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Cardiopulmonary

Postural Drainage Positioning

Lung segmentposition
Apical segments R and L upper lobes Sitting position, leaning back 30-40 degrees. Percussion and vibration are performed above the clavicles.
Posterior segment R upper lobe Patient turned 1/4 from prone on the left side w/ the bed horizontal. Percussion and vibration are performed around the medial border of the right scapula.
Posterior segment L upper lobe Patient turned 1/4 from prone on the right side w/ the HOB elevated 45 degrees and the head and shoulders raised on a pillow. Percussion and vibration performed around the medial border of the left scapula.
Lingula L upper lobe Pt turned 1/4 from supine on the R side w/ the FOB elevated 12 in. Percussion and vibration performed over L chest between axilla and L nipple
Anterior segments R and L upper lobes Pt supine w/ bed horizontal. Percussion and vibration performed below the clavicles
R middle lobe Pt turned 1/4 from supine on the L side w/ FOB elevated 12 in. Percussion and vibration performed over R chest between the axilla and R nipple
Superior segments L and R lower lobes Pt prone w/ bed horizontal. Percussion and vibration performed below the inferior border of the L and R scapulae.
Anterior basal segments L and R lower lobes Pt supine w/ FOB elevated 18 in. Percussion and vibration performed over the lower ribs on the L and R side.
Posterior basal segments L and R lower lobes Pt prone w/ FOB elevated 18 in. Percussion and vibration performed over the lower ribs on the L and R side of chest.
Lateral basal segments lower lobes Pt sidelying w/ FOB elevated 18 in. Percussion and vibration performed over the lower ribs. Sidelying depends on side being treated.
Created by: glopez111