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Resp 11 II
CPT notes
Question | Answer |
---|---|
What should CPT include | postural drainage, chest percussion, chest vibration |
Goals | approve secretions, better RR, and distribution |
What do you chart after treatment | position and time, sputum, tolerance and problems |
When is vibration performed | on exhalation or expiration |
HOw much is considered copius for secretion | more than 25- 40 ml per day |
Diseases that cause copious secretion | CF, atelectatsis, bronchitis, aspiration pneumonia |
How do you know what position to put the patient | Progress notes, auscultation (listening), and x-ray |
What is considered a flail chest | 2 or more fractures on the same rib; on 2-3 ribs |
Most common side effect from Trendelburg? | hypertension |
When do you monitor more aggresively while CPT | If the patient has cardiac problems, |
How many minutes do you do CPT | 3-5 for each position |
Basal | lower |
Supine | flat on back |
prone | flat on stomach |
trendleburg | head down / |
What does purse lip breathing do | creates back pressure and therefore the alveoli opens up |
where is the lingula | upper left lower lobe |
How does PEP therapy move secretions (accupella) | fills under aerated or non aerated segments through collateral ventilation. - prevents airway collapse during expiration |
Chest x-rays on COPD | more blackness (air trapping) -angle of rib decreases (straighter) - heart shadow is compressed (long and narrow) - Diaphragm is flat |