Scribd Logo
Upload

Welcome to Scribd!

  • 92 views

    Chest Physiotherapy PDF

    Uploaded by

    shravani
    Chest physiotherapy involves techniques to improve lung function and clear secretions from the respiratory tract. It includes postural drainage using specific positions to allow gravity to drain secretions from the periphery to the center of the lungs. Percussion involves rhythmic clapping on the chest to loosen secretions, while vibration uses hand-held devices for the same purpose. The goals are to improve breathing, oxygen intake, and respiratory muscle strength. It requires consideration of any cardiac or lung issues and is contraindicated for certain lung conditions.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Chest Physiotherapy PDF

    Uploaded by

    shravani
    92 views2 pages
    Chest physiotherapy involves techniques to improve lung function and clear secretions from the respiratory tract. It includes postural drainage using specific positions to allow gravity to drain secretions from the periphery to the center of the lungs. Percussion involves rhythmic clapping on the chest to loosen secretions, while vibration uses hand-held devices for the same purpose. The goals are to improve breathing, oxygen intake, and respiratory muscle strength. It requires consideration of any cardiac or lung issues and is contraindicated for certain lung conditions.

    Original Title

    106451032-Chest-Physiotherapy.pdf

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Chest physiotherapy involves techniques to improve lung function and clear secretions from the respiratory tract. It includes postural drainage using specific positions to allow gravity to drain secretions from the periphery to the center of the lungs. Percussion involves rhythmic clapping on the chest to loosen secretions, while vibration uses hand-held devices for the same purpose. The goals are to improve breathing, oxygen intake, and respiratory muscle strength. It requires consideration of any cardiac or lung issues and is contraindicated for certain lung conditions.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    92 views2 pages

    Chest Physiotherapy PDF

    Uploaded by

    shravani
    Chest physiotherapy involves techniques to improve lung function and clear secretions from the respiratory tract. It includes postural drainage using specific positions to allow gravity to drain secretions from the periphery to the center of the lungs. Percussion involves rhythmic clapping on the chest to loosen secretions, while vibration uses hand-held devices for the same purpose. The goals are to improve breathing, oxygen intake, and respiratory muscle strength. It requires consideration of any cardiac or lung issues and is contraindicated for certain lung conditions.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    CHEST PHYSIOTHERAPY

    PURPOSES:
     Cardiac status (Acute MI, CHF: avoid
     Improve respiratory efficiency
    trendelenburg position)
     Promote expansion of the lungs
     Any structural deformities of the chest
     Strengthen respiratory muscles
    wall and spine (Fracture Ribs, Disease
     Eliminate secretions from the respiratory system
    due to increased intracranial pressure
    like head or brain injuries: avoid
    GOALS:
    trendelenburg position)
     To help the patient breathe more freely and to
    Auscultating the chest before and after the
    get more oxygen into the body by removing
    procedure
    bronchial secretions to improve ventilation
    The position providing drainage of the lungs
     To increase the efficiency of respiratory muscles:
    Proper care in handing and disposing
    o Postural Drainage
    secretions
    o Chest Percussion and Vibration
    Performed 2 to 4 times daily, before meals and
    o Breathing Retraining
    at bedtime
    o Effective Coughing Technique
    Administer bronchodilator or medications per
    doctor’s order
    EQUIPMENT:
    To thin the mucous before the airway
     Kidney Basin or Sputum Cup
    clearance session
     Chair or Foot Stool
    It must be given prior to CPT or
     Newspaper
    Nebulization (can liquefy secretions)
     Tissue Paper
    Check the diagnosis: <Congestive Heart
     Pillows for positioning
    Failure, Respiratory Failure wherein fluid is
     Hospital Bed that can be placed in
    restricted>
    trendelenburg position
    o Increased in 3 to 4 L of fluid per day
     Mouthwash
    o Increased in 2 to 3 L of fluid per day
     A glass of water

    1. Postural Drainage Primary Brochi


    Uses specific position that allows the force
    of gravity to assist in effectively draining
    secretions from the lungs and into the
    central airway where they can either by Secondary/ Lobar Bronchi
    coughed up out from peripheral to central
    airways
    To relieve or prevent bronchial obstruction Tertiary/ Segmental Bronchi
    caused by accumulation of secretions L:8 Pulmonaty segments
    To prepare patient for operation or R: 10 Pulmonary Segments
    procedure on bronchopulmonary area
    PRINCIPLE: Positioning the patient to allow draining
    Note to Remember!!
    of secretions from peripheral to central
    The first CPT can be done at a length of 5
    airways
    to 10 minutes and can increase
    depending on the client tolerance but
    SPECIAL CONSIDERATION:
    must not exceed to 60 minutes
    The nurse should be aware of the patient’s
    If the patient doesn’t have the ability to
    diagnosis as well as:
    cough out suggest suctioning
     Lung lobes or segments are involved

    Chest Physiotherapy – Carmela Dawn M. Marco BSN III-3 @2012


    If you patient is having an infectious SEQUENCE:
    disease wear N95 mask for TB patient or  Postural Drainage
    gloves can be  Percussion for 1-2 minutes
    Avoid to percuss the:  Vibration in first and repeat it 3 times
    o Scapula  Cough Out!!
    o Sternum o Cascade Coughing
    o Clavicle
    Inhale slowly, hold your breath for 1
    o Liver
    to 2 seconds and the cough during
    o Kidney
    o Spleen exhalation (Just a small cough)
    o Breast o Huff Coughing
    Inhale, hold your breath then cough
    CONTRAINDICATED: saying “HUFF”
     Lung Abscess o Assistive Coughing
     Pneumothorax Inhale, then pressing an inward-
     Disease of the Chest Wall (Kyphoscoliosis) upward movement between below
     Lung Hemorrhage the xiphoid process and just above
     Painful Chest Condition (Chest Flail – the umbilicus
    adjacent to 3 or more ribs)
     Tuberculosis

    INDICATED:
     Broncholectasis
     Emphysema
     Cystic Fibrosis
     Chronic Bronchitis

    DOCUMENTATION:
    Date and Time
    Procedure, Duration and Frequency
    Patients reaction during and after the
    therapy
    Note the amount, color, viscosity and
    character of expelled sputum
    Evaluate pulse and skin color

    2. Percussion
     Consist of rhythmically “clapping”

    Chest Physiotherapy – Carmela Dawn M. Marco BSN III-3 @2012

    You might also like