postural drainage

Body position drainage refers to the gravity drainage of secretions, and should be combined with some chest manipulation. Such as back, vibrating, etc., can get significant clinical results. Therapists can refer to the method of X-ray chest radiography to track lung endocrine secretions, and monitor the effects of lung exudates clearance by blood gas analysis to provide objective data of oxygenation. It mainly promotes the discharge of purulent sputum, so that the diseased lung is at a high position, and the opening of the draining bronchus is downward, which causes the sputum to act by gravity, and the tracheal tube is coughed out by the body position, which helps the drainage of sputum. Basic Information Specialist classification: growth and development check classification: other inspection Applicable gender: whether men and women apply fasting: not fasting Tips: Inappropriate people: The age and general conditions are extremely weak and cannot tolerate the required position. Normal value Good health, no disease. Clinical significance Abnormal result secretion or cell retention caused by massive atelectasis, abnormal structure and secretion accumulation, long-term can not be ruled out (such as bronchiectasis, cystic pulmonary fibrosis or lung abscess); due to forced exhalation (such as Patients with COPD, pulmonary fibrosis) who are unable to discharge secretions are acutely infected; or coughing is weak (such as elderly or cachexia patients, neuromuscular disease, postoperative or traumatic pain, or tracheotomy). Patients who need to be examined for atelectasis, bronchiectasis, cystic pulmonary fibrosis, lung abscess, pulmonary fibrosis, cough and other symptoms. Precautions Inappropriate crowd: 1. Aged and general conditions are extremely weak, unable to tolerate the required position, unable to exclude secretions (in this case, positional drainage will lead to hypoxemia). 2, anticoagulant therapy. 3, thoracic or spinal fractures, recent large hemoptysis and severe osteoporosis. Those with the above symptoms. Taboo before inspection: 1, drainage should be carried out before meals, usually in the morning and evening, due to easy to cause vomiting after meals. 2. Convince the patient to cooperate with drainage therapy to encourage patients to cough properly when draining. 3, pay attention to observe the patient during the drainage process, with or without hemoptysis, cyanosis, dizziness, sweating, fatigue, etc., if any of the above symptoms should stop the body position drainage. 4. The fluid guiding position should not be performed in a rigid manner. It must be in a position that the patient can accept and is easy to drain. Requirements for inspection: Actively cooperate with the doctor. Inspection process Operation method and steps 1. Take different postures for body position drainage according to the lesion. If the lesion is in the inferior lobe, lingual lobe, or middle lobe, take the head low and the height is slightly to the lateral side; if the upper lobe is located, take the sitting position or other appropriate posture to facilitate drainage. 2. When draining, the patient will cough after a deep breath, and the nursing staff will pat the patient's chest or back with his hand (the palm of his hand is concave), and proceed from the lower part of the back until the sputum is drained, or use a mechanical vibrator. The accumulated secretions loosen and move, making it easy to cough up or drain. 3-4 times a day, 15-30 minutes each time.

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