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The controlled cough technique is applied for the purpose of clearing the airways, helping the patient expel sputum as well as respiratory foreign bodies, thereby relieving symptoms of fatigue, shortness of breath,...1. What is a cough? The purpose of applying the controlled cough technique
1.1 What is a cough?
Cough (can be dry cough or cough with phlegm) is a reflex of the body to expel secretions, foreign bodies, microorganisms in the respiratory tract. Therefore, coughing can be considered as a mechanism to help protect the respiratory apparatus. Cough can be an immediate reflex or a warning symptom of many different diseases.
Cough occurs when cells along the airways become irritated, causing the lungs to push air out with high pressure and speed. Depending on the duration, the cough can be acute, subacute, or chronic. Some of the symptoms that often accompany a cough include: Fever, chills, sore throat, body aches, headache, nausea and vomiting, runny nose, sweating, postnasal drip,...
There are many causes of lung irritation, leading to coughs such as: Viruses (viruses that cause colds or flu), allergies and asthma, irritants (strong-smelling perfumes, cigarettes, cold air) ) or pneumonia , depression , sleep apnea , side effects of certain medications,...
1.2 Why should the controlled cough technique be performed?
Coughs are often prolonged, can make the patient tired, difficult to breathe. Even a cough can sometimes be very dangerous if left unchecked. And to replace common coughs that can cause fatigue and shortness of breath, doctors have instructed patients to use controlled coughing techniques.
Controlled cough is a cough movement that helps expel sputum, clears the airways, and helps the patient not to be tired or short of breath. The purpose of controlled coughing is not to avoid coughing, but to use coughing movements to clear the airways, helping to improve uncomfortable symptoms for the patient.
2. Technical instructions for controlled coughing
Controlled cough is indicated for patients who have a lot of sputum, obstruct the breathing process or have difficulty in spitting up sputum. The steps are as follows:
The patient sits on the bed or chair, the feet touch the ground, the body leans slightly forward and relaxes; Breathe deeply with the diaphragm for 3-4 times; Cross your arms in front of your stomach, inhale slowly, deeply through your nose, hold your breath for 3 seconds; To exhale, the patient leans forward, hands pressed to the abdomen. Next, the patient coughs strongly twice, mouth slightly open. The first cough to loosen phlegm and the next time to push the phlegm out; Inhale slowly, gently through the nose. This movement is intended to prevent sputum from moving back into the respiratory tract; Rest for a few minutes, repeat the steps above if needed.
Some notes when performing controlled cough technique:
Sputum into a vial for testing or spit into a tissue, then throw it in the trash to avoid infecting others; When there is a feeling of wanting to cough, the patient should not hold back the cough, but should perform a controlled cough technique to expel the sputum; Depending on cough strength as well as technical proficiency, some people can push out sputum in the first 2 times or people have to repeat it a few times to spit up sputum; Patients with weak cough force can perform the forceful exhalation technique instead. The controlled cough technique is easy to perform, but it is quite effective in alleviating the symptoms of cough patients. Therefore, the patient should follow the above technical procedure to clear the airway, reduce fatigue, and have difficulty breathing when coughing with sputum.
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