Postural Drainage.txt

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Author:
coreygloudeman
ID:
114462
Filename:
Postural Drainage.txt
Updated:
2011-11-04 12:48:42
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Crafton Hills College Resp 131 PD CPT
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Crafton Hills College Resp 131 PD/CPT
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  1. What is the proper drainage positions for ANTERIOR APICAL of the right and left upper lobes?
    • - Position the patient sitting and leaning back at about a 45-degree angle
    • - Area of percussion is just below the clavicle
  2. What is the proper drainage positions for Right and Left anterior segments or upper lobe?
    • - Position the patient supine with the bed flat
    • - Area for percussion is just above the nipple
  3. What is the proper drainage positions for left lingula lung segments?
    • - Position the patient 1/4 turn from supine and resting on the right side with the foot of the bed elevated 12 inches
    • - Area to percuss is just above the left nipple and under the armpit
  4. What is the proper drainage positions for the Right Middle Lobe segments?
    • - Position the patient 1/4 turn from supine with the foot of the bed elevated 12 inches
    • - Area to percuss is just above the right nipple and under the armpit
  5. What is the proper drainage positions for ANTERIOR basal segments of the right and left lung?
    • - Position the patient supine with the foot of the bed elevated 18 to 20 inches
    • - Area to percuss is over the lower ribs
  6. What is the proper drainage positions for POSTERIOR basal segments of the right and left lung?
    • - Position the patient prone with the foot of the bed elevated 18 to 20 inches.
    • - Area to percuss is over the lower ribs
  7. What is the proper drainage positions for LEFT LATERAL segments of the lower lobes?
    • - Position the patient on the right side with the foot of the bed elevated 18 to 20 inches
    • - Area to percuss is over the lower ribs
  8. What is the proper drainage positions for RIGHT LATERAL segments of the lower lobes?
    • - Position the patient on the left side with the foot of the bed elevated 18 to 20 inches
    • - Area to percuss is over the lower ribs
  9. What is the proper drainage positions for POSTERIOR APICAL of the right and left upper lobes?
    • - Position the patient sitting and leaning back at about a 45-degree angle
    • - Area of percussion is just below the clavicle
  10. What is the proper drainage positions for POSTERIOR segment of the LEFT upper lobe?
    • - Position the patient 1/4 turn from prone and resting on the right side with the head of the bed elevated 18 inches.
    • - Area for percussion is over the left scapula
  11. What is the proper drainage positions for POSTERIOR segment of the RIGHT upper lobe?
    • - Position the patient 1/4 turn from prone and resting on the left side with the bed flat.
    • - Area for percussion is over the right scapula
  12. What is the proper drainage positions for SUPERIOR segments of the right and left lower lobes?
    • - Position the patient prone with the bed flat
    • - Area to percuss is just below the lower margin of the scapula
  13. Each position consists of placing the target lung segment(s) superior to the what?
    carina
  14. Necessity of performing postural drainage on upper lobes?
    True. Start with clearing secretions at the most superior level
  15. Performance of postural drainage after meals (or has eaten within the last hour) is a what?
    False. Contraindication due to uncontrolled airway at risk for aspiration
  16. Use of supplemental oxygen on all patients receiving postural drainage?
    False. Must determine if the patient needs oxygen or not for therapy beforehand
  17. Diseases placing patients at risk for the development of hemoptysis is an indication for postural drainage?
    False. This is a contraindication
  18. Factors involved in the performance of properly administered postural drainage.
    • 1. Place target lung segment(s) superior to the carina
    • 2. 3-15 minutes for each position
    • 3. External Manipulation of the Thorax by:
    • - Percussion: cupping, clapping, and tapotement. Applies kinetic energy to the chest wall and lung
    • - Vibration: application of a fine tremorous action
  19. What two factors would you utilize in selecting particular segments for postural drainage?
    Auscultation and Chest X-ray
  20. List (in writing) at least five factors that should be recorded when charting any postural drainage treatment.
    • 1. Change in sputum production
    • 2. Change in breath sounds of lung fields being drained
    • 3. Patient subjective response to therapy
    • 4. Change in vital signs
    • 5. Change in chest X-ray
    • 6. Change in arterial blood gas values or oxygen saturation
    • 7. Change in ventilator variables
  21. How long should each position be held?
    3-15 minutes
  22. The purpose of percussion is to do what?
    intermittently apply kinetic energy to the chest wall and lung
  23. How should percussion be performed?
    striking the thorax with cupped hand or mechanical device directly over the lung segment
  24. What are vibrations?
    application of a fine tremorous action
  25. What are the different purposes for turning?
    • - inability or reluctance of patient to change body position
    • - poor oxygenation associated with position
    • - potential for or presence of atlectasis
    • - presence of artificial airway
  26. The correct setting (cycles per second) when using the G-5 percussor vibrator is?
    36 cps, or Low Speed Setting.
  27. What are various factors that can assist in the performance of postural drainage on an infant?
    • 1. Postural drainage is applied best while holding the infant and maneuvering them in your arms
    • 2. Percussion is effectively applied by tapping the designated ares with 2 to 3 fingers and little force
    • 3. Use of a rocking chair if available
  28. List (in writing) three contraindications for the use of postural drainage
    • 1. Intracranial pressure >20 mmHg
    • 2. active hemorrhage with hemodynamic instability
    • 3. recent spinal surgery or acute spinal injury
    • 4. acute spinal injury or active hemoptysis
    • 5. empyema
    • 6. bronchopleural fistula
    • 7. pulmonary edema associated with CHF
    • 8. large pleural effusions
    • 9. pulmonary embolism
    • 10. aged, confused, or anxious patients who do not tolerate position changes
    • 11. rib fracture, with or without flail chest
    • 12. surgical wound or healing tissue
  29. What factor(s) can act to improve the effectiveness of a patient�s cough?
    "huff" coughing
  30. What is the most vital factor in sputum management?
    a good cough
  31. What areas of the right lung are contained in the upper lobe bronchus?
    • 1. Apical
    • 2. Posterior
    • 3. Anterior
  32. What areas of the left lung are contained in the upper lobe bronchus?
    • 1. Apical
    • 2. Posterior
    • 3. Anterior
  33. What areas of the right lung are contained in the middle lobe bronchus?
    • 4. Lateral
    • 5. Medial
  34. What areas of the left lung are contained in the middle lobe bronchus?
    • 4. Superior Lingular
    • 5. Inferior Lingular
  35. What areas of the right lung are contained in the Lower lobe bronchus?
    • 6. Superior
    • 7. Medial Basal
    • 8. Anterior Basal
    • 9. Lateral Basal
    • 10. Posterior Basal
  36. What areas of the left lung are contained in the Lower lobe bronchus?
    • 6. Superior
    • 7-8 Anteromedial Basal
    • 9. Lateral Basal
    • 10. Posterior Basal

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