Percussion "Postural Drainage"

Question 1

Percussion

Answer 1

• Applied to chest wall over lung segment being drained to mechanically jar and dislodge retained secretions
• It initiates waves of mechanical energy that are transmitted to lungs

Question 2

Technique

Answer 2

• Cupped hands, fingers and thumbs adducted to provide a cushion of air between the hands and chest wall to eliminate irritation and discomfort

Question 3

Therapists ___________, __________ and ________ must be loose and flexible.

Answer 3

• shoulders
• elbows
• wrists

Question 4

Speed is……..

Answer 4

• Controversial

Question 5

Need not to be ________ forceful to be ________.

Answer 5

• extremely

- effective

Question 6

Pattern should’t be _________, should not deliver treatment in ____ spot for an _________ period of time.

Answer 6

• Determined
• One
• Extended

Question 7

• Once begun, it should be continued for ___-___ minutes, although ________ can be interspersed if pt begins to _____ or _______ fatigues..

Answer 7

• 3 to 5
• Vibration
• Cough
• Therapist

Question 8

Avoid area’s over?

Answer 8

• Bony Prominences

Question 9

Do not percuss over?

Answer 9

• Floating Ribs

Question 10

Take special care over ______ and ______ chest wall areas

Answer 10

• Anterior

- Lateral

Question 11

Areas over the breast tissue should be treated carefully

Answer 11

• Avoided in young girls with developing breast tissue

- If necessary with large breasts, percuss with one hand while retracting breast tissue with other

Question 12

Use 2 fingers on ________ pt’s and expect to have a expect to have a _________ baby in place of coughing up the septum.

Answer 12

• Pediatric

- Suction

Question 13

Precasutions / Contraindications of Percussion

Answer 13

• Fail Chest
• Fractured Ribs
• Conditions prone to hemorrhage
• Nervous and Aged People
• Recent Postoperative pt’s
• Subcutaneous Emphysema
• Poor or Unstable cardiovascular conditions
• Recent spinal fusion
• Recent skin grafts or flaps
• Fresh burns, open wounds, skin infectoins in thoracic area
• Pulmonary emboli
• Resectable tumors
• Untreated tensions pneumothorax
• Cancer with metastatic changes
• Osteoporotic bones or rickets
• Pt subject to seizures
• Increased bronchospasm following treatment
• Petechiae or peripheral bleeding
• Recent or excessive hemoptysis
• Untreated TB, Abcess
• Early postop pneumonectomy or lobectomy
• Over chest tubes