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.
Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.
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.
Under normal condition, the cough pump is effective to the 7ͭ ͪͭͪ generation of bronchi. (There are total of 23 generation of bronchi in the tracheobroncial tree).
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.
Factors that decrease the effectiveness of 7ͭ ͪͭͪ generation of bronchi. (There are total of 23 generation of bronchi in the tracheobroncial tree).the coughmechanism and cough pump:
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.-