A 17yearold girl with cystic fibrosis Who has copious sputum

A 17—year—old girl with cystic fibrosis Who has copious sputum production complains of dyspnea and shows signs of mild cyanosis during CPT and postural drainage positioning in the Trendelenburg position.

What two modifications or recommendations can be made to improve the patiens tolerance of the procedure?

Solution

1.Recommended postural drainage (PD) and the forced expiration technique (FET) produced sputum at the rate of 0.831 g min-1 for COPD

2.When percussion become routine, the rate of sputum production become substantially greater (P much less than 0.05), being 1.231 g min-1 for fast percussion and 1.040 g min-1 for slow percussion.

3.Pulmonary function and oxygen saturation had been unaffected by any of the treatment regimens. This observe demonstrates that chest percussion is a beneficial adjunct to PD and FET in the treatment of patients with copious sputum.

4.In extra severe cases of COPD, a tablet referred to as carbocisteine is every so often introduced particularly to reduce mucus production.

5.People used to be recognized with chronic bronchitis if their fundamental hassle become generating masses of mucus and coughing.