Postural Drainage & Lung Lobes Flashcards
Precautions and Contraindications
- Untreated pneumothorax
- Hemoptisis
- Unstable CV status
- ↑ ICP
- Esophageal anastomosis
- Aneurism
- P.E. or CHF
- Patient upset / agitated
- Pulmonary emboli –>dislodgement
- Recent laminectomy
- Large P.E.
Both upper lobes - Apical Segments
Both Lower Lobes - Anterior Segments
Both Lower Lobes - Superior Segments (Apical)
Both Lower Lobes (Posterior Segments)
Right Lower Lobe (Lateral Segment)
Right Middle Lobe
Right Upper Lobe (Anterior Segment)
hips are in external rotation
Right Upper Lobe (posterior segment)
Left Upper Lobe (Anterior Segment)
Left Upper Lobe (Posterior Segment)
Left Upper Lobe (lingula)
Left Lower Lobe (lateral segment, RLL cardiac (medial))
Name 8 secretion clearance techniques
- Cough
- Forced Expiratory Technique (FET ) - Huffing
- Assisted cough
- Active Cycle of Breathing Technique (ACBT)
- Postural Drainage (Usually used in conjuction with perc, vibes and rib springing)
- Perc, Vibes and Rib Springing
- Positive Expiratory Pressure (PEP) Mask
- Oscillating PEP
what are some contraindications for percs and vibes?
- Fractured Ribs
- Prone to hemorrhage
- Metastatic bone cancer, osteoporosis
- Burns
- Subcutaneous emphysema of neck / thorax
- Poor / unstable CV condition
- Recent skin graft, flaps
- Resectable tumor
- Pneumothorax
What numbers correspond to the Right Upper Lobe?
Apical (1A or 2P)
Posterior (2P or 3P)
Anterior (1A)
What numbers correspond to the Right Middle Lobe?
Lateral (5A)
Medial (4A)
what numbers correspond to the Left Upper Lobe?
Apico-posterior (1P or 2A)
Anterior (2A or 3A )
Lingula Inferior
Lingula Superior (3A)
What numbers correspond to the Left Lower Lobe?
Superior (4P or 5P)
Anteromedial (6A)
Lateral basal (9P)
Posterior basal (5P or 8P)
