Positioning: METHOD Gravity effects respiratory mechanics and sputum movement, INDICATION Reduced expansion, sputum retention, VQ mismatch, CAUTION CVS instability, unstable C-spine injury, SIDE EFFECTS Pain, pressure areas, LIMITATIONS Pain, kyphoscoliosis, unstable spine, PRESCRIPTION Anytime, unlimited, Expiratory Vibrations: METHOD High frequency low amplitude turbulent expiratory flow, INDICATION Sputum retention in small airways, CAUTION Chest wall trauma, CVS instability, SIDE EFFECTS Reduced cardiac output, raised ICP, LIMITATIONS Pain, rib fractures, PRESCRIPTION Expiration, 5 -10 breaths, repeat, Expiratory Shakes: METHOD Large amplitude movements, centralisation of sputum, INDICATION Sputum retention in distal airways, CAUTION Chest wall trauma, CVS instability, bronchomalacia, SIDE EFFECTS Atelectasis, reduced cardiac output, raised ICP, Pain, LIMITATIONS Pain, tachypnoea, rib fractures, PRESCRIPTION (2) Expiration, 5 -10 breaths, repeat, Percussions: METHOD Energy waves causing turbulence, INDICATION Large amounts sputum in distal airways, CAUTION Osteoporosis or fractures, Metastatic Ca, active TB, SIDE EFFECTS Bronchospasm, atelectasis, pain, LIMITATIONS Pain, attachments, wounds, PRESCRIPTION 1-2 min blocks, up to 30 mins,
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CVR interventions matching game
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Emmaireland
University
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