Beruflich Dokumente
Kultur Dokumente
9
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Effective:
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10/31/14
Chest Physiotherapy
Purpose
Policy
Physician's
Order
Indications
Contraindications
Absolute contraindication
Untreated tension pneumothorax
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Policy 7.3.9
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Contraindications
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Policy 7.3.9
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Goals
Equipment
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Pulmonary emboli.
Temporary transvenous pacemaker Resectable pulmonary tumors
(percussion usually not done over tumor)
Pain preventing patient's cooperation.
Extraparenchymal complications (pneumothorax, pleural effusion,
empyema).
Subcutaneous emphysema.
Untreated pneumothorax.
Acute lung abscess. Simulated cough is relatively contraindicated in the
following cases:
Suspected or real intra-abdominal injury, disorder, bleeding, recent
surgery.
Organomegaly.
Pregnancy.
Diaphragm injury or surgery.
Procedure
Step
Action
Wash hands.
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Policy 7.3.9
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10
11
Note:
12
13
14
15
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Policy 7.3.9
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17
18
Vibration:
Step
Action
Wash hands.
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Policy 7.3.9
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12
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14
Auscultate chest.
15
Diaphragm Assist:
Step
Action
Wash hands.
Place you hand horizontally with palm over umbilicus one hand on top of the other. Hand should be over gut
area that is displaced by diaphragm so that force exerted
will simulate abdominal contraction.
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Policy 7.3.9
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Auscultate chest.
11
Note:
Infection
Control
Undesirable
Side Effects
10/12/94
10/31/14
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Policy 7.3.9
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Undesirable
Side Effects
continued
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Patient
Teaching
References
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Policy 7.3.9
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References
Continued
Effective:
Revised:
10/12/94
10/31/14