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    Respiratory System - Percussionpptx

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    leiann_jessica
    Percussion of the chest involves tapping the chest wall and listening to or feeling the resulting vibrations to determine if the underlying tissues are air-filled, fluid-filled, or solid. It can detect abnormalities up to 5-7 cm deep but not deeper lesions. The technique involves positioning the pleximeter finger firmly on the chest and striking it with the plexor finger to transmit vibrations through the bones. This produces one of five percussion notes that differ in sound qualities and indicate normal lungs or pathologies like fluid or solid tissue in the lungs. Percussion can also be used to locate the diaphragm level and measure its excursion during breathing.

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    Respiratory System - Percussionpptx

    Uploaded by

    leiann_jessica
    589 views21 pages
    Percussion of the chest involves tapping the chest wall and listening to or feeling the resulting vibrations to determine if the underlying tissues are air-filled, fluid-filled, or solid. It can detect abnormalities up to 5-7 cm deep but not deeper lesions. The technique involves positioning the pleximeter finger firmly on the chest and striking it with the plexor finger to transmit vibrations through the bones. This produces one of five percussion notes that differ in sound qualities and indicate normal lungs or pathologies like fluid or solid tissue in the lungs. Percussion can also be used to locate the diaphragm level and measure its excursion during breathing.

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    physical assessment

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    Respiratory System.percussionpptx

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    Percussion of the chest involves tapping the chest wall and listening to or feeling the resulting vibrations to determine if the underlying tissues are air-filled, fluid-filled, or solid. It can detect abnormalities up to 5-7 cm deep but not deeper lesions. The technique involves positioning the pleximeter finger firmly on the chest and striking it with the plexor finger to transmit vibrations through the bones. This produces one of five percussion notes that differ in sound qualities and indicate normal lungs or pathologies like fluid or solid tissue in the lungs. Percussion can also be used to locate the diaphragm level and measure its excursion during breathing.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    589 views21 pages

    Respiratory System - Percussionpptx

    Uploaded by

    leiann_jessica
    Percussion of the chest involves tapping the chest wall and listening to or feeling the resulting vibrations to determine if the underlying tissues are air-filled, fluid-filled, or solid. It can detect abnormalities up to 5-7 cm deep but not deeper lesions. The technique involves positioning the pleximeter finger firmly on the chest and striking it with the plexor finger to transmit vibrations through the bones. This produces one of five percussion notes that differ in sound qualities and indicate normal lungs or pathologies like fluid or solid tissue in the lungs. Percussion can also be used to locate the diaphragm level and measure its excursion during breathing.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 21

    Respiratory System

    PERCUSSION

    PERCUSSION
    Percussion of the chest sets the chest wall and
    underlying tissues into motion, producing audible
    sound and palpable vibrations.
    Percussion helps you establish whether the
    underlying tissues are air-filled, fluid-filled, or
    solid.
    It penetrates only about 5 cm to 7 cm into the
    chest, however, and therefore will not help you
    to detect deep-seated lesions.

    Anterior Thorax: Sequence of


    Percussion

    Posterior Thorax: Sequence of


    Percussion

    Left and Right Lateral: Percussion


    Sequence

    Techniques for Percussion


    STEP 1
    Hyperextend the middle finger of
    your left hand, known as the
    pleximeter finger.
    Press its distal interphalangeal
    joint firmly on the surface to be
    percussed.
    Avoid surface contact by any
    other part of the hand, because
    this dampens out vibrations.

    Techniques for Percussion


    Step 1
    Position
    your
    right
    forearm quite close to the
    surface, with the hand
    cocked upward.
    The middle finger should
    be
    partially
    flexed,
    relaxed, and poised to
    strike.

    Techniques for Percussion


    Step 2
    With a quick sharp but relaxed
    wrist motion, strike the
    pleximeter finger with the right
    middle finger, or plexor finger.
    Aim at your distal
    interphalangeal joint. You are
    trying to transmit vibrations
    through the bones of this joint
    to the underlying chest wall.

    Techniques for Percussion


    Step 3
    Strike using the tip of the
    plexor finger, not the finger
    pad.
    Your finger should be almost
    at right angles to
    the
    pleximeter.

    A
    short
    fingernail
    is
    recommended to avoid selfinjury.

    Techniques for Percussion


    Step 4
    Withdraw your striking finger quickly to avoid damping
    the vibrations you have created.
    In summary, the movement is at the wrist. It is directed,
    brisk yet relaxed, and a bit bouncy.

    Percussion Notes
    With your plexor or tapping finger, use the lightest
    percussion that produces a clear note.
    A thick chest wall requires heavier percussion than a
    thin one.
    if a louder note is needed, apply more pressure with the
    pleximeter finger
    (this is more effective for increasing percussion note
    volume than tapping harder with the plexor finger).

    Percussion Notes
    When percussing the lower posterior chest, stand
    somewhat to the side rather than directly behind the
    patient.
    This allows you to place your pleximeter finger more
    firmly on the chest and your plexor is more effective,
    making a better percussion note.
    When comparing two areas, use the same percussion
    technique in both areas.
    Percuss or strike twice in each location.
    It is easier to detect differences in percussion notes
    by comparing one area with another than by striking

    Percussion Notes
    Learn to identify five percussion notes.
    These notes differ in their basic qualities of sound:
    intensity, pitch, and duration.
    Train your ear to distinguish these differences by
    concentrating on one quality at a time as you percuss
    first in one location, then in another.
    Normal lungs are resonant.

    Pathologic Examples
    Dullness- fluid or solid tissue replaces air-containing lung or
    occupies the pleural space beneath your percussing fingers.
    Examples include: lobar pneumonia, in which the alveoli are
    filled with fluid and blood cells; and pleural accumulations of
    serous fluid (pleural effusion), blood (hemothorax), pus
    (empyema), fibrous tissue, or tumor.
    Generalized hyperresonance may be heard over the
    hyperinflated lungs of emphysema or asthma, but it is not a
    reliable sign.
    Unilateral hyperresonance suggests a large pneumothorax or
    possibly a large air-filled bulla in the lung.

    Percussion Notes
    Identify the descent of the diaphragms, or diaphragmatic
    excursion.
    First, determine the level of diaphragmatic dullness
    during quiet respiration.
    Holding the pleximeter finger above and parallel to the
    expected level of dullness, percuss downward in
    progressive steps until dullness clearly replaces
    resonance.
    Confirm this level of change by percussion near the
    middle of the hemothorax and also more laterally.

    Percussion Notes
    Note that with this technique you are identifying the
    boundary between the resonant lung tissue and the duller
    structures below the diaphragm.
    You are not percussing the diaphragm itself. You can infer the
    probable location of the diaphragm from the level of dullness.
    Now, estimate the extent of diaphragmatic excursion by
    determining the distance between the level of dullness on full
    expiration and the level of dullness on full inspiration,
    normally about 5 cm or 6 cm.
    This estimate does not correlate well, however, with
    radiologic assessment of diaphragmatic movement.

    Pathologic Example
    An abnormally high
    level suggests pleural
    effusion, or a high
    diaphragm as in
    atelectasis or
    diaphragmatic
    paralysis.
    Level of ics per organ

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