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Resp 11 I

Chest Physical Therapy Study guide

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