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Postural Drainage Positioning

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Lung segment
position
Apical segments R and L upper lobes   Sitting position, leaning back 30-40 degrees. Percussion and vibration are performed above the clavicles.  
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Posterior segment R upper lobe   Patient turned 1/4 from prone on the left side w/ the bed horizontal. Percussion and vibration are performed around the medial border of the right scapula.  
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Posterior segment L upper lobe   Patient turned 1/4 from prone on the right side w/ the HOB elevated 45 degrees and the head and shoulders raised on a pillow. Percussion and vibration performed around the medial border of the left scapula.  
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Lingula L upper lobe   Pt turned 1/4 from supine on the R side w/ the FOB elevated 12 in. Percussion and vibration performed over L chest between axilla and L nipple  
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Anterior segments R and L upper lobes   Pt supine w/ bed horizontal. Percussion and vibration performed below the clavicles  
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R middle lobe   Pt turned 1/4 from supine on the L side w/ FOB elevated 12 in. Percussion and vibration performed over R chest between the axilla and R nipple  
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Superior segments L and R lower lobes   Pt prone w/ bed horizontal. Percussion and vibration performed below the inferior border of the L and R scapulae.  
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Anterior basal segments L and R lower lobes   Pt supine w/ FOB elevated 18 in. Percussion and vibration performed over the lower ribs on the L and R side.  
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Posterior basal segments L and R lower lobes   Pt prone w/ FOB elevated 18 in. Percussion and vibration performed over the lower ribs on the L and R side of chest.  
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Lateral basal segments lower lobes   Pt sidelying w/ FOB elevated 18 in. Percussion and vibration performed over the lower ribs. Sidelying depends on side being treated.  
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Created by: glopez111
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