4 turn upper leg flexed over pillow
Lower posterior basal segment
Prone trendenlenberg and bed elevated 20 degrees
Lower lobe superior segment
Prone with pillows under the abdomen or under hips rather
Considerations prior to using tresdneberg position
Heart- pulmonary edema CHF HTN
Abdominal- obesity ascite hernia prego nausea n vomitttimg recent food consumption
Neurologic recent Neuro surgery increased intracranial pressure aneurysm
Pulmonary sob
Precautions to side lying - axillo femoral bypass graft
Muscloskeletal - humeral fractures need for hip abduction brace other situations that sidelong uncomfortable arthritis shoulder brusiris
Precautions to shaking
Pain made worse by technique
Circulatory - aneurysm hemopytisk
Blood- on blood thinners increased prothrombin time
Muscloskeletal - fractured rib flail chest degnerative bone disease bone metas is
How long do you do the shaking for
Five to ten after deep inhalations anymore might cause hyperventilation
Indicators for postural drainage
Increased pulmonary secretions aspiration actelectaiss or collaspe
