Iii percussion performed in appropriate drainage

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Human Physiology: From Cells to Systems
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Chapter 10 / Exercise 1
Human Physiology: From Cells to Systems
Sherwood
Expert Verified
iii.Percussion – performed in appropriate drainage position with hands in cuplike position, withthumbs and fingers closed.Cupped hands should create air pocket between pt’s chest and the hand. Use alternating rhythmic fashion. If performed correctly – hollow sound should be heart.Place thin towel over area to percuss or pt may wear T-shirt or hospital gowniv.Vibration – tensing hand and arm muscles repeatedly and pressing mildly with flat of the hand on affected area while pt slowly exhales a deep breathMild vibration is tolerated between than percussionMay also use commercial vibrationsd)Airway Clearance Devices – i.Easier to tolerate than CPT, take less timeii.Flutter mucus clearance device – hand-held device that provides positive expiratory pressure (PEP) treatment which produces vibrations in lungs to loosen mucus for expectorationiii.Acapella – vibrates lungs to shake free mucus plugs to improve secretion clearanceFaster and more tolerable than CPT
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Human Physiology: From Cells to Systems
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Chapter 10 / Exercise 1
Human Physiology: From Cells to Systems
Sherwood
Expert Verified
DiagnosticsI.Respiratory Diagnostic ProceduresA.Pulmonary Function Tests – determine lung function and breathing difficulties1.Commonly performed for clients who have dyspnea and to identify clients w/ respiratory risks before surgery2.If smoker – do not smoke 6-8 hrs before test3.If using inhaler – withhold 4-6 hrs prior to testB.ABGs – reports status of oxygenation and acid-base balance of the blood1.Obtained by arterial puncture or through arterial line2.Arterial Linea.Preop1)Obtain heparinized syringe for sample collection.2)Perform Allen’s test – Compress ulnar and radial arteries simultaneously. Instruct client to form a fist. Have client relax his hand while releasing pressure on radial artery. Hand should turn pink quickly. Repeat process for ulnar artery.3)Explain and reinforce procedure to clientb.Intraop1)Perform arterial procedure w surgical aseptic technique and collect specimen into heparinized syringe. Collect specimen into heparinized syringe.2)Place collected and capped specimen into basin of ice and water. Transport to lab immediately.c.Postop1)Hold direct pressure over the site for at least 5mins. Maintain pressure for at least 20 mins if pt is on anticoag therapy. Ensure that bleeding has stopped before removing pressure.2)Monitor ABG sampling site for bleeding, loss of pulse, swelling, temp. changes and color3)Document all interventions and client’s response.4)Administer O2. Change ventilator settings as ordered or notify RT. *Arterial puncture is typically done by RT3.Arterial Linea.Preop1)Verify that line may be used for specimen collection. Obtain heparinized syringe for sample collection. Standard syringe for waste2)Explain and reinforce procedure w/ clientb.Intraop1)Collect waste and specimen. Place both on ice for transport2)Flush arterial line w/ preconnected flushing system.

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