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Chest vibration is performed during this phase of the breath.
Exhalation
Neuromuscular disorders such as ALS, muscular dystrophy, polio, and cerebral palsy have impaired secretion clearance for this reason.
Ineffective cough
This is the length of time a pt should be maintained in each position for PD.
3-15 min or as tolerated
Patent airway, effective cough, and functional mucociliary escalator are necessary for this to occur.
Normal airway clearance
Head/neck injury and active hemorrhage are absolute contraindications for this tx.
PD
The irritation phase of the cough reflex is affect by these factors.
Anethesia, CNS depression, narcotics
Splinting, coordinating tx with pain meds, and FET are effective methods of generating a cough for this pt type.
Post-op
Pt acceptance, portability, and independent use are advantages of the device over other ACT methods.
Flutter
This is the action you should take if your pt's sats drop slightly during tx.
Increase flow/FiO2
Secretion removal is facilitated by PEP in these ways.
By filling underaerated segments and preventing airway collapse during expiration
The following are instructions for this type of therapy: take a large breath, blow out for 10 sec for 10-20 breaths, take 2-3 huff coughs.
PEP
Successful outcomes from ACT include these factors.
Improved breath sounds, vitals, CXR, ABG, and increased sputum expectoration
Conditions such as CF (cystic fibrosis), ciliary dyskinesia, and bronchiectasis affect normal airway clearance in this way.
Abnormal mucociliary function
These factors should be considered when assessing the need for ACT.
Hx (history), CXR (chest xray), ABG, PFT, sputum production, breath sounds, vitals
Labored breathing, fever, and crackles indicate a pt is having this type of problem.
Retention of secretions
Sitting with one shoulder inward and head slightly flexed is the position for this tx.
Directed cough
Pt's with unstable BP, cerebral disorders, or orthopnea should not be placed in this position.
Head-down
Bending forward during exhalation, performing huff cough, and inhaling small Vt helps this type of pt develop an effective cough.
COPD
Expiration against a variable flow resistance describes this tx.
PEP
These methods of aerosol delivery can be used along with a PEP device.
MDI and SVN
These areas should not be percussed over.
Surgical sites, bony prominences, bone (rib) fractures, breast tissue
Hypoxemia, atelectasis, and shunting can occur due to this.
Airway obstruction (tumor, foreign body, mucus plug)
This must be assessed before and after ACT.
Vitals and breath sounds
The head down, half-rotated left with right lung up position would drain this lung lobe.
Right middle lobe
Foreign bodies, tumors, inflammation, and bronchospasm affect secretion clearance in this way.
Poor airway patency