Rt 108 Lab Test #2

Front 1

CPT/PD: Given a drawing of a certain patient position, be able to identify lung segments being drained & position.

UPPER LOBES: Apical segment

Back 1

- pt is sitting up (facing away from you)
- bed is flat or semi-fowler's

*Percuss and vibrate over the muscular area between the collarbone and the top of the shoulder blade on both the left and right sides.

Front 2

CPT/PD: Given a drawing of a certain patient position, be able to identify lung segments being drained & position.

UPPER LOBES: Anterior segment

Back 2

- pt is supine (laying face up)
- bed is flat
- knees propped up c pillow

*Percuss and vibrate between the collarbone and nipple on both the left and right sides of the chest.

Front 3

CPT/PD: Given a drawing of a certain patient position, be able to identify lung segments being drained & position.

UPPER LOBES: Posterior segment

Back 3

- pt is sitting up (straddling chair), or in bed in semi-fowler's
- support chest c pillow

*The child sits on the flat drainage table and leans forward
over a folded pillow at a 30 degree angle. Stand behind
the child and percuss and vibrate on the upper back on the
left and right sides of the chest.

Front 4

CPT/PD: Given a drawing of a certain patient position, be able to identify lung segments being drained & position.

L. UPPER LOBE: lingular segment

Back 4

- pt lies on R. side (back towards you) c shoulders rotated back over pillow. Knees can be flexed for support.
- bed in trendelenberg position

*Elevate the foot of the table about 15 degrees. The pt lies head down on the right side
and rotates 1/4 turn backward. A pillow may be placed behind(from shoulder to hip) and the pt may flex his or her knees. Percuss and vibrate just outside the left nipple area. For females with tenderness around the breasts, percuss and vibrate with the heel of hand under the armpit and fingers extended forward beneath the breasts.

Front 5

CPT/PD: Given a drawing of a certain patient position, be able to identify lung segments being drained & position.

R. MIDDLE LOBE: lateral and medial segments

Back 5

- pt lies on L. side (facing you) c shoulders rotated back over pillow
- Bed in Trendelenberg

*Elevate the foot of the table 14 inches (about 15 degrees). The child lies head down on the right side and rotates 1/4 turn backward. A pillow may be placed behind the child (from shoulder to hip) and the child may flex his or her knees. Percuss and vibrate just outside the right nipple area. For females with tenderness around the breasts, percuss and vibrate with the heel of hand under the armpit and fingers extended forward beneath the breasts.

Front 6

CPT/PD: Given a drawing of a certain patient position, be able to identify lung segments being drained & position.

LOWER LOBES: superior segment

Back 6

- pt. is prone (face down)
- bed is flat
- prop abdomen & buttocks c pillows

*The child lies on his or her abdomen on a flat drainage table with two pillows under the hips. Percuss and vibrate over the middle part of the back at the bottom of the shoulder blade on both the left and right side of the spine. Do not percuss or vibrate over the spine.

Front 7

CPT/PD: Given a drawing of a certain patient position, be able to identify lung segments being drained & position.

LOWER LOBES: anterior basal segment

Back 7

- pt lies on side (away from you) so treatment area is on top
- arm is raised forward away from treatment area
- pillow is placed between knees
- bed in trendelenberg position

*Elevate the foot of the drainage table 18 inches (about
30 degrees). The child lies on his or her right side with the head down and a pillow behind the back. Percuss and vibrate over the lower ribs on the left side of the chest, as shown in the diagram. To drain the right side of the chest, the child lies on his or her left side with the
head down and a pillow behind the back. Percuss and vibrate over the lower ribs on the right side of the chest.

Front 8

CPT/PD: Given a drawing of a certain patient position, be able to identify lung segments being drained & position.

LOWER LOBES: lateral basal segment

Back 8

- pt lies on side (facing you) so treatment area is on top
- pillow is placed between knees
- bed is in trendelenberg

*Elevate the foot of the table 18 inches (about 30 degrees).
The child lies on his or her left side, head down, and leans 1/4
turn forward toward the table. The child can flex his or her
upper leg over a pillow for support. Percuss and vibrate over
the uppermost portion of the lower ribs to drain the right side,
as shown in the diagram. To drain the left side, the child lies
on his or her right side in the same position. Percuss and
vibrate over the uppermost portion of the lower left ribs.

Front 9

CPT/PD: Given a drawing of a certain patient position, be able to identify lung segments being drained & position.

LOWER LOBES: posterior basal segment

Back 9

- pt is prone (face down)
- abdomen & thighs propped up c pillows
- Trendelenberg

*Elevate the foot of the drainage table 18 inches (about 30 degrees). The child lies on his or her right side with the head down and a pillow behind the back. Percuss and vibrate over the lower ribs on the left side of the chest, as shown in the diagram. To drain the right side of the chest, the child lies on his or her left side with the head down and a pillow behind the back. Percuss and vibrate over the lower ribs on the right side of the chest.

Front 10

IPV: Properly set-up this machine

Back 10

color coded

Front 11

IPV: know how to administer tx

Back 11

- set up machine & place prescribed medication in aerosol generator
- hold thumb down to initiate oscillation, adjust pressure to approx 25-35 psi, release thumb
- instruct pt to seal lips so cheeks will not flap
- coach pt. to breathe through mouth
- instruct to release thumb (stop oscillation) every 5-10 secs to exhale to comfortable level & when pt needs to cough
- pt should continue to inhale aerosol during rest periods
- treatment should last 20 mins (with resting compromising no more than 5 of those mins)

Front 12

IPV: what are the parts of the machine?

Back 12

phasitron
IPV nebulizer

Front 13

Airway Clearance Devices: identify and state how to properly teach a pt to administer therapy c each device

FLUTTER VALVE

Back 13

MUCUS MOBILIZATION
- pt should preform diaphragmatic breathing & slowly inhale a volume > than normal, but not to TLC
- hold breath for 2-3 secs
- place flutter in mouth, adjust tilt, keep cheeks stiff
- exhale normally to FRC (adjust tilt for good resonance)
- repeat for 5-10 breaths

MUCUS ELIMINATION
- slowly inhale, filling lungs to TLC
- hold 2-3 sec
- place flutter in mouth, adjust tilt, keep cheeks stiff
- exhale forcefully (completely)
- repeat 1-2 breaths
- direct cough or huff, huff, huff

Repeat until lungs are clear

Front 14

Airway Clearance Devices: identify and state how to properly teach a pt to administer therapy c each device

PEP THERAPY

Back 14

- breathe in from diaphragm (under TLC)
- hold breath for 2-3 secs
- exhale normally, while maintaining the piston between the two lines (10-20 cmH2O) I:E= 1:3
- repeat 10-20 x's, followed by 2-3 huff coughs

Front 15

Airway Clearance Devices: identify and state how to properly teach a pt to administer therapy c each device

ACAPELLA

Back 15

-acapella

Front 16

Airway Clearance Devices: identify and state how to properly teach a pt to administer therapy c each device

VEST

Back 16

- vest