Answers (Verified Answers) 2026
Postural Drainage
positioning a lung segment so secretions will drain out of the lung by gravity. It can then be
coughed up.
Percussion
clapping the chest wall over the lung segment to be drained to force secretions loose from the
bronchioles.
Vibration
using vibrating motions on the chest wall with the open hands to squeeze secretions out of the
small airways. Mechanical vibrators are also available.
Chest physical therapy
Used for Cystic Fibrosis, COPD, and Muscular Dystrophy
Pulmonary Function Tests
Determines the capacity of the lungs. Forced expiratory volume (effort).
COPD core management
Bronchodilators- dilates bronchial smooth muscle, increases ciliary movement.
Asthma
Airway obstruction and bronchoconstriction.
Asthma
Diminished breath sounds is alarming.
Can't finish whole sentences is classic sign that things are getting bad.
Runny nose and cough prior to attack.
Peak flow meter
Shows how controlled the asthma is & if it's getting worse.
Establish a baseline by performing a "personal best" reading.
, Client will exhale as hard as they can to get reading. Green=good, Yellow= not too good, Red=
bad
Status Asthmaticus
Life-threatening asthma episode- Medical Emergency!!
Oxygen, hydration, nebulization, systemic corticosteroids
Common asthma triggers
Pollen, mold, exercise, smoking, infections, food, medicines, dust mite, stress, pollution, pets,
cold air.
Peak expiratory flow readings
Measures the amount of air that is forcefully exhaled over 1 second and is compared to your
personal best. Patients are having an exacerbation if they are less than 79% of their personal
best. They monitor this and is included in their asthma action plan.
ASTHMA PATHOLOGY
disease that causes an inflamed narrow swollen airway bronchi & bronchioles
ASTHMA CAUSES
Genetic Environmental Smoke , pollen , perfumes , dust mites pet dander cold or dry air , etc.
GERD Exercise induced asthma Certain drugs NSAIDS aspirin
Asthma classifications
Mild intermittent <2 a week
Mild persistent > 2 a week/not daily
Moderate persistent daily symptoms
Severe persistent continuous symptoms w/frequent exacerbations
Asthma S/S
wheezing on expiration, dyspnea, tachypnea, anxiety and air trapping
Air trapping definition
Causes the client to retain C02 which is acidic causing acidosis
RISK FACTORS for PNA
Prior infection Lung diseases COPD Immunocompromised HIV young / old Immobility auto
immune infections Postoperative Aspiration risk