ACBT - notes on ACBT PDF

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notes on ACBT, notes on ACBT...

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ACBT 

Introduction

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Environment o Plinth height / brakes on bed

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Infection control o Wash hands

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Explanation o Breathing techniques to clear secretions

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CONTRAINDICATIONS o No contraindications but monitor patient carefully throughout

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Consent

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Position of patient o Long sitting – supported with pillows o Abdomen is unrestricted by tight clothing

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Treatment o Normal breathing control – relaxation of upper chest and shoulder girdle o Thoracic expansions – maximal breath in and hold for 2 seconds, breathe out gently. No more than 4 to avoid hyperventilation. Place hands on ribs to encourage expansion o Back to normal breathing – explain huffing o Long huffs – normal to mid-volume breath in, long huff out. Demonstrate ‘steaming up a window’. Repeat 2 – 3 times – pot available for secretions. o Back to normal breathing o Short huffs – maximal inspiration followed by a short sharp huff. Repeat 2 – 3 times o Back to normal breathing to finish off...