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Nursing Skill

Postural drainage is a nursing skill performed to remove secretions from the lungs by gravity. It involves positioning the patient in different positions and using percussion and vibration to loosen secretions so they can be coughed or suctioned out of the airways. Postural drainage reduces the risk of infections by clearing secretions and improving breathing. The nurse evaluates the patient's tolerance to positions and monitors for complications like hypoxemia or changes in vital signs during the procedure.

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Hannah Buquiron
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38 views1 page

Nursing Skill

Postural drainage is a nursing skill performed to remove secretions from the lungs by gravity. It involves positioning the patient in different positions and using percussion and vibration to loosen secretions so they can be coughed or suctioned out of the airways. Postural drainage reduces the risk of infections by clearing secretions and improving breathing. The nurse evaluates the patient's tolerance to positions and monitors for complications like hypoxemia or changes in vital signs during the procedure.

Uploaded by

Hannah Buquiron
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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ACTIVE LEARNING TEMPLATE: Nursing Skill

STUDENT NAME______________________________________

SKILL NAME__Postural Drainage


___________________________________________________________________________ REVIEW MODULE CHAPTER____________

Description of Skill
Performed to remove secretions by gravity from different areas of the lungs.

Indications CONSIDERATIONS

To loosen respiratory secretions and move them Nursing Interventions (pre, intra, post)
into the central airways where they can be
removed by coughing or suctioning. Removing -if receiving continuous tube feedings, stop
secretions from the airway and not allowing them feeding and chest gastric residual at least 30
to accumulate reduces the risk for respiratory minutes before postural drainage
infections and atelectasis. Combining therapies -evaluate the pt's tolerance to various positions
helps to reduce mucous production and increase 1) position the patient
airway clearance. 2)percuss & vibrate
3)remove the secretions by having the pt cough
or suctioning the airway

Outcomes/Evaluation
Client Education
Effectiveness of the procedure depends on
positioning that allows drainage by gravity on -commonly performed 2-3 times/day often before
liquefaction, ciliary action and effective breathing. meals and at bedtime
As the secretions are cleared, the patient -best to schedule it when the patient's stomach is
becomes better able to breathe, is more empty to avoid gastric reflux and vomiting
comfortable,and may move about more freely. -may remain in each position 10-15 minutes
depending on ability to tolerate

Potential Complications Nursing Interventions


Hypoxemia, heart rate over 120 bpm, Discontinue the procedure and inform the
dysrhythmias, hypertension, hypotension, or physician if the patient experiences these
dizziness. complications.

ACTIVE LEARNING TEMPLATES Therapeutic Procedure  A9

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