امرأة عمرها ٤٨ سنة عندها توسع القصبات بعد التهابات متكررة في الطفولة، تخرج كمية كبيرة من البلغم الأصفر صباحاً وتكح كثيراً. التشبع ٩٤٪، والحرارة طبيعية. أي تدخل يساعد على إخراج البلغم؟

A 48-year-old woman with bronchiectasis after childhood infections produces large amounts of yellow sputum each morning with frequent cough. SpO2 94%, temperature normal. Which intervention helps clear sputum?

1. Fluid restriction so the sputum dries and lessens
2. Chest physiotherapy with postural drainage
3. Strong cough suppressants at bedtime for better rest
4. Lying on his back all day

Answer: B) Chest physiotherapy with postural drainage. Airway clearance such as postural drainage, active cycle breathing and oscillation devices helps clear sputum, with adequate fluids. Cough suppressants trap secretions. Sessions are best before meals or an hour after.