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Resp 11 II
CPT notes
| Question | Answer |
|---|---|
| What should CPT include | postural drainage, chest percussion, chest vibration |
| Goals | approve secretions, better RR, and distribution |
| What do you chart after treatment | position and time, sputum, tolerance and problems |
| When is vibration performed | on exhalation or expiration |
| HOw much is considered copius for secretion | more than 25- 40 ml per day |
| Diseases that cause copious secretion | CF, atelectatsis, bronchitis, aspiration pneumonia |
| How do you know what position to put the patient | Progress notes, auscultation (listening), and x-ray |
| What is considered a flail chest | 2 or more fractures on the same rib; on 2-3 ribs |
| Most common side effect from Trendelburg? | hypertension |
| When do you monitor more aggresively while CPT | If the patient has cardiac problems, |
| How many minutes do you do CPT | 3-5 for each position |
| Basal | lower |
| Supine | flat on back |
| prone | flat on stomach |
| trendleburg | head down / |
| What does purse lip breathing do | creates back pressure and therefore the alveoli opens up |
| where is the lingula | upper left lower lobe |
| How does PEP therapy move secretions (accupella) | fills under aerated or non aerated segments through collateral ventilation. - prevents airway collapse during expiration |
| Chest x-rays on COPD | more blackness (air trapping) -angle of rib decreases (straighter) - heart shadow is compressed (long and narrow) - Diaphragm is flat |