CPT

Question 1

A form of airway clearance therapy that is generally performed by a Respiratory Therapist with the goal of clearing mucus from the airways and lungs.

Answer 1

Chest Physiotherapy

Question 2

It involves striking the lungs manually with your hands, with a cuff, or with an automatic percussor.

Answer 2

Chest Physiotherapy

Question 3

You can help propel them forward by placing the patient in various _______ positions using gravity

Answer 3

Postural Drainage

Question 4

Its purpose is to loosen secretions in the lung segment immediately below the area struck

Answer 4

Percussion

Question 5

It is the forceful striking of the skin with cupped hands. When the hands are used, the fingers and thumb are held together and flexed slightly to form a cup

Answer 5

Percussion

Question 6

When done correctly , the percussion action should produce a _____, _____ sound

Answer 6

hollow, popping

Question 7

Percussion is avoided over the ____, ____, ____, ____

Answer 7

breast, sternum, spinal column, kidneys

Question 8

A series of vigorous quivering produced by hands that are placed flat against the clients chest wall

Answer 8

Vibration

Question 9

Is used after percussion to increase the turbulence of the exhaled air and thus loosen thick secretions

Answer 9

Vibration

Question 10

Is the drainage by gravity of secretions from various lung segment

Answer 10

Postural Drainage

Question 11

Before postural drainage, the client may be given _________ or________ therapy to loosen secretions.

Answer 11

bronchodilator medication or nebulization

Question 12

Postural drainage treatments are scheduled __ or __ times daily

Answer 12

2 or 3

Question 13

The best time to do postural drainage includes ______, ______, _______, _______

Answer 13

before breakfast, before lunch, in the late afternoon and before bedtime

Question 14

Have the patient lean backward for 30 to 45 deg. angle and stay in this position for 5 mins. Have the patient lie on the abdomen, back and both sides while horizontal. What is being drained?

Answer 14

Anterior upper segment

Question 15

Have the patient lean forward for 30 to 45 deg. angle and stay in this position for 5 mins. Let the patient brace the elbows on the knees to maintain this position or you can pad an overbed table for the patient to lean on.

Answer 15

Posterior Apical Surface

Question 16

Patient lie flat on back with small pillow under knees and Percuss & vibrate just below the clavicle on either side of sternum

Answer 16

Anterior Segments or Left & Right Anterior Upper Lobe

Question 17

The patient should lie on his right side turned 45 deg. on to his face with three pillows arranged to raise the shoulder 30cm (12in) from the bed. He should place his right arm behind his back with his left arm resting on the supporting pillows; both the knees should be slightly bent.

Answer 17

Left Posterior Segment

Question 18

Patient should lie on his left side with arm over head in Trendelenburg position with foot of bed raised 30 cm. Place pillow behind back and roll patient 1/4th on to pillow. Percuss and vibrate lateral to right nipple area below axilla.

Answer 18

Right Middle Lobe

Question 19

Patient should lie on his right side with arm over head in Trendelenburg position with foot of bed raised 30 cm. Place pillow behind back and roll patient 1/4th on to pillow. Percuss and vibrate lateral to left nipple area below axilla.

Answer 19

Left Upper Lobe Lingular/ Left Lingular

Question 20

Patient should lie on back in Trendelenburg position with foot of bed elevated 45-50 cm. Knees should be bent on pillow. Percuss and vibrate over lower anterior ribs on both sides.

Answer 20

Anterior Segments - Lower lobes

Question 21

Patient should lie on left side in Trendelenburg position with foot of bed raised to 45-50 cm. Percuss and vibrate on right side of the chest below scapula posterior to mid Axillary line

Answer 21

Right Lateral Segment (Lower lobes)

Question 22

Patient should lie on right side in Trendelenburg position with foot of bed raised to 45-50 cm. Percuss and vibrate on left side of the chest below scapula posterior to mid Axillary line.

Answer 22

Left Lateral Segment (Lower Lobe)

Question 23

Patient should lie on his abdomen in Trendelenburg position with foot of bed elevated 45-50 cm. Percuss and vibrate over posterior ribs on either side of spine.

Answer 23

Posterior Segments (Basal)

Question 24

Patient should lie flat on his abdomen with pillow under abdomen. Percuss and vibrate below scapula on either side of spine

Answer 24

Superior Segments

Question 25

What should be charted after completing CPT?

Answer 25

Position, Time, Tolerance, Effectiveness, Problems

Question 26

Best time to do CPT?

Answer 26

1.5-2 hours before meals

Question 27

How do you know what location to provide CPT to?

Answer 27

X-rays, progress reports, and auscultation.

Question 28

How long after a patient has had a meal is it okay to perform CPT?

Answer 28

Wait at least 1 Hour.

Question 29

Primary reason for performing CPT?

Answer 29

Loosen secretions in the lungs

Question 30

How long is a patient generally left in a position?

Answer 30

3-5 mins

Question 31

What should CPT include?

Answer 31

Postural Drainage, Chest Percussion, Chest Vibration