Professional Documents
Culture Documents
Dec. 1st Week MID 100 Handout
Dec. 1st Week MID 100 Handout
Ex. Running, walking, swimming, cycling , lifting the buttocks off the bed by
pushing with the hands against the mattress
PERCUSSION
VIBRATION
POSTURAL DRAINAGE
1. Percussion (Clapping) – a forceful striking of the skin with cupped hands.
It can mechanically dislodge tenacious secretions from bronchial walls.
• Explain the procedure and encourage the client to breathe slowly and
deeply.
• Place the client in a comfortable sitting or side lying position.
• Cover area with gown or towel.
• Cup hands, alternately flex and extend wrists rapidly to percuss the
affected lung segments for 1 to 2 minutes; 3-5 minutes for extra thick
secretions.
2. VIBRATION (shaking) - a series of vigorous quivering produced by hands that
are placed flat against the client's chest wall. It is done to loosen mucous
secretions. Vigorous or high- frequency quivering over the chest wall and used
alternately with or after percussion.
• Explain procedure to the client and position comfortably.
• Encourage client to breathe slowly and deeply.
• Place hands one on top of the other with palms down.
• During exhalation, tense hand and arm and using mostly the heel of the
hand, vibrate or shake hands against the client's chest.
• Stop vibrating when the client inhales.
• After each vibration, encourage the client to cough and expectorate.
• Vibrate 5 times over each lung segment.
3. Postural drainage- expulsion of secretions from various lung segment by gravity.
This involves placing in different positions so that area of lung congestion will be in
vertical position with the bronchus, facilitates drainage of respiratory tract
secretions by gravity
• Explain procedure to the client.
• Position the client so that the head is lower than the chest (in prone or side-
lying position).
• Place sputum container and wipes within the client's reach.
• Do percussion and vibration for 5 minutes and allow 5 minutes for drainage.
• Encourage client to cough and expectorate.
• Instruct client to turn to the other side then to supine position, and repeat the
procedure.
• Assist the client to a sitting position, and offer mouth care.
• Document observations.
Points to remember in PVD
• The best time to do postural drainage treatment is before meals, in the
morning upon awakening and at bedtime.
• Do not perform postural drainage immediately after meals because it may
cause vomiting. thereby aspiration.
• Provide good oral hygiene alter the procedure to remove unpalatable taste
of the mucous secretions.
• Contraindicated to clients who are unstable, asthmatic, pregnant with
tuberculosis, or to clients who produce more than 30 ml of sputum per day.
Steam Inhalation
Purpose:
- To liquefy mucous secretions
- To warm and humidify inspired air
- To relieve edema of airways
- To administer medications
Points to remember:
- It is dependent midwifery function.
- Heat application requires physician's order.
- Place client in semi-fowler's position for maximum inhalation of steam.
- Place the spout 12-18 inches away from the client's nose or adjust the distance
as necessary.
- To be effective, render steam inhalation for 15-20 minutes.
- Instruct client to perform deep breathing and coughing exercises to facilitate
expectoration.
OXYGEN THERAPY
Oxygen - dry, odorless, colorless, tasteless and combustible (not flammable)
gas; contained in green tank
Purpose:
• To reverse hypoxemia
• To improve tissue oxygenation
• Decrease work of breathing in dyspneic clients
• Decrease myocardial workload
FORMS of oxygen therapy and corresponding O2 concentration: