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Resp 11 I
Chest Physical Therapy Study guide
| Question | Answer |
|---|---|
| Goals of CPT | 1. Prevent accumulation of secretions. 2. improve mobilization of secrections 3. regain most efficient breathing pattern 4. improve distribution of ventilation 5. improve cardiopulmonary exercise tolerance |
| Techniques utilized in CPT | Clearance techniques, exercise protocols, breathing retraining methods |
| What position do your hands go for manual percussion | Slow rhythmic clapping with cupped hands, over lung segment for 3-5 minutes |
| Diseases that benefit from CPT | CF, bronchiectasis, chronic bronchitis, aspiration pneumonia, ciliary dyskinetic syndrome, COPD with decreased exercise tolerance |
| Volume of sputum produced per day that indicates need for CPT | more than 25- 30 ml per day |
| PD (postural drainage) | position them to have gravity do it's job |
| CPT (chest physical therapy) | clearance techniques, exercise protocols, and breathing retaining methods |
| How long should each postural drainage be held | 3-5 minutes for each position |
| procedure for perfoming chest wall percussion and vibration | Percussion-Cupping on lung segment. have them do purse lip breathing Vibration- done after percussion and vibrate towards the carina (have them inhale and do this while they are exhaling) |
| When should vibration be performed? | When the patient exhales |
| 4 chronic conditions that may cause copious secretions | cystic fibrosis, atelectasis, bronchitis, aspiration pneumonia |
| Contraindictations for postural drainage | unstabilized head neck injury, hemorrhage, hemoptysis, rib fracture, flail chest, surgical wound, pulmonary embolism |
| Contraindications for percussion and vibration | recent pacemaker placement, lung contusion, blood clotting, burns, wounds, osteoporosis, chest wall pain |
| When pt is hooked up to EKG, IV, or other devices what do you do? | Notify someone i;e nurse or monitorer. |
| What should be charted after completing CPT | position and time, sputum, tolerance and problems |
| Adverse reactions that can occur | hypoxemia, increased ICP, acute hypotension, pulmonary hemorrhage, pain, vomiting, aspiration, bronchospasm, arrhythmias |
| What do you if any adverse reactions occur | stop treatment, put them back to normal position, and notify Dr. |
| When is the best time to do CPT (relating to food) | Before means or 1.5 to 2 hours after meals |
| Most common adverse reaction to Trendelenburg position | hypertension |
| Advantage on mechanical percussors | easier on therapist, more consistent percussion, some pt tolerate it better |
| disadvantage of mechanical percussors | not always easy to find, some pt don't tolerate it well |
| How do administer CPT on children or neonates | one hand or smaller cups or use the flapper |
| Most commonly affected lung segment in aspiration | superior basal segment |
| How do you know where to CPT | x-rays, progress reports, auscultation (listening) |
| Indications for positive outcome of CPT | mobilization of secretions, increased breath sounds, clearer chest xray, increased sat of O2 |
| Appropiate frequency and pressure settings on vest | 10 Hz is most common |
| Define autogenic drainage | method of directed cough, Pt uses diaphragmatic breathing to mobilize secretions |
| 3 phasese of autogenic drainage | 1. unstick secretions 2. collect secretions 3. evacuate secretions |
| What can you use instead of CPT | 1. insufflation/exsufflation device 2. flutter valve, 3. IPV intrapulmonary percussive ventilation |
| PEP therapy | Positive experatory pressure; similar to CPAP and EPAP. High frequency ossicilations created as pt exhales |
| hazards or complications from PEP therapy | pulmonary barotrauma, increased ICP, air swallowing, vomiting, aspiration |
| MetaNeb | aka percussionaire...delivers both continuous airway pressure and high mini bursts.... Delivers bursts of gas at rates of 100-225 cycles/min |
Created by:
TnJFarrington12
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