Percussive or clapping drainage

Percussion maneuvers that through gentle blows on the patient’s thorax, mechanically dislodges and displaces secretions adhering to the patient’s bronchial walls.

Objective:

– Help to mobilize and eliminate secretions adhered to the patient’s pulmonary walls. – Equipment: – Pillows. – Stethoscope. – Cloth or intermixed

Material:

– Disposable paper towelettes. – Waste bag. – Nursing records.

Procedure:

– Perform hand washing. – Preserve the patient’s privacy. – Inform the patient of the procedure to follow. – Request patient and family collaboration. – Place the patient in the corresponding position according to the lobe or segment to be drained. – Place a cloth or tucked over the patient’s chest so as not to hit the skin directly. – Place the hands cupped, fingers flexed and joined. – Percuss the thoracic segment to be drained, alternating the hands rhythmically. – Percuss for 2-4 minutes each segment. The sound produced must be hollow and dry. – Do not percuss on the spine, sternum, kidneys, liver, and areas with skin lesions or fractures. – Check the correct functioning of the stethoscope. – Auscultate to check the effectiveness of the procedure. – Place the patient in the most appropriate position. – Record in the nursing documentation: procedure, reason, date and time, incidences and the patient’s response.

Observations:

– This procedure should not produce pain. – Percussion is contraindicated in: rib and spine fractures, pulmonary hemorrhage, pneumothorax, rib metastases, mastectomies with silicone prosthesis, cardiovascular surgery, pleural effusion, the first 24 hours after bronchoscopy, and in patients with osteoporosis.[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section]