Pulmonary Drainage Questions Flashcards
When would most blood be found in the base of the lung?
When the patient is in the upright position
Is auscultation more intense sounding at the apex or the base of the lung?
Apex (louder sound)
When would postural drainage be indicated?
Increased pulmonary secretions
Aspiration
Atelectasis or collapse
Describe percussion
A force rhythmically applied with the therapist’s cupped hands to the specific are of the chest wall that correlates with the involved lung segment
Used to increase the amount of secretions cleared from the tracheobronchial tree
What are the indications for percussion treatment?
Excessive pulmonary secretions
Aspiration
Atelectasis or collapse due to mucous plugging obstructing the airways
To allow of postural drainage of the upper lobe (apical segments, what position do you want the patient in?
Bed flat (seated position)
Patient leans back on pillow at 30 degree angle against therapist
Therapist markedly cupped hand over area between clavicle and top of scapula on each side
To allow of postural drainage of the upper lobe (Posterior segments), what position do you want the patient in?
Seated on flat table
Patient leans over folded pillow at 30 degree angle
Therapist stands behind and claps over upper back on both sides
To allow of postural drainage of the upper lobe (anterior segments), what position do you want the patient in?
Supine on flat table
Patient lies with pillow under knees
Therapist claps between clavicle and nipple on each side
How do you clear the right middle lobe?
Foot of table or bed elevated 16 inches
Patient lies head down on left side and rotates 1/4 turn backward. Knees flexed
Therapist claps over right nipple area or under armpit
How do you clear the left upper lobe?
Foot of table elevated 16 inches
Patient lies head down on right side and orations 1/4 turn backward. Knees flexed
Therapist claps with moderately cupped hand over left nipple area or under armpit
How do you clear the lower lobe (anterior basal segments)?
Foot of table elevated 20 inches
Patient lies (affected side up) on side, head down, pillow under knees
Therapist claps with slightly cupped hand over lower ribs
How do you clear the lower lobes (lateral basal segments)?
Foot of table elevated 20 inches
Patient lies on abdomen, head down, then rotates 1/4 turn upward. Upper leg is flexed
Therapist claps over uppermost portion of lower ribs
How do you clear the lower lobes (posterior basal segments?
Foot or table elevated 20 inches
Patient lies on abdomen, head down, with pillow under hips.
Therapist claps over lower ribs close to spine on each side
How do you clear the lower lobes (superior segments)?
Bed is flat
Patient is prone with 2 pillows under hips
Therapist claps over middle of back at tip of scapula on either side of spine
