Which of the following are true of postural drainage? 1. It is ...

[waynest]

Which of the following are true of postural drainage?
 
  1. It is most effective in disorders causing excessive sputum.
  2. It is most effective in head-down positions greater than 25 degrees.
  3. It requires adequate systemic hydration to be effective.
  4. It improves mucociliary clearance in normal subjects.
  a. 2 and 4 only
  b. 1, 2, and 3 only
  c. 3 and 4 only
  d. 1, 2, and 4 only

Question 2

Which of the following are considered airway clearance therapies? 1. Postural drainage and percussion 2. Incentive spirometry 3. Positive airway pressure 4. Percussion, vibration, and oscillation
 
  a. 1 and 3 only
  b. 1, 2, and 3 only
  c. 2, 3, and 4 only
  d. 2 and 4 only

[tuwy]

Answer to Question 1

ANS: B
Postural drainage is most effective in conditions characterized by excessive sputum production (>25 to 30 ml/day). For maximum effect, head-down positions should exceed 25 degrees below horizontal. Postural drainage is not likely to succeed unless and until adequate systemic and air-way hydration is ensured.

Answer to Question 2

ANS: B
There are five general approaches to airway clearance therapy, which can be used alone or in combination. These approaches include (1) postural drainage therapy (including turning, percus-sion, and vibration), (2) coughing and related expulsion techniques, (3) positive airway pressure (PAP) adjuncts (positive expiratory pressure PEP, continuous PAP CPAP, expiratory PAP EPAP), (4) high-frequency compression/oscillation methods, and (5) mobilization and exercise.

[waynest]

Excellent

[dantucker]

Thanks for the timely response, appreciate it