Postural drainage Powerpoint Presentation

Postural drainage

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Slide 1 :

Postural drainage

Slide 2 :

Chest physiotherapy Percussion Cupped hands strike the chest repeatedly ? sound waves loosen secretions Vibration Vibrations using hands or vibratos to loosen secretions

Slide 3 :

Chest physiotherapy Percussion& vibration X after meals X over: Chest tubes Sternum Spine Kidneys Spleen Breasts Caution with elderly

Slide 4 :

Chest Drainage Tubes Continuous chest drainage Insertion of one or more chest tube by MD Into the pleural space Drain fluid or air

Slide 5 :

Chest Drainage Tubes Indications Air in pleural space Pneumothorax Pleural effusion Penetrating chest injury Chest surgery

Slide 6 :

Chest Drainage Tubes Upper, anterior chest (2nd & 4th intercostal space)? Remove air Lower lateral chest (8th or 9th intercostal space)? Remove fluid

Slide 7 :

Chest Drainage Tubes MD inserts Nrs connects system and secures all connections Vaseline gauze and sterile occlusive dressing at insertion site to prevent leakage

Slide 8 :

Chest Drainage Tubes 2 padded clamps at bedside Clamps only used if: Chest system accidentally disconnected Changing drainage system Trail period before removal

Slide 9 :

Chest Drainage Tubes Tubes never clamped for more than few min ? Prevents air from escaping ? Buildup of air in pleural space ? Pneumothorax

Slide 10 :

Chest Drainage Tubes 3-bottle system Water seal bottle Suction bottle Drainage bottle

Slide 11 :

Chest Drainage Tubes Water seal When pt E ? Air trapped in the pleural space travels through chest tube to the water seal bottle ? Bubble up and out of the bottle

Slide 12 :

Chest Drainage Tubes Water seal Water acts as a seal – allows air to escape, prevents air from getting back in Bubbles with E Normal Constant bubbling Abnormal – leak Check for leaks

Slide 13 :

Chest Drainage Tubes Water Seal Water level fluctuates h I i E Tidaling Normal When lung is reinflated ? Tidaling stops If tidaling stops: Lung reinflated Tubing kinked Tubing occluded

Slide 14 :

Chest Drainage Tubes Suction Bottle Suction sometimes used to speed up lung reinflation Amt of suction is dependent of the level of H2O in the bottle, not the amt of suction set on the machine

Slide 15 :

Chest Drainage Tubes Suction Bottle Suction level order by MD -20cm Water Turn suction machine on enough to cause gentle bubbling Normal

Slide 16 :

Chest Drainage Tubes Suction bottle Vigorous bubbling ? water evaporation ? change amt of suction Turn down suction No bubbling Kink in system Suction disconnected

Slide 17 :

Chest Drainage Tubes Drainage bottle Collect fluid f

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	SlidesOnline 4 Years ago. Category: General

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Chest physiotherapy . Percussion& vibration. X after meals; X over: Chest tubes; Sternum; Spine more Chest physiotherapy . Percussion& vibration. X after meals; X over: Chest tubes; Sternum; Spine; Kidneys; Spleen; Breasts; Caution with elderly less