Postural Drainage Flashcards
1
Q
Apical segments of L and R upper lobes
A
- seated/semi-recumbent
- leaning back 30-40 degrees
- percussion above clavicles (PTA standing behind)
2
Q
Posterior segment of L upper lobe
A
- prone, 1/4 turn, L side up, head and shoulders elevated on pillow
- Percussion around medial border of L scapula
3
Q
Posterior segment of R upper lobe
A
- prone, 1/4 turn, R side up, head and shoulders elevated on pillow
- Percussion around medial border of R scapula
4
Q
Lingula of L upper lobe
A
- supine, 1/4 turn, L side up, trendelenburg with foot of bed elevated 12in
- percussion over L chest between axilla and L nipple
5
Q
Anterior segments of R and L upper lobes
A
- supine, bed horizontal
- percussion below clavicles
6
Q
R middle lobe
A
- supine, 1/4 turn, R side up, trendelenburg with foot of bed elevated 12in
- Percussion over R chest between axilla and R nipple
7
Q
Superior segments of R and L lower lobes
A
- prone, bed horizontal
- Percussion below inferior border of R and L scapula
8
Q
Anterior basal segments of R and L lower lobes
A
- supine, trendelenburg with foot of bed elevated 18in
- Percussion over lower ribs on R and L side
9
Q
Posterior basal segments of R and L lower lobes
A
- prone, trendelenburg with foot of bed elevated 18in
- Percussion over lower ribs on R and L sides
10
Q
Lateral basal segment of R lower lobe
A
- sidelying, R side up, trendelenburg with foot of bed elevated 18in
- Percussion over lower ribs on R side
11
Q
Later basal segment of L lower lobe
A
- sidelying, L side up, trendelenburg with foot of bed elevated 18in
- Percussion over lower ribs on L side
12
Q
Contras for Trendelenburg position
A
- Uncontrolled HTN
- Distended abdomen
- Esophageal surgery
- Recent gross hemoptysis related to lung carcinoma treated surgically or with radiation
- Uncontrolled airway risk for aspiration (tube feeding or recent meal)
13
Q
White or gray sputum (mucoid)
A
- COPD
- Asthma
14
Q
Yellow or green sputum (purulent)
A
- Bacterial infection (pneumonia)
- Lung abcess
- Bronchiectasis
- Chronic brochitis
- Cystic fibrosis
15
Q
Brown or black sputum
A
- Smoking
- Black lung disease (coal inhalation)
16
Q
Pink or bloody sputum
A
- Pulmonary edema
- Lung cancer
- Pulmonary embolism
- Bronchiectasis
- Chronic bronchitis
- Cystic fibrosis
- Tuberculosis
17
Q
Rust colored sputum
A
- Pneumococcal pneumonia
18
Q
Fetid odor sputum
A
- Bacterial infection
- Lung abscess
- Bronchiectasis
19
Q
Thick/tenacious consistency sputum
A
- Asthma
- Cystic fibrosis
20
Q
Frothy sputum
A
- Pulmonary edema
21
Q
Increased volume of sputum
A
- Chronic bronchitis
- Bronchiectasis
- Pulmonary edema
- Pneumonia
- Tuberculosis
- Smoking
- Exposure to pollution
