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13 Cards in this Set
- Front
- Back
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What are the contraindications for postural drainage?
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- empyema
- flail chest - wounds - pneumothorax - head injuries - unstable cardiac status - COPD - obesity - pregnancy - recent meals or tube feeding |
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How are can wounds be a contraindication for postural drainage?
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- may not be able to position
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Why are head injuries a contraindication for postural drainage?
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- head down would increase intracranial pressure
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Why is an unstable cardiac status a contraindication for postural drainage?
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- may worsen with head of bed down
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Why are COPD & pregnancy contraindications for postural drainage?
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- patient may not be able to tolerate the head of the bed being down
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Why would recent meals & tube feeding be a contraindication for postural drainage?
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- patient may vomit
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What is percussion?
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- clapping of the chest wall w/ cupped hands, relaxed wrists, to setup vibrations to loosen secretions
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What are the indications for percussion?
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- when difficult to mobilize secretions
- when postural drainage alone may not be effective |
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What are the contraindications for percussion?
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- empyema
- flail chest - wounds - Frank hemoptysis - anticoagulant therapy - pain or patient intolerance - TB - metastisized cancer |
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What is the technique for percussion?
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- produce loud "clopping" sound when percussing
- avoid sternum, spine, & bony protrusions - may use sheet or towel to avoid slapping - examine skin for any ill-effects - each segment for 3-5 minutes - avoid bruising the skin - monitor SpO2 |
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What is the vibrations technique for percussion?
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- may be used in conjunction w/ percussion or done alone
- tense arms and keep them straight, shake from shoulder DURING PATIENT EXHALATION ONLY |
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What are the indications for vibrations percussion?
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- after each segment w/ percussion to move secretions into large airways
- alone when percussion is not tolerated |
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What should you know about mechanical percussors & vibrators?
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- use only to lung area and avoid kidneys & other major organs
- avoid bony structures - avoid breast tissue in females and in males w/ man boobs - use towel or sheet to prevent slapping - use electrical precautions - |
