How to Tap the Back for Chest Congestion
Chest congestion causes you to feel miserable during a respiratory infection and also increases your risks of developing further bacterial infections in the lungs and bronchial tubes. Tapping the back to clear chest congestion is called chest physical therapy and can assist in loosening mucus so that your body can expel it through coughing 12.
If you are experiencing serious medical symptoms, seek emergency treatment immediately.
How to Tap the Back for Chest Congestion
Have your patient sit in a chair with no back on it. Have them lean forward slightly and lower their head.
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Place a thin towel over their back. Never tap the back for chest congestion on bare skin as this can cause skin irritation which may lead to pressure sores.
Cup your hands as if you are going to be drinking water from them. Lightly begin tapping the patient's back over their rib cages directly over the lungs. You should continue tapping for 3 to 5 minutes to effectively loosen chest congestion.
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Have the patient cough any secretions into a small wastebasket. Observe the secretions for color, consistency, odor and blood. This will be vital information for the physician to acknowledge.
Repeat the procedure at least every eight hours or as ordered by the physician.
Tips
After tapping on the chest for percussion, have your patient remain sitting to assist the lungs in draining the mucus. Use pillows to prop their head up if they can not remain sitting for prolonged periods of time.
Warnings
Never tap over the kidneys as this can cause them to begin bleeding internally. Additionally, never tap over the sternum, breasts or spine as this can cause organ injury. Do not tap hard. Tapping pressure should be as light as you would use to burp a baby after a meal.
- Have your patient sit in a chair with no back on it.
- Lightly begin tapping the patient's back over their rib cages directly over the lungs.
Related Articles
References
- UW Health: Chest Physical Therapy
- Merck: Chest Physical Therapy
- American Academy of Family Physicians. When a "chest cold" is something more. Updated April 5, 2019.
- Frey A, Lunding LP, Ehlers JC, Weckmann M, Zissler UM, Wegmann M. More Than Just a Barrier: The Immune Functions of the Airway Epithelium in Asthma Pathogenesis. Front Immunol. 2020;11:761. Published 2020 Apr 28. doi:10.3389/fimmu.2020.00761
- Egan M, Bunyavanich S. Allergic rhinitis: the “ghost diagnosis” in patients with asthma. Asthma Research and Practice. 2015;1(1). doi:10.1186/s40733-015-0008-0
- Talwar D, Bendre S. Health-Related Effects of Home Nebulization With Glycopyrronium on Difficult-to-Treat Asthma: Post-Hoc Analyses of an Observational Study. Interact J Med Res. 2020;9(2):e17863. Published 2020 Apr 29. doi:10.2196/17863
- Ehre C, Rushton ZL, Wang B, et al. An Improved Inhaled Mucolytic to Treat Airway Muco-obstructive Diseases. Am J Respir Crit Care Med. 2019;199(2):171-180. doi:10.1164/rccm.201802-0245OC
- Linssen RSN, Ma J, Bem RA, Rubin BK. Rational use of mucoactive medications to treat pediatric airway disease. Paediatr Respir Rev. 2020 Jun 16. doi: 10.1016/j.prrv.2020.06.007
- Bose S, Jun J, Diette GB. High-frequency chest wall oscillation successful in controlling refractory asthma. J Asthma. 2013;50(2):219-221. doi:10.3109/02770903.2012.757773
Tips
- After tapping on the chest for percussion, have your patient remain sitting to assist the lungs in draining the mucus. Use pillows to prop their head up if they can not remain sitting for prolonged periods of time.
Warnings
- Never tap over the kidneys as this can cause them to begin bleeding internally. Additionally, never tap over the sternum, breasts or spine as this can cause organ injury. Do not tap hard. Tapping pressure should be as light as you would use to burp a baby after a meal.
Writer Bio
Iva Gutowski is a practicing nurse with health care experience since 2001. She has worked in the hospital setting on medical/surgical floors and critical care units. She has been a writer since 1999. Her experience includes articles for "The Asheville Citizen-Times," "The McDowell News," and "The Old Fort News." Gutowski holds a License Practical Nursing degree from McDowell Technical Community College