PHTY205 Study Guide - Final Guide: Anterior Segment Of Eyeball, Bronchus, Middle Ear
Document Summary
Precautions: recent meal, reflux, +2 others (recent head or neck trauma/surgery risk of upper airway obstruction, severe hypertension) Indications: used for patients with excessive secretions (>30ml/day, utilise gravity to assist movement of secretions from peripheral airways towards the larger central airways for clearance (where they are cleared by cough/huff/suction). Notes: position the bronchus of the lung segment being drained uppermost and perpendicular to the horizontal. Positions: apical segment upper lobes (sitting, anterior segment upper lobes (supine with knees flexed/supported, modified for r middle lobe/lingular (1/4 off supine affected side uppermost, modified for lateral basal segment lower lobes (sidelying affected area uppermost) Notes: the affected (collapsed/small volume) alveoli need to be highest as per picture. I(cid:373)pa(cid:396)ts (cid:373)e(cid:272)ha(cid:374)i(cid:272)al e(cid:374)e(cid:396)gy to the ai(cid:396)(cid:449)ays (cid:449)hi(cid:272)h has (cid:271)ee(cid:374) p(cid:396)oposed to i(cid:374)(cid:272)(cid:396)ease efr, (cid:862)loose(cid:374)(cid:863) secretions, change rheology (less sticky) Lung contusion: diagnosis of op or other bone disease, acute pain, not directly over burns, drains, grafts, wounds, incisions, bony areas.
