794
Indications
Looking for evidence of retained SECRETIONS....
* Crackles on auscultation
* Reduced breath sounds - mucus plug
* Palpable crackles on chest wall
* Want to MANAGE their symptoms
so they can manage better with ADL's.
Contraindications
* Unexplained haemoptosis
* Undrained Pneumothorax
Breathing Control
* Relaxation of the breathing pattern
* Using the DIAPHRAGM
Improves V/Q matching
by bringing
VENTILATION to the BASE of the LUNGS
where PERFUSION is greater.
This REDUCES the WORK of BREATHING
by FACILITATING DIAPHRAGMATIC MOVEMENT
Enhance Accessory mucle activity
by fixing the shoulders allowing them to work REVERSE ORIGIN and INSERTION
Thoracic Expansion
Exercises
Mobilisation of SECRETIONS
Via COLLATERAL AIR CHANNELS
Can INCREASE LUNG VOLUMES
If there is a reduction (ATELECTASIS)
Forced Expiratory
Exercises
Aid REMOVAL of SECRETIONS
Squeeze from smaller
airways to larger.
Use the EQUAL PRESSURE POINT
This is when pressure within
the airway is equal to pressure
outside airway
Interpleural pressure
becomes positive
Can manipulate the equal pressure point....
* Smaller Lung V's it is closer to smaller airways
* Larger V's it is closer to LARGER airways
So we...
Start with a small huff
To move from small to large airways
Use a larger huff
To move from large airways to the mouth
ACBT
UTILISES TIDAL VOLUME
AS IS RELAXED BREATHING