Chapter 8 Flashcards
(44 cards)
What is CPT?
A variety of techniques aimed at the
mobilization of pulmonary secretions and
promotion of greater use of the respiratory
muscles, which should result in the in an
increase in the distribution of ventilation.
What are some techniques included in CPT?
- Postural drainage
- Chest percussion
- Chest vibration
- Cough techniques
- Breathing exercises
What are the goals of CPT?
- To prevent the accumulation of pulmonary
secretions - To improve the mobilization of retained
secretions - To improve the distribution of ventilation
- To decrease airway resistance
What are some indications for CPT?
- Lung conditions that cause increased
difficulty in mobilizing secretions
Bronchiectasis
Cystic fibrosis - Acute resp. failure with retained pulmonary
secretions - Acute atelectasis
- V/Q abnormalities resulting from reatined
pulmonary secretions - Inefficient breathing patterns in patients
with COPD - Prevention of post-op resp. complications
What are some contraindications for CPT?
- Patients with ICP > 20mmHg
Percussion should be performed over each
specified area for how long?
2-5 minutes
Percussion should not be performed over which
areas?
Spine
Sternum
Scapulae
Clavicles
Surgical sites
Areas of trauma
Bare skin
Female breasts
Do not apply the vibrator to one area for more
than how long?
45-60 seconds at a time
What are some complications of CPT?
Hypoxemia
Rib fractures
Increased ICP
Hemorrhage
Decreased cardiac output
Aspiration
The patient should hold his breath for how long
when doing the huff cough?
3-5 seconds
Autogenic drainage has shown promise in which
patients?
Cystic fibrosis
What is intrapulmonary percussive ventilation?
An airway clearance technique that uses a small
pnuematic ventilator to deliver a series of small
VTs at a high frequency (110-225 cycles/min)
The length of each cycle can be controlled by
who?
How?
The therapist of the patient
By a thumb control button
How long is an IPV treatment?
15-20 mins
What can also be administered at the same time
through the pnuematic neb?
Bronchodilating or mucolytic agents
IPV is very promising in what patients?
Cystic fibrosis
What is the MetaNeb?
A system that combines mobilization techniques
and lung expansion therapy.
What can be given through the metaneb?
Aerosolized meds and 02
How long does a metneb treatment last?
10 min
What are the 2 modes of metneb?
CPEP & CHFO
What is CPEP (continuous positive expiratory
pressure)?
A mode that provides nebulized meds and
hyperinflation therapy for 2.5 minutes.
What is the CHFO (continuous high frequency
oscillation).
A mode that provide nebulized meds and
continuous pulses of positive pressure to
mobilize secretions for 2.5 minutes.
Both treatments are repeated 2.5 minutes each
to complete the full time of how long?
10 min
What are some indications for the metaneb?
COPD
CF
Asthma
Bronchiectasis
Neuromuscular disorders
Post-op airway management
Atelectasis
Chest wall trauma (when percussion
would be painful)
