Pulmonary Hygiene Lab 2 Flashcards
Percussion - how long
progress to 3-5 min
What will always be part of your reassessment
listening to breath sounds
Position for anterior apical segments
Supine with head up 60-70 degrees
Anterior apical segment - needs to drain from
front to back
Position for posterior apical segments
Sitting with arms on pillow on tray table - can lean forward over the pillow too
Right upper lobe - anterior segment - position
flat in supine with a pillow under the knees for comfort
arms at side
Left upper lobe - anterior segment - position
supine with head up 45 degrees
arms at side
can use pillow under knees for comfort
Right upper lobe - posterior segment - position
laying on left side
bottom arm can be behind or in front of body
right arm should rest on pillows
pillow between legs
Left upper lobe - posterior segment - position
head up 45 degrees
1/4 turn from prone with pillows under left shoulder and left hip
can also have 1 between legs
Right middle lobe - position
Trendelenberg 30-35 degrees
1/4 turn from supine
resting back on pillow
pillow under knees
Left lingular lobe - position
Trendelenberg 30-35 degrees
1/4 turn from supine
Left shoulder and knee supported by pillows
Anterior lower lobes - position
Trendelenberg 45 degrees
knees on pillows
Posterior lower lobes - position
Trendelenberg 45 degrees
pillow under hips
Right lower lobe - lateral segment - position
Trendelenberg 45 degrees
pillow between knees
laying on the left side with both arms in front of body
Left lower lobe - lateral segment - position
Trendelenberg 45 degrees
lay on right side with left shoulder resting on pillow (almost like hugging a pillow)
right arm can be behind or in front of the body
pillow between knees
