Postural Drainage Flashcards
anterior apical segments – upper lobe
sitting with pillows between you and patient or supine bed elevated
percussion: deep to clavicle
anterior segments – upper lobes
supine
percuss: below clavicle above breast in women
over nipple line in men
What is the position for posterior right and left segments – upper lobe?
Where do you apply percussion?
Right: supine 1/4 from prone
Left: head of bed elevated 30 degrees or 18”
percuss: deep to scapula on side of problem
Right middle lobe and left lingula
foot of the bed raised 12 inches or 15-30 degrees
1/4 supine
percuss directly below breast
Superior segments – Lower lobe
prone with pillow under chest, shins, and face
percuss below scapula
Anterior segments – Lower Lobes
supine with foot of bed elevated 30-45 degrees or 18 inches, pillow under knees
percuss over lower ribs
Posterior segments – Lower Lobe
prone with foot of bed elevated 30-45 degrees or 18 inches
percuss over lower ribs
Left and Right Lateral segments – Lower lobe
foot of bed elevated 30-45 degrees or 18in
1/4 prone or sidelying ?
percuss lateral lower ribs
posterior apical segments – upper lobes
sitting resting head on pillow on table
percuss above the scapula
how long in each position?
10 minutes
how many times do you do segmental breathing before you start?
3-5 breaths
how long are you performing percussion/vibration/shaking?
3-5 minutes for each lobe segments
what conditions are indicted for postural drainage?
CF
Bronchiectasis
Pneumonia
SCI
what conditions are at risk/maybe don’t do postural drainage with
rib fracture
osteoporosis
edema
INR not in range
what are he best times of day to do postural drainage?
first thing in the morning and before bed
