Bronchial Drainage

Question 1

Upper Lobes apical segments

Answer 1

• pt leans back on pillow at 30 deg angle against therapist
• percussion over area between clavicle and top of scapula

Question 2

upper lobes posterior segments

Answer 2

• pt leans over folded pillow at 30 deg angle
• percussion over upper back on both sides

Question 3

upper lobes anterior segments

Answer 3

• pt lies on back w/ pillow under knees
• percussion between clavicle and nipple

Question 4

right middle lobe

Answer 4

• foot of bed elevated 16in
• pt lies head down on L side and rotates 1/4 turn bwd, pillow behind shoulder to hip, knees flexed
• percussion over R nipple
  (females - heel of hand under armpit and fingers under breast)

Question 5

left upper lobe lingular segments

Answer 5

• foot of bed elevated 16in
• pt lies head down on R side and rotates 1/4 turn bwd, pillow placed behind shoulder to hips, knees flexed
• percussion over L nipple
  (females - heel of hand under armpit and fingers under breast)

Question 6

lower left anterior basal segments

Answer 6

• foot of bed elevated 20in
• pt lies on side, head down, pillow under knees
• percussion over lower ribs

( to drain R side, lie on L side; to drain L side, lie on R side)

Question 7

lower lobes lateral basal segments

Answer 7

• foot of bed elevated 20in
• pt lies on abdomen, head down, then rotates 1/4 turn upward, upper leg flexed over a pillow
• percussion over uppermost part of lower ribs

( to drain R side, lie on L side; to drain L side, lie on R side)

Question 8

lower lobes posterior basal segments

Answer 8

• foot of bed elevated 20in
• pt lies on abdomen, head down, w/ pillow under hips
• percussion over lower ribs close to spine on each side

Question 9

lower lobes superior segments

Answer 9

• flat bed
• pt lies on abdomen w/ 2 pillows under hips
• percussion claps over middle of back at tip of scapula on each side