ACBT Flashcards
(28 cards)
what does ACBT stand for?
- active cycle of breathing technique
why is ACBT performed by a patient? (2)
- mobilise and clear secretions to improve lung function
what are the indications of ACBT? (9)
- post surgical/ pain
- chronic increased sputum
- acute increased sputum
- poor expansion
- sputum retention
- respiratory muscle weakness
- mechanical ventilation
- increased breathing rate/ effort
- palpable secretions
what conditions may benefit from ACBT? (5)
- chronic bronchitis
- cystic fibrosis
- bronchiectasis
- atelectasis
- asthma
what does ACBT increase?
- increases expiratory airflow
how does ACBT deal with secretions? what does this reduce?
- loosens and clears lung secretions
- reduces chest infection risk
what does ACBT work on?
- works on collateral ventilation
what does ACBT improve?
- improves cough effectiveness
what position is ACBT performed in?
- can be in sitting or other positions e.g., side lying so gravity can assist
what are the three phases of ACBT?
- breathing control
- thoracic expansion exercises
- forced expiratory techniques
what is the breathing control phase used for?
- used to relax the airways and relieve wheezing/ tightness due to coughing or breathlessness
where can you place your hands during the breathing control segment of ACBT?
- place your hand on your stomach and chest
what should you feel through your hands during the breathing control phase of ACBT?
- should feel the expansion of your stomach when breathing in
what can you do during the breathing control phase? what does this help?
- can close your eyes to help you to focus on your breathing
- helps to relax
what can you do if the breathing control is too difficult with an open mouth?
- use pursed lip breathing
what are thoracic expansion exercises?
- deep breathing exercises that focus on inspiration and help to loosen secretions accumulated in the lungs
where can you place the hands during the thoracic expansion exercise?
- place your hand onto your ribcage
how do you complete the thoracic expansion exercise?
- take a long deeper breath in through the nose
- hold for 2 to 3 seconds
- then perform a gentle long breath out through an open mouth
what is the forced expiratory technique?
- mimics steaming up a window/ mirror
what does the forced expiratory technique help to do?
- helps to move secretions downstream towards the mouth
how do you complete the forced expiratory technique?
- take a long breath in through the nose and exhale through an open mouth
what may you need to do after the forced expiratory technique?
- may need to cough and clear throat
what does the medium huff help to do?
- helps to move secretions that are lower down in your airways by emptying the lungs until they feel empty
what does the high volume huff help to do?
- helps to move secretions in your upper airways by huffing quickly