Author Question: Which of the following are true of postural drainage? 1. It is most effective in disorders ... (Read 45 times)

waynest · **on:** Jul 16, 2018

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 · **Reply #1 on:** Jul 16, 2018

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.