Chest Physical Therapy (CPT)

Initial Discussin Post::

What is the expected outcome when implementing CPT?

What are the risks of performing CPT? Do the risks outweigh the benefits?

Is the practice of CPT supported by evidence? Are there safe, alternative interventions that the RN can implement to achieve the same outcome as performing CPT? If so, identify at least one.

Base your initial post on your readings and research of this topic.

Chest Physical Therapy (CPT)

Question 1

Chest Physical Therapy (CPT) is a technique that helps patients breathe more freely and receive more body oxygen. It is based on the theory that when particular back and chest parts are percussed, transmission of shock waves occurs through the chest wall. This in turn loosens the airway secretions. CPT has been used commonly in children with pneumonia. In a well-positioned, the secretions flow into the upper airways and then cleared through deep breathing techniques and coughing. The outcomes of CPT implementation include improved respiratory efficiency, elimination of respiratory secretions, changes in breath sounds, increased blood oxygenation as measured by ABG sampling, and improved chest X-ray findings.

Question 2

Some of the risk factors that have been associated with CPT include pulmonary hemorrhage, vomiting and aspiration, injury or pain to the ribs, spine or muscles, dysrhythmias, bronchospasms, and occasions of acute hypotension in some patients. CPT does more harm than go to the patient.

Question 3

There is no evidence that supports the use of CPT in evacuating mucus from the peripheral lung regions. Registered nurses have been challenged to evaluate their practice and embrace clinical practices that are evidence-based into their daily practice. Newer and safer interventions have been introduced in clinical practice to aid in curbing the adverse effects of CPT (Lisy, 2014). The interventions include Active Cycle of Breathing Technique (ACBT), autogenic drainage, forced expiratory technique (FET), and positive expiratory pressure (PEP). An interview like ACBT aids patients with respiratory conditions in clearing sputum by loosening and moving the sputum from the airways. Conversely, in PEP patients breathe against a resistance to force air behind the mucus and help it move from the air walls.

Reference Lisy, K. (2014). Chest physiotherapy for pneumonia in children. The American Journal of Nursing.

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