Postural Drainage Positions

Postural Drainage Positions

a)  Right Upper Lobe & Left Upper Lobe

1. Apical

·         High fowler, leaning back against a pillow

2. Posterior

·         Leaning forward grasping a pillow or sitting on side of bed & resting on bedside table

3. Anterior

·         Supine w/ bed flat & pillow under knees

b) Right Middle Lobe includes medial & lateral segment

·         Pt lying on L side, rotated ¼ turn away from the RT w/ pillow behind , bed place 15° angle trendelenburg

c) Left lingula - includes superior & inferior segment

·         Pt lying on R. side, rotate ¼ away , bed place in 15° angle trendelenburg

d) Right Lower Lobe

1. Anterior – supine, bed in 30° trendelenburg

2. Posterior – prone, bed in 30-40° trendelenburg

3. Superior – prone, bed flat, pillow under stomach

4. Lateral – lay on left side, with 30° angle trendelenburg

5. Medial – lay on R. side, with 30° angle trendelenburg

e) Left Lower Lobe

1. Anterior – supine, bed 30° angle trendelenburg

2. Posterior – prone, bed 30-40° angle trendelenburg

3. Superior – prone, bed flat, pillow under stomach

4. Lateral – lay on R. side, 30° angle trendelenburg

5. Medial – Lay on L. side, 30° angle trendelenburg

Notes:

Ø  Volume of sputum produced per day indicating the need to cpt  is 25-30 cc/day

Ø  Postural drainage should be held about 3-15 mins

Ø  Vibration should be done in expiration breathing cycle

Ø  Percussion in one area last 3-5 mins

Ø  Hypertension is the most adverse response to trendelenburg position