Postural Drainage Procedure: Learn Patient Positions Quiz and Flashcards

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Questions and Answers

What is the position of the patient while performing postural drainage for the Lower Lobes: Anterior Basal Segment?

Lying on side with upper leg flexed over a pillow

Lying supine with head down and a pillow under knees (correct)

Lying on back with feet elevated

Lying on abdomen with pillows under hips

What is the purpose of elevating the foot of the table or bed by 18 inches or 30 degrees during postural drainage?

To increase intracranial pressure

To facilitate deep breathing exercises

To aid in postural drainage (correct)

To relieve orthopnea symptoms

Why may a patient with congestive heart failure require modification to postural drainage positions?

Due to restricted mobility

Due to risk of increased intracranial pressure

Due to chest tubes and monitoring wires

Due to manifestations of orthopnea (correct)

What is the position of the patient while performing postural drainage for the Lower Lobes: Posterior Basal Segment?

Lying on abdomen with pillows under hips Signup and view all the answers

Why may a patient who has undergone neurosurgery require modification to postural drainage positions?

Due to risk of increased intracranial pressure Signup and view all the answers

What is the action performed by the clinician during postural drainage for the Lower Lobes: Anterior Basal Segment?

Clapping over lower portion of ribs Signup and view all the answers

Why may a patient who has undergone thoracic surgery require modification to postural drainage positions?

Due to chest tubes and monitoring wires Signup and view all the answers

What is the position of the patient while performing postural drainage for the Lower Lobes: right Lateral Basal Segment?

Lying on left side with upper leg flexed over a pillow Signup and view all the answers

What is the purpose of using pillows under hips during postural drainage?

To aid in postural drainage Signup and view all the answers

What is the position of the patient while performing postural drainage for the Lower Lobes: left Lateral Basal Segment?

Lying on left side with upper leg flexed over a pillow Signup and view all the answers

What is the position of the patient for drainage of the Upper Lobes; anterior apical segment?

Leaning back on a pillow at 30 degrees angle Signup and view all the answers

What is the position of the patient for drainage of the Upper Lobes; posterior apical segment?

Leaning over a folded pillow at 30 degrees angle Signup and view all the answers

What is the position of the patient for drainage of the Upper Lobes; anterior segment?

Lying flat on back with a pillow under knees Signup and view all the answers

What is the position of the patient for drainage of the Upper Lobe right posterior segment?

Lying on the left side with a quarter turn towards prone Signup and view all the answers

What is the position of the patient for drainage of the Right Middle Lobe: lateral segment and medial segment?

Lying head down on the left side and rotates ¼ turn backward Signup and view all the answers

What is the position of the patient for drainage of the Left Lingular Segment: superior and inferior?

Lying head down on the right side and rotates ¼ turn backward Signup and view all the answers

What is the position of the patient for drainage of the Lower Lobes: Superior Segment?

Bed or table flat Signup and view all the answers

What is the specific angle of elevation for the Trendelenburg position?

15 degrees Signup and view all the answers

Where is the clapping area for drainage of the Upper Lobes; anterior apical segment?

Between the clavicle and top of scapula on each side Signup and view all the answers

Where is the clapping area for drainage of the Right Middle Lobe: lateral segment and medial segment?

Over the right nipple area Signup and view all the answers

Study Notes

Postural Drainage Positions

Upper Lobes

Anterior apical segment: Patient leans back on a pillow at a 30-degree angle (High Fowler's position) and claps between the clavicle and top of scapula on each side.
Posterior apical segment: Patient leans over a folded pillow at a 30-degree angle and claps over the upper back on each side of the chest.
Anterior segment: Patient lies flat on their back with a pillow under their knees and claps between the clavicle and nipple on each side of the chest.

Upper Lobes (continued)

Right posterior segment: Patient lies on their left side with a quarter turn towards prone and claps over the right scapula.
Left posterior segment: Patient lies on their right side with a quarter turn towards prone, head and shoulders elevated 18 inches (30 degrees), and claps over the left scapula.

Middle Lobe

Right middle lobe lateral segment and medial segment: Foot of the table or bed elevated 14 inches (about 15 degrees, Trendelenburg position), patient lies head down on the left side and rotates a quarter turn backward, with a pillow behind them from shoulder to hip and knees flexed, and claps over the right nipple area.

Lower Lobes

Superior segment: Patient lies on their abdomen with pillows under their hips and claps over the middle of the back below the tip of the scapula on either side of the spine.
Anterior basal segment: Foot of the table or bed elevated 18 inches (30 degrees, Trendelenburg position), patient is supine, head down, with a pillow under their knees, and claps over the lower portion of the ribs.
Right lateral basal segment: Foot of the table or bed elevated 18 inches (30 degrees, Trendelenburg position), patient lies on their left side, upper leg can be flexed over a pillow for support, and claps over the lower aspect of the right rib cage.
Left lateral basal segment: Foot of the table or bed elevated 18 inches (30 degrees, Trendelenburg position), patient lies on their right side, upper leg can be flexed over a pillow for support, and claps over the lower aspect of the left rib cage.
Posterior basal segment: Foot of the table or bed elevated 18 inches (30 degrees, Trendelenburg position), patient lies on their abdomen, head down, with a pillow under their hips, and claps over the lower ribs close to the spine on each side of the chest.

Modified Postural Drainage Positions

Patients who require postural drainage may not tolerate optimal positions due to:
- Congestive heart failure (manifestations of orthopnea)
- Neurosurgery (increased intracranial pressure with head-down position)
- Thoracic surgery (chest tubes and monitoring wires limiting positioning)

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Description

Learn about different patient positions for postural drainage, including upper lobes and apical segments. Understand how to position patients for effective drainage.

Patient Positions for Postural Drainage

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