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Chest Physiotherapy

  •  – a technique used to mobilize or loose secretions in the lungs and respiratory tract.
  • – usually is done to patients with Cystic Fibrosis disorders.

This is especially helpful for patients with large amount of secretions or ineffective cough.
Chest physiotherapy consists of:

– chest percussion
– postural drainage
– vibration



  • Low flow systems: includes standard mask, nasal cannula & nonrebreather mask.
  • High Flow Systems: Includes Ventura mask

Mechanical Ventillation:

Patients with pneumothorax (air in the lungs) would usually have SOB and chest pain.
The patient can also have tachypnea, cyanosis and have diminished breath sounds.

Assist Control (ACV)= the patient can initiate the cycle with respiration.

Positive End Expiratory Pressure (PEEP)= Increases the intrathoracic pressure.  Maintains positive pressure at intrathoracic level.

Continous Positive Airway Pressure (CPAP)= Would usually be used to wean patient off from ventillators.



  • If client’s airway is not occluded, then hyperoxygenate patient.
  • Each suctioning should not exceed 10-15 seconds in duration.
  • Apply intermittent suction as you gently rotate the catheter when removing.

Complication of Suctioning:

  • Discontinue suctioning if the heart rate drops to 20 bpm. or if the SaO2 drops below 90%.

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