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CPT lab exam
Terms in this set (33)
What does Chest Physical Therapy consist of?
postural drainage, percussion/vibration, breathing retraining
provide external vibration to chest wall and lung to augment secretion clearance.
using hands, electrical or pneumatic devices
How many lung segments are there? How many on the right side? How many on the left side. How many lobes?
10 segments on right/ 3 lobes
8 segments on left/ 2 lobes
list some indications for postural drainage
1) difficulty in secretion clearance- 25 to 30ml per day
3)atelectasis from mucus plug
6) foreign body in airway
when sputum volume consistency needs further manipulation, which CPT to use?
what are the contraindications for postural drainage?
-ICP over 20 mmHg
- active hemoptysis
-pulmonary edema with CHF
-large pleural effusion
-rib fractures with or without flail chest
-surgical wounds or healing tissues
-ICP over 20
- neurosurgery, aneurysm, eye surgery
-hemoptysis with lung carcinoma
-unprotected airway and food
Contraindications for percussion and vibration
-flail chest, fractured ribs
-brittle bones or metastatic bone cancer
-unstable cardiovascular condition
-recent spinal fusion
- untreated pneumo
hazards for CPT
-pain or injury to muscles, ribs, spine
-vomiting and aspiration
What are the goals of breathing exercises?
1) promote chest wall mobility
2) improve the efficiency of breathing
3)mobilize and remove excess secretions
4)improved strength and endurance of resp. skeletal muscles
Describe diaphragmatic breathing and the benefits
- decrease RR
- increase Vt
- improve alveolar ventilation
- decrease use of resp muscles
use while supine, sitting, standing, walking, climbing stairs
What lung diseases/conditions would benefit from CPT?
-mucus plugging atelectasis
-foreign body in the airway
also chronic bronchitis, aspiration pneumonia, ciliary dyskinetic syndrome, and COPD
Describe pursed lip breathing.
It creates back pressure and therefore the alveoli open up.
-increase exhalation time and volume
-improves I:E ratio
- means of control when dyspneic
When is the best time to perform CPT?
before a meal
- 1.5 to 2 hr after meal
-20 mins after pain meds
What conditions should you modify any head-down positions for postural drainage?
-cardiovascular disease, unstable BP
-CVA, head injury, increase ICP
What segments are combined in the Left upper lobes?
What segments are in the right lower lobe?
superior, anterior basal, lateral basal, posterior basal, medial basal
fissures which divides upper lobe from lower lobe
fissure which divides RUL and RML
minor/ horizontal transverse
what is angle of louis?
sternal angle at T4 to 5, level of carina
What should you look over in the chart before you start postural drainage/CPT.
x-ray, progress notes, cardiac and pulmonary status, conditions
What is the only segment that does not touch the chest wall?
medial basal RLL, no CPT
What segments are most common for atelectasis and pneumonia?
posterior basal and superior segments do not have gravity drainage
What two segments on the left side are combined?
How long do you maintain the postural drainage.
5 to 10 min
when do you do chest vibration?
Describe a manually assisted cough?
external application of mechanical pressure to the epigastric region or thoracic cage, coordinated with forced exhalations
Indications to discontinue CPT.
the largest lung segment in left and right lungs?
how to find out which lung fields to perform CPT on?
progress notes, x-ray, auscultate, physical exam
pre and post bronchodilator and oxygen can help patient tolerate the therapy. (T/F)
indications for directed cough
remove retained secretions, atelectasis, prophylaxis, sputum specimen, use with PD, PEP, IS, bronchial hygiene
what do RT need to chart after CPT?
position, length of time, any side effects, sputum
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