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pulm4 chest PT
| Question | Answer |
|---|---|
| Indications for Chest Physical Therapy | Patients who have acute or chronic respiratory problems |
| Indications for Chest Physical Therapy | The inability to expel pulmonary secretions |
| Indications for Chest Physical Therapy | An ineffective cough |
| Indications for Chest Physical Therapy | Patients with increased secretions |
| Indications for Chest Physical Therapy | Patients with pneumonia |
| Indications for Chest Physical Therapy | Patients with atelectasis |
| Indications for Chest Physical Therapy | Patients with neurological impairments that cause swallowing difficulties |
| Contraindications for Chest Physical Therapy | Congestive heart failure |
| Contraindications for Chest Physical Therapy | Significant pulmonary edema |
| Contraindications for Chest Physical Therapy | Significant pleural effusion |
| Contraindications for Chest Physical Therapy | Pneumothorax |
| Contraindications for Chest Physical Therapy | Cardiac arrhythmia |
| Contraindications for Chest Physical Therapy | History of recent myocardial infarction |
| Contraindications for Chest Physical Therapy | Unstable angina |
| Contraindications for Chest Physical Therapy | Pulmonary embolism |
| Guidelines for Chest Physical Therapy | Treatment should be administered prior to eating or at least one hour after meals. |
| Guidelines for Chest Physical Therapy | Percuss and vibrate over each segment to be treated for at least 3-5 minutes. |
| Guidelines for Chest Physical Therapy | Cough after each segment is treated. |
| Guidelines for Chest Physical Therapy | Allow for a rest period after each segment is treated. |
| Guidelines for Chest Physical Therapy | Review breathing exercises in each drainage position. |
| Guidelines for Chest Physical Therapy | Treatment should not exceed 45-60 minutes secondary to patient fatigue. |
| Goals for Chest Physical Therapy | Mobilize secretions |
| Goals for Chest Physical Therapy | Expel secretions |
| Goals for Chest Physical Therapy | Improve breathing patterns |
| Goals for Chest Physical Therapy | Improve ventilation throughout all lobes |
| Goals for Chest Physical Therapy | Improve overall function |
| Percussion | cupped hands that strike over a particular lung segment in alternating fashion during inspiration and expiration in order to mobilize secretions. rhythmic sequence lasts for several minutes and should not be painful. |
| Vibration | both hands (one on top of another) directly over the chest wall to provide pressure and manual vibration during exhalation. Vibration should be used only during expiration. . |
| Vibration | Pressure should be applied in the same direction as chest wall movement during expiration |
Created by:
micah10
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