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CPT Exam #1
| Questio | Answer |
|---|---|
| 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
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