CPT

Question 1

Contraindications of CPT

Answer 1

-Increased Inner Cranial Pressures
-Head injury
-Aged, confused or anxious patient who do not
-Acute Spinal Cord injury
-Unstable Neck Injury
-Uncontrolled Hypertension
-Hemodynamic Instability
-Pulmonary Edema and Associated CHF
-Active hemoptysis –Absolute
-Uncontrolled Airway at risk for aspiration
Recent meals
Tube feedings
-Large Pleural Effusion
-Empyema -Infected Pleural Space
-Rib fracture, flail chest
-Surgical wound/Burn on the chest wall
Distended Abdomen

Question 2

Hazards/Complications of CPT

Answer 2

• Hypoxemia
• If diseased lung is placed in dependent position
• Cardiac output lower/hypotension
• Pain
• Vomiting and Aspiration
• Bronchospasm
• Dysrhythmias

Question 3

Contraindications to Percussion, Vibration and Chest wall manipulation

Answer 3

• Skin abnormalities
• burns, skin graft, flaps, wounds, open infections
• Recent pacemaker insertions
• Osteomyelitis
• Osteoporosis
• Coagulopathy – bleeding disorder

Question 4

Contraindications to RAISING head of bed

Contraindications to Reverse Trendelenburg

Answer 4

• Hypotension
• Recent Procedures in which raising head is contraindicated
• Certain Intracranial Surgeries
• Femoral Vascular Access
• Heart Cath/Aortic balloon pump Min 20 degrees
• Intra-aortic balloon pumping

Question 5

Indications for CPT

Answer 5

Acute:
Copious Secretions
Inability to mobilize secretions
Ineffective cough
Chronic:
CF
Bronchiectasis
Ciliary dyskinetic syndromes
COPD w/retained secretions