Unit 7

Question 1

postural drainage positioning

Answer 1

is a physical therapy technique that involves assisting the
client into a position in which the affected lung segment is positioned uppermost, thereby allowing gravity to assist with draining secretions.

Question 2

postural drainage positioning is assisted with

Answer 2

Active Cycle of Breathing Technique (ACBT), chest percussions, and chest vibrations. The positions should be maintained for five to 10 minutes, if tolerated, or longer when focusing on a specific lobe

Question 3

signs of adverse reactions

Answer 3

• Increased respiratory rate
• Shortness of breath (dyspnea)
• A change in the client’s coloration or mental status
• A change from the client’s baseline breathing pattern

Question 4

Contraindications to Postural Drainage Positioning

Answer 4

• Unstable head or neck injury
• Active bleeding or unstable vital signs (blood pressure, respiratory rate, oxygen
  saturation, temperature, heart rate)
• Recent spinal surgery or acute spinal injury
• Active hemoptysis (coughing up blood)
• Lung infection
• Heart failure with pulmonary edema
• Large pleural effusions
• Pulmonary embolism
• Aged, confused, or anxious clients
• Rib fracture(s)
• Surgical wound or healing tissue

Question 5

adverse reactions of manual techniques in cardio pt

Answer 5

increased rr, shortness of breathe or dyspnea, change in mental status or cyanosis, recent skin grafts, burns open wounds, osteoporosis, complain of chest wall pain

Question 6

precautions for manual techniques

Answer 6

Dyspnea (shortness of breath), Orthopnea (difficulty breathing except in the upright position), pain, nausea and vomiting, ate prior to treatment

Question 7

Chest Percussion

Answer 7

objective of chest percussion is to loosen retained secretions from the airways so
they may be cleared by either suctioning or orally via a cough

Question 8

how long are percussions done

Answer 8

10 to 15 minutes per lung segment.

Question 9

chest shaking and vibration

Answer 9

chest shaking is more vigorous while a gentle and high freq is vibration, both done in expiratory phase

Question 10

3 components of a cough

Answer 10

inspiratory, compressive and expulsive phase

Question 11

Clients who generally require assisted cough as an airway clearance technique include:

Answer 11

Deconditioned patients with a weak, ineffective cough, Clients with neuromuscular disease (MS)

Question 12

assisted cough

Answer 12

is an essential protective reflex that keeps debris out of airways and clears
excessive secretions during respiratory tract infections, thereby preventing airway or
pulmonary conditions such as pneumonia, atelectasis, and acute respiratory failure