Treatment Flashcards
Breathing Control indications
Manage dyspnoea, decrease RR, break between exercises
Thoracic Expansion Exercise indications
increase bibasal expansion, encourage slow laminar flow
Add UL movements - demand ventilation
Stretch Facilitation indications
Use when pt unable to respond to TEE (eg. unconscious)
Incentive Spirometry indications
Improve ventilation, encourage large inhale, give feedback on volume or flow
ACBT
Airway Clearance
- BC - in between TEE and FET
TEE
- encourage slow, laminar flow, air behind secretions
FET
- mid volume - secretion mobilisation technique using equal pressure points
- high volume - secretion removal technique using equal pressure points
Supported cough
Incision or pain inhibited cough
Assisted Cough - bibasal
Weak cough with BBE present
Assisted cough - AP sternal
Weak cough - BBE absent
Postural Drainage Upper lobe
Right - Lying on L side, 1/4 turn from prone Left - Lying on R side, 1/4 turn from prone Anterior - supine, bed flat
Postural Drainage Middle lobe/lingular
R middle lobe
- on L side, 1/4 turn from supine, 15 degrees HDT
L lingular lobe
- on R side, 1/4 turn from supine, 15 degrees HDT
Postural Drainage Lower lobe
Apical segment - prone, no HDT Lateral segment - sidelying, affected side up, 20 degrees HDT Anterior segment - supine, 20 degrees HDT Posterior segment - prone, 20 degrees HDT
Percussion indications
secretion mobilisation technique
can do in HDT
check precautions/CIs
Vibration indications
secretion mobilisation technique
can be performed with FET
PEP indications
Can be oscillating or not - oscillating = shear secretions
PEP for positive expiratory pressure - splints airways
Secretion clearance phase
