Airway Clearance Techniques

Question 1

Goals of ACT

Answer 1

• Optimize airway Potency
• Optimize V/Q ratio
• Promote alveolar expansion
• Increase Gas exchange

Question 2

passive technique which aligns the segmental bronchi with gravity allowing the force of gravity to drain the segment.

Answer 2

Postural Drainage

Question 3

rhythmical force that is applied with cupped hands to the thorax over the involved lung segments with the aim of dislodging or loosening secretions.

Answer 3

Percussion

Question 4

Can you do percussion with MEchanical device?

Answer 4

Yes

Question 5

Percussion shoulnt be performed over

Answer 5

Bony prominence
Floating Ribs
Breast tissue

Question 6

Percussion can be associated with

Answer 6

Bronchspasm
Decrease PaO2
Dysrrhytmia
Fatigue of PT

Question 7

sustained co-contraction of the upper extremities to produce a vibratory force that is transmitted to the thorax over the involved lung segment.

Answer 7

Vibration

Question 8

Contraindications for PD

Answer 8

• ICP >20
• active hemorrhage
• Spinal injury/surgery
• ACTIVE hemoptysis
• Empyema
• Pulm edema and embolism
• Age
• Obese
• wound
• Ascites
• Pleural effusion

Question 9

Tendelengberg PD contraindiications

Answer 9

-pts who need to avoid ICP
-Uncontrolled HTN
-Esophogeal surgery
-risk of aspiration
-Unstable
-

Question 10

Percussion performed during which phase of respiration

Answer 10

Inspiration AND expiration

Question 11

Contraindications for P/V

Answer 11

• All of the PD ones
• Subcutaneous emhysema
• recent skin graft
• Pacemaker recently placed
• Lung contusion
• Bronchospasm
• Osteomyelitis of ribs or osteoporosis
• Coagulopathy

Question 12

Platelet count below 20,000

Answer 12

Coagulopathy