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您请求的操作仅限于组中的用户:2015年呼吸技术指南手册诺丁汉大学医院，NHS信托。手工技术指南。2015。[获取日期:2019年6月12日] {| class="wikitable sortable" !行动!理由|- |通过清晰的治疗解释让患者做好准备|最大限度地减少痛苦并告知患者手术过程|- |征得患者同意|确认患者愿意接受治疗|- |[//m.houseofhawgs.com/Auscultation听诊]患者胸部|确保治疗前没有支气管痉挛，并评估肺的哪个区域是/是已治疗|- |检查患者胸腔待治疗区域的皮肤完整性，并注意避免在导管、导管和引流管上进行[https://bronchiectasis.com.au/physiotherapy/techniques/manual-techniques手动技术]，以确保皮肤完好无损，没有皮肤区域受损|- |检查患者SpO2水平|以确保[https://en.wiktionary.org/wiki/desaturation#:~:text=desaturation%20(countable%20and%20uncountable%2C%20plural,in%20a%20patient's%20haemoglobin去饱和]如果在治疗过程中发生，则检测出|- |患者体位以优化分泌物清除。这可能包括[https://bronchiectasis.com.au/paediatrics/airway-clearance/modified-postural-drainage]修改的体位引流位置。[|倾斜或侧躺的病人可以利用重力来帮助分泌物的动员[-]在进行胸部叩击时，可以在治疗部位放置毛巾。然而,避免了填充|技术不应该在裸露的皮肤上执行作为病人,这可能会令你感到不舒服,但填充可能减少技术的有效性| - |执行胸部打击乐有节奏地松手腕和手握在治疗的肺区|这创造了一个能量波传播的肺实质放松secreations | - - - |缓慢单枪匹马或快速双递给技术可以使用|根据病人的偏好。如果患者有支气管痉挛的危险，缓慢的单手技术可能更合适|- |观察患者，确保他们没有屏住呼吸|屏住呼吸可能导致氧饱和度降低|- |鼓励患者在胸部叩击时做三到四次[https://www.tandfonline.com/doi/pdf/10.3109/09593989709036458胸腔扩张]|这可以防止氧饱和度降低|- |如果患者容易发生氧饱和度降低， monitor the patients' oxygen saturations and respiratory rate throughout the procedure. Supplementary oxygen may be required during treatment |To ensure the patient remains stable during the treatment. |- |To perform shaking and vibrations the hands are placed over the area where secretions are to be mobilized from and oscillations directed inwards against the chest in the direction of bucket handle rib movement |Chest compression assists the mobilisation of secretions from peripheral to more central airways |- |The height of the bed should be adjusted to allow the therapist to use their body weight to assist with the vibratory/compression action |To augment expiratory flow and mobilise secretions. The therapist must be aware of their own posture to protect heir back. |- |Encourage the patient to take a deep inhalation and perform the technique on their exhalation |To encourage movement of secretions during expiratory flow |- |Encourage the patient to relax their breathing in between the technique |To prevent airway closure, desaturation or bronchospasm |- |Use [https://bronchiectasis.com.au/physiotherapy/techniques/forced-expiration-technique#:~:text=A%20huff%20(also%20called%20the,in%20any%20airway%20clearance%20routine. forced expiratory technique] or coughing to assist the patient to expectorate |Allows secretions that have mobilized to central airways to be expelled |- |Document the physiotherapy treatment and its outcome in the patients medical notes |To provide a legal record of the treatment and to communicate it;s outcome with other health care professionals. |}

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