More Related Content
Similar to Chest physiotherapy
Chest physiotherapy
- 1. Ms. Amandeep Kaur NursingTutor MMCON
- 2. • Definition: Chestphysiotherapy (CPT) is a group of therapies for mobilizing pulmonary secretions. These therapies include chest percussion, vibration and postural drainage. CPT is followed by productive coughing or suctioning of a patient who has a decreased ability to cough. This is helpful especially for patients with large amount of secretions or ineffective cough. Any or all of these techniques may be performed in conjunction with medicinal aerosol therapy (i. e., bronchodilators or mucolytics).
- 3. The goals ofCPT are : To move bronchial secretions to the central airways via gravity, Eliminate secretions by cough or aspiration with a catheter. Improved mobilization of bronchial secretions contributes to improved ventilation-perfusion matching and the normalization of the functional residual capacity.
- 4. EQUIPMENT: 1) Oxygen mask. 2 ) Emesis basin or sputum cup . 3 ) Pulse oximeter . 4 ) Tissues 5) Pillows
- 5. 1. Airway clearancetechniques 2. Facilitating airway clearance technique with effective coughing techniques 3. Technique to facilitate ventilation pattern 4. Mobilization and Exercises
- 6. 1. Postural drainage 2.Percussion 3. Vibration/shaking 4. Manual hyperinflation 5. Active cycle of breathing technique 6. Autogenic drainage 7. Positive expiratory pressure 8. High frequency chest compression 9. Exercises for airway clearance
- 7. It is gettingin positions that make it easier for mucus to drain. Chest physiotherapy is gently "clapping" parts of the body to remove mucus from the lungs. They are often used together in conditions such as cystic fibrosis or a spinal cord injury (SCI) to help loosen and remove mucus from the lungs. When mucus collects in your lungs, it increases your risk for lung infections, such as pneumonia.
- 8. 1. Cystic fibrosis 2.Atelectasis 3. Asthama 4. Respiratpry muscle weakness 5. Bronchiectasis 6. Mechanical ventilation 7. Neonatal respiratory distress syndrome
- 9. 1. Intracranial pressure(ICP) > 20 mm Hg 2. Head and neck injury until stabilized 3. Active hemorrhage with hemodynamic instability 4. Recent spinal surgery (e.g. : laminectomy) or acute spinal injury 5. Active hemoptysis Empyema 6. Broncho-pleural fistula 7. Large pleural effusions 8. Pulmonary embolism 9. Aged, confused, or anxious patients 10. Rib fracture: with or without flail chest 11. Surgical wound or healing tissue
- 13. General instructions forchest physiotherapy and postural drainage. Be sure patient’s back is covered. Wear a shirt or blouse, or cover his/her back with a towel. Hold each position for 5 minutes to help the mucus drain from the lungs. For each position, claps the patient’s back quickly and rhythmically. During claps, you should hear a hollow sound. If you hear a slapping, it means the hand is not cupped enough. Do not clap over the spine.
- 31. Hyperinflation therapy (HIT)is a very common therapy performed on patients who are suffering from some sort of respiratory distress. The therapy involves applying volumes greater than normal to re inflate the collapsed alveoli in the lungs. There are many different techniques used to administer hyperinflation therapy. The respiratory therapist typically decides which method is best for each patient.
- 32. Breathing control Thoracic expansion FET (Forced Expiratory Technique)
- 33. Autogenic drainage isa respiratory self-drainage technique that utilizes controlled expiatory airflow (tidal breathing) to mobilize secretions. It consists of three phases: 1.Loosening peripheral secretions by breathing at low lung volumes (slow, deep air movement) 2.Collecting secretions from central airways by breathing at low to middle lung volumes (slow, mid-range air movement) 3.Expelling secretions from the central airways by breathing at mid to high lung volumes (shallow air movements)