How do you Percuss the posterior chest?

How do you Percuss the posterior chest?

Method Of Exam Percuss over the intercostal space and note the resonance and the feel of percussion. Keep the middle finger firmly over the chest wall along intercostal space and tap chest over distal interphalangeal joint with middle finger of the opposite hand. The movement of tapping should come from the wrist.

What should you hear when Percussing the chest?

The normal findings on the chest percussion are: Resonant percussion note: heard over a normal air-filled lung. Dull percussion note (the sound heard over solid tissues): over the liver in the right lower anterior chest and over the heart in the left anterior chest.

What does Percussing the chest do?

Percussion is an assessment technique which produces sounds by the examiner tapping on the patient’s chest wall. Percussion helps to determine whether the underlying tissues are filled with air, fluid, or solid material.

When Percussing the lungs in the posterior thorax you should normally hear?

Resonant sounds are low pitched, hollow sounds heard over normal lung tissue. Flat or extremely dull sounds are normally heard over solid areas such as bones. Dull or thudlike sounds are normally heard over dense areas such as the heart or liver.

Where do you Percuss the chest?

The technique of percussion is best accomplished by the following approach: Press the distal phalanx of the middle finger firmly on the area to be percussed and raise the second and fourth fingers off the chest surface; otherwise, both sound and tactile vibrations will be blunted.

When palpating the posterior chest How would you assess for symmetric expansion?

To assess the symmetry of chest expansion during breathing, stand behind the person, and place your hands with fingers spread apart beneath his or her arms, on the sides of the chest, about 2 inches below the axilla.

Which areas should the nurse avoid when Percussing a patient’s chest?

Percussion must be avoided on floating ribs as they have single attachment. Patient may be taught to self percuss with one hand over the areas which are reachable. Percussion should not be done over breast tissue as this would produce discomfort and also would reduce the effectiveness of the treatment.

What is CPT in respiratory therapy?

Chest physical therapy (CPT or Chest PT) is an airway clearance technique (ACT) to drain the lungs, and may include percussion (clapping), vibration, deep breathing, and huffing or coughing.

What is the proper technique for percussing the anterior chest?

Percussing the anterior chest is most easily done with the patient lying supine; the patient should sit when percussing the posterior chest. Place the first part of the middle finger of your nondominant hand firmly on the patient’s skin.

How do you percuss with the scapulae?

Sequence With the patient in an upright seated position, with the scapulae protracted; percuss on the posterior chest wall; either side of the mid-clavicular line in the interspaces at 5cm intervals. Ensure you percuss from side to side and top to bottom (omitting areas covered by the scapulae). Repeat for the anterior chest.

What does percussing sound like in the lungs?

Percussion. Hyperresonant sounds may also be heard when percussing lungs hyperinflated with air, such as may occur in patients with COPD, or patients having an acute asthmatic attack. An area of hyperresonance on one side of the chest may indicate a pneumothorax. Tympanic sounds are hollow, high, drumlike sounds.

What is percussion percussion and chest inspection?

Chest inspection, palpation, and percussion are the foundations of physical exam. Percussion is 15 years older than the United States, the brainchild of an Austrian innkeeper’s son who figured out that patients’ chests could behave like barrels of wine. Although rather “ancient,” these maneuvers retain considerable value.

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