bronchialhygienetherapy：bronchial衛(wèi)生療法-資料下載頁
2025-01-12 07:35本頁面
【正文】 ed area and place the other hand on top of the first ? Ask the patient to take a deep breath ? Exert slight to moderate pressure on the chest wall and initiate a rapid vibratory motion of the hands throughout expiration Bronchial Hygiene ? Postural Drainage ? Absolute Contraindications ? Head and neck injury until stabilized ? Active hemorrhage with hemodynamic instability ? Relative Contraindications ? Active hemoptysis ? Pulmonary embolism ? Recent spinal surgery ? Aged, confused, or anxious patients who do not tolerate position changes Refer to AARC Clinical Practice Guidelines for plete list Bronchial Hygiene ? Postural Drainage ? Trendelenburg position is contraindicated for: ? Recent gross hemoptysis ? ICP 20 mm Hg ? Uncontrolled hypertension ? Distended abdomen ? Patient in whom increased ICP is to be avoided (neurosurgery, aneurysms, eye surgery) ? Uncontrolled airway at risk for aspiration (tube feeding or recent meal) ? Esophageal surgery Refer to AARC Clinical Practice Guidelines for plete list Bronchial Hygiene ? Postural Drainage ? Complications/Hazards ? Hypoxemia ? Increase ICP ? Acute hypotension during procedure ? Pulmonary hemorrhage ? Pain or injury to muscles, ribs, or spine ? Vomiting and aspiration ? Bronchospasm ? Arrhythmias
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