What is the correct sequence of steps in postural drainage?

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Multiple Choice

What is the correct sequence of steps in postural drainage?

Explanation:
Postural drainage works best when gravity is used to move secretions toward the larger airways, making the coughing step effective. Start by positioning the patient so the target lung segments are uppermost, allowing secretions to drain down toward the bronchi. Then apply percussion to the chest wall to loosen thick mucus. After percussion, use vibration during exhalation to help move those secretions toward the central airways. Finally, have the patient cough to expel the loosened secretions. This sequence—positioning, percussion, vibration, coughing—maximizes drainage and patient comfort. If coughing occurs before the secretions are loosened or without proper positioning, drainage is less efficient and secretions may stay trapped. The steps are typically repeated for each affected segment as needed.

Postural drainage works best when gravity is used to move secretions toward the larger airways, making the coughing step effective. Start by positioning the patient so the target lung segments are uppermost, allowing secretions to drain down toward the bronchi. Then apply percussion to the chest wall to loosen thick mucus. After percussion, use vibration during exhalation to help move those secretions toward the central airways. Finally, have the patient cough to expel the loosened secretions. This sequence—positioning, percussion, vibration, coughing—maximizes drainage and patient comfort. If coughing occurs before the secretions are loosened or without proper positioning, drainage is less efficient and secretions may stay trapped. The steps are typically repeated for each affected segment as needed.

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