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wwallace
wwallace post dr
Question | Answer |
---|---|
postural drainage of the superior segments of both lower lobes | prone with bed flat, arms at side, and pillow under abdominal and ankles |
postural drainage of the anteromedial segment of left lower lobe and anterior segment of right lower lobe | supine, bed in trendelenburg arms at side, pillow under knees |
postural drainage of the Lateral segment of right lower lobe | right side up, bed in trendelenburg,left arm under abdomen, right arm forward in front of face, pillow under head |
postural drainage of the Lateral segment of left lower lobe and medial segment of right lower lobe | left side up, bed in trendelenburg, right arm under abdominal area, right arm in front of face, pillow under head |
postural drainage of the Posterior segment of both lower lobes | prone, bed in trendelenburg, pillow under abdomen, pillow under feet |
postural drainage of the Medial and lateral segments of right middle lobe | right side up 1 / 4 turn from supine (pt is leaning back), trendelenburg, pillow under back for support and under head for comfort, right arm back with hand on abs |
postural drainage of the Superior and inferior segments of lingular | left side up 1/4 turn from supine (pt is leaning back), trendelenburg, pillow under back for support and under head for comfort, left arm back with hand over abs, (remember lingular is left) |
postural drainage of the Apical segments of upper lobes | semi-fowler (sitting up in bed) head of bed at 45 degrees, pillows under back, head and knees for comfort and to hold position |
postural drainage of the Anterior segments of the upper lobes | supine, bed flat, pillow under knees, hands at sides, |
postural drainage of the Posterior segment of right upper lobe | right side up 1/4 turn from prone, bed flat, supported with pillows under head, chest and abs, right arm forward (forearm across face), left arm behind back |
postural drainage of the Apical-posterior segment of left upper lobe | left side up 1/4 turn from prone, bed up 30 degrees or supported with pillows under head, chest and abs, left arm forward (forearm across face), right arm behind back, head of |
Right lung segments in order is A PALM Seed Makes Another Little Palm (APALMSMALP) | Apical, Posterior, Anterior, Lateral, Medial, Superior, Medial basal, Anterior basal, Lateral basal, Posterior basal (remember lobes are 3, 2 and 5 segments each) |
Left lung segments in order are Astute Anatomists Share Inside Secrets About Lungs and Pulmonology (AASISALP) | Apical-posterior (2 EA), Anterior, Superior lingula, Inferior lingula, Superior, Anterior basal (2EA), Lateral basal Posterior basal (there are 5 segments in the upper lobe and 5 segments in the lower, the upper 5 segments includes the 2 lingula) |
Postural drainage technique | ID lobe or segment, position pt, avoid puke and aspiration wait 1.5 hrs after food, coordinate treatment with pain meds, explain procedure, take vitals(HR,RR,SPO2,BS), check wiring tubing etc, put rail up, when done, return position document followup |
Patient supine bed flat | anterior upper lobes |
Patient one-quarter turn from supine with left side up bed trendelenburg | superior and inferior lingula |
Patient on right side, left side up and bed in trendelenburg | lateral left lower lobe and medial right lower lobe |
Patient prone with bed flat, pillow under abs | superior lower lobes |
Patient one-quarter turn from prone with right side up, supported by pillows, bed flat | posterior right upper lobe |
Patient supine with foot of bed trendelenburg | anteromedial of left lower lobe and anterior right lower lobe |
Patient prone with foot trendelenburg | posterior lower lobes |
Patient one quarter turn from prone left side up bed elevated 30 degrees | apical posterior of left upper lobe |
Patient with right side up and bed foot in trendelenburg | lateral right lower lobe |
Patient semi-fowler head raised 45 degrees | apical segment of upper lobes |
Patient one quarter turn from supine with right side up and bed in trendelenburg | medial and lateral right middle lobe |
Postural drainage of the lower lobes | posterior is prone and trendel, anterior is supine and trendel, superior lower is prone and flat |
Postural drainage of the right and left lower loves is | left or right up and trendelenburg |
Postural drainage of the middle lobes (right middle and left lingula) | right or left up one quarter turn from supine, trendelenburg |
Postural drainage of the right and left upper lobes is | right up one quarter from prone, bed flat, left upper is aka apical posterior- left up one quarter from prone, head up 30 degrees |
Postural drainage of the anterior and posterior upper lobes is | ant is supine and flat, post is semi fowler at 45 degrees |