LECTURE 4 COUGHING. The normal cough pump may be reflexive or voluntary. When a person coughs, a series of actions occur:- 1-deep inspiration occurs. 2-glottis closes and vocal cords tighten.
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The normal cough pump may be reflexive or voluntary. When a person coughs, a series of actions occur:-
1-deep inspiration occurs.
2-glottis closes and vocal cords tighten.
3-abdominal muscles contract and diaphragm elevates, causing an increase in intra thorasic and intra_ abdominal pressures.
5-explosive expiration of air occurs.
Ciliated epithelial cells are present up to the terminal bronchiole and raise secretions from the smaller to the larger airways in the absence of pathology.
An effective cough is necessary to eliminate respiratory obstructions and keep the lungs clear.
Airway clearance is an important part of management of patients with acute or chronic respiratory conditions.
Decreased inispiratory capacity because of pain: -
As in case of acute lung diseases, rib fractures, trauma to the chest and recent thoracic or abdominal surgery.
-Specific muscles weakness that affects the diaphragm or accessory muscles of inspiration as:
In cases of high spinal cord injuries and anterior horn cell diseases .
-Spinal cord injury above T ˡ².
-Myopathic diseases and weakness such as muscular dystrophy.
-Critical illness causes excessive fatigue.
-Chest wall or abdominal incisions.
-Decreased action of cilia in the bronchial tree secondary to: -
-General Anesthesia and intubations.
-C O L D.
-Pulmonary infections such as pneumonia.
Teaching an effective cough.-
Additional means of facilitating a cough.-