Postural Drainage Exam 1

Question 1

Postural Drainage

Answer 1

Method of removing secretions from the lungs

Question 2

Indications for Postural Drainage

Answer 2

Patient on a continuous ventilator, any patient on prolonged bedrest, increased sputum production, ineffective cough, increased WOB

Question 3

Contraindications for Postural Drainage

Answer 3

Collapsed lung, hemoptysis, MI, hypertension, post-op, aneurysm, pulmonary embolism, recent laminectomy, large pleural effusion

Question 4

Precautions for Trendelenberg position

Answer 4

hypertension, obesity, hiatal hernia, nausea, recent food consumption, osteoporosis, DOE made worse in this position

Question 5

When to stop treatment

Answer 5

SOB, vitals change, breath sounds are within normal limits, chest xray is clear, patient can breathe or cough independently

Question 6

Huffing

Answer 6

when percussion is completed, take deep breath and cough up mucous by saying “HUFF” 2-3x

Question 7

Breathing Techniques

Answer 7

Purse Lip (smell flowers, blow out candles)
Diaphragmatic (belly out, then in)
Lateral Chest Expansion

Question 8

Rating of Perceived Exertion to modified borg scale

Answer 8

6-20 (very light to very hard) 1-10 (very light to Maximal)

Question 9

Crackles

Answer 9

Popping (high pitched) similar to fireplace

Question 10

Adventitious

Answer 10

Loud (low pitched) explosive crackling

Question 11

wheezing

Answer 11

high pitched whistle

Question 12

rhonchi

Answer 12

similar to the sound of snoring

Question 13

Pleural Rub

Answer 13

Low pitched creaking sound or walking on snow heard during inspiration

Question 14

Stridor

Answer 14

High pitched wheezing sound, loud and continuous