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Bronchial Hygiene

Airway Care/ Remove Bronchopulmonary Secretions

Remove Bronchopulmonary Secretions: Purpose: * Improve mobilization of secretions * Prevent accumulation of secretions * Improve ventilation
Remove Bronchopulmonary Secretions: Indications: * Accumulated or retained secretions * Ineffective cough * Ciliary dysfunction/ ciliary dyskinesia
Remove Bronchopulmonary Secretions: Consideration Diseases - Bronchiectasis - Cystic fibrosis- COPD- Acute Atelectasis- Lung Abscess- Pneumonia- Post- Operative - Prolonged bedrest
Remove Bronchopulmonary Secretions: Hazard and Contraindications * Unstable cardiovascular system * Unstable pulmonary system * Unstable post-operative status * Untreated tuberculosis
Remove Bronchopulmonary Secretions: Body Positions: Prone Patient lying face down
Remove Bronchopulmonary Secretions: Body Positions: Supine Patient lying on spine ( Best for craniotomy pt.)
Remove Bronchopulmonary Secretions: Body Positions: Fowlers, Semi Fowlers, or Reverse Trendelenburg Best for Hypoxic patients, Obese with dyspnea, post op abdominal and pulmonary edema.
Remove Bronchopulmonary Secretions: Body Positions: Trendelenburg Patient with low blood pressure
Remove Bronchopulmonary Secretions: Body Positions; Lateral Fowlers Obese with air hunger
Remove Bronchopulmonary Secretions: Body Positions: Lateral Flat Prevent Aspiration
Remove Bronchopulmonary Secretions: Patient Aspirates If patient aspirates while in a particular position: First suction, and then place in opposite position for postural drainage
Remove Bronchopulmonary Secretions: Unilateral Consolidation Place the affected lung up to allow it to drain and to increase perfusion to unaffected lung.
Remove Bronchopulmonary Secretions: Body Positions Postural Drainage Position The Lung that's out is what's being drained
Created by: sukarieh