PT intervention Flashcards
(25 cards)
Indication for relaxed breathing
Anxious or have asthma
Indication for PLB
small airway obstruction/keep airway open
Diaphragmatic breathing indications
promote relaxation and max vent
Segmental breathing indications
Increase chest wall movement
When using accessory muscles, what does that do to your O2 levels?
They use O2 and there is less O2 for other muscles
How can you progress Diaphragmatic breathing with positioning?
Supine, partial sitting, full sitting, standing, during activity
If you your abs during diaphragmatic breathing, what are you using up?
O2
How do you grade a cough?
Effective/ineffective or productive/unproductive
Color of secretion:clear
Normal
Color of secretion:white
Asthma after bronchospasm, inflammatory disease
Color of secretion:yellow and green
Infection
Color of secretion:rust
pneumonia
Color of secretion:purple
Neoplasm
Color of secretion:pink
CHF(RBC into alveoli), pulmonary edema, med
Color of secretion:red
Cystic fibrosis(caps burst-streaking)
Frank hemoptysis
Lot of blood when you cough
What does frothy/foamy secretion means?
Pulmonary edema
Why would you huff and not cough?
Can’t voluntarily cough or cause causes bronchospasm
Contraindication for postural drainage:(8)
Acute MI cerebral/aortic aneurysm pre-op post op neurosurgery increase in intracranial pressure hemoptysis tension pneumothorax High BP Gastrointestinal reflux
How many min after stopping feeding tube can you treat?
30 min
Time for postural drainage/technique drainage?
20-postural drainage alone
5-10-technique
When to stop P/D acute and chronic?
Acute: afebrile(fever break), clear CXR, ambulating, on home program
Chronic: independent home program
When would you not do P/D
CHF-makes heart work harder
Pleural effusion
Manuel techniques for postural drainage contraindications:(6)
severe bronchospasm hempotysis pulmonary emboli fractured rib low platelet count-<25,000 lung cancer
