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CPT Exam #1

Apical Top
Anterior Front
Posterior Back
Superior Upper
Inferior Lower
Medial Middle/closer to the midline
Lateral Side/further from the midline
Basal Base
What are the sections of the Right Upper Lung (RUL)? Apical, Posterior, Anterior
What are the sections of the Right Middle Lung (RML)? Lateral, Medial
What are the sections of the Right Lower Lung (RLL)? Superior, Medial Basal, Anterior Basal, Lateral Basal, Posterior Basal
What are the sections of the Left Upper Lung (LUL)? Apical-Posterior (1&2), Anterior, Superior Lingula, Inferior Lingula
What are the sections of the Left Lower Lung (LLL)? Superior, Anterior-Medial Basal (7&8), Lateral Basal, Posterior Basal
What is the procedure for manual percussion? Hands cupped, elbows partially flexed and wrists loose, rhythmically strike chest wall in waving pattern, slower, more relaxing rates are better for patient, percuss in a circular motion for 3-5 minutes
What position should a patient be in for postural drainage? Positioning varies based on location of secretion; patient should be positioned to use gravity to move secretions to the center and out (Transdelenberg/Reverse Transdelenberg) *REVIEW PICTURE OF PD FROM POWERPOINT
Where should a patient be percussed to maximum drainage? Over the effected lobe
What are the possible hazards or complications of postural drainage? Hypoxemia, Increased ICP, Acute Hypotension during procedure, Pulmonary Hemorrhage, pain/injury to muscles, ribs, or spine, vomiting and aspiration, bronchospasm, dysrhythmias
What should be done if complications occur during CPT? Stop treatment and notify physician
What are the absolute contraindications for CPT/Postural Drainage? Head/ neck injury until stabilized, active hemorrhage with hemodynamic instability
What are the non-absolute contraindications for CPT/Postural Drainage? ICP > 20 mmHg, recent spinal injury or surgery, active hemoptysis, empyema, bronchopleural fistule, cardiogenic pulmonary edema, aged/confused/anxious patients, pulmonary embolism, rib injuries, surgical wounds, large pleural effusion
Prone Laying on stomach
Supine Laying on back
Transdelenberg 45 degrees head down
Normal Value for RBCs 4-6 million/mm3
Normal Value for WBCs 5k-10k/mm3
Normal Value for Hgb 12-16g/dL
Normal Value for Hct 40-50%
Normal Value for Sodium 135-145 mEq/L
Normal Value for Chloride 80-100 mEq/L
Normal Value for Potassium 3.5 - 5 mEq/L
Normal Value for Bicarb 22-26 mEq/L
What are the four phases of a Normal Cough? Irritation, Inspiration, Compression, Expulsion
What are the stimuli that produce the irritation phase of a normal cough? Inflammation (infection), Mechanical (foreign body), Chemical (irritant gases-smoke), Thermal (cold air)
Created by: ashconrad417