Chest PT,Techniques

Question 1

General Principles

Answer 1

• Choose a quiet area for instruction
• Explain goals and rationale specific to pt’s condition
• Place pt in comfortable, relaxed position, or other appropriate position and loosen restrictive clothing
• Observe and evaluate pt’s natural breathing pattern at rest and with activity to determine appropriate treatment and establish a baseline, voluntary or reflexive cough
• If necessary, teach relaxation techniques to relax the mm’s of the upper thorax, neck, and shoulders
• Demonstrate the desired pattern
• Have pt practice in a variety of positions, if appropriate

Question 2

Precaustions

Answer 2

• Never allow pt to force expiration
• Don’t allow excessively prolonged expiration
• Do not allow pt to initiate inspiration with accessory mm’s and upper chest
• Allow deep breathing ex’s for only 3-4 inspirations and expiration’s to avoid hyperventilation
• Never allow pt to suck air in by gasping
• Avoid uncontrolled coughing spasms
• Aboid forceful coughing with pt’s with a history of CVA or aneurysm
• Be sure pt coughs in a relatively upright posture

Question 3

Forceful expiration causes

Answer 3

• An increase in turbulence in airways which can lead to bronchospasm and increased airway restriction

Question 4

Excessive Prolonged expirations cause

Answer 4

• Pt to gasp with next inspiration and results in irregular and inefficient breathing patterns

Question 5

The upper chest should remain relatively ____ during _______.

Answer 5

• quiet

- breathing

Question 6

Sucking and gasping for air causes

Answer 6

• It increases the work of breathing and causes fatigue, it tends to increase turbulence and resistance in airways
• May push mucus or foregn objects deeper into airways