Transcript chapter 13 - Montgomery College

OXYGEN
TERMS
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COPD
TRIAGE
STAT
LOC
ER
CALLING A CODE
CVA/TIA
Intubation
Tracheostomy
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Ventilator
EPISTAXIS
ANOXIA
SYNCOPE
URTICARIA
ERYTHEMA
HEMORRHAGE
DIAPHORETIC
RESPIRATORY
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O2 from environment to tissues via lungs
Eliminates CO2
Diaphragm and ventilation
Visual notation
Tactile notation
Assess during pulse recording
ASSESSMENT OF
RESPIRATION
# of breaths per minute
Depth
Pattern
Respiratory Abnormalities
• TACHYPNEA
• BRADYPNEA
OXYGEN
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6 minutes
Hypoxemia-low concentration of O2
Tissue hypoxia
Drug
Minimum doses
Liters per minute or concentrate
THE RT AND O2
• Do not disconnect or remove
• Move oxygen lines out of field
ADMINISTRATION OF O2
Match the device with the description
• Nasal cannula (low)
• High flow (Non-rebreathing
mask)
• Partial rebreathing
• Venturi
• Tents
• Pulse oximeter
• Provides 100% oxygen.
Prevents exhaled gas from
being breathed. Reservoir bag
attached
• Monitor patient’s oxygen
saturation.
• 40-70% oxygen provided
• High flow mask that provides
controlled oxygen concentraion
24-60%
• Longer term administration
which provides 4 liters per
minute (L/min)
• Used frequently in pediatrics.
Provides high concentration of
humidity and oxygen
OXYGEN (WALL AND
PORTABLE)
• PORTABLE-2 VALVES: ONE ADJUSTS
FLOW RATE. THE OTHER INDICATES
DELIVERY RATE. BOTH MUST BE ON
• PAGE 267 FOR TRANSFER FROM
WALL TO PORTABLE
• COPD? RECEIVE O2 AT LOWER
RATE.WHY?
MORE O2 facts
• One valve-controls pressure and indicates
how full cylinder is
• One valve indicates rate of 0xygen in liters
to patient
Tracheostomy
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Artificial opening in the trachea
Mechanical ventilation
Ambu bag?
Remember what a pulse oximeter does?
VENTILATORS
• ARTIFICIAL AIRWAY
• PATIENT’S HEAD PLACEMENT IS
CRITICAL
• ALARMS…WHAT TO DO
SUCTION
• ASSISTANT ROLE
• PG 268
TYPES OF TRAUMA
• ABDOMINAL THRUST AND CARDIAC
ARREST-CPR
• ASTHMA
• HEART ATTACK
• ANGINA PECTORIS
HEAD INJURIES
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LOC
GLASGOW COMA SCALE
ICP
PORTABLES
MORE TRAUMA
• SPINAL
• CHEST
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HEMOTHORAX
PNEUMOTHORAX
RIB FRACTURES
Cardiac tamponade
• EXTREMITY
• WOUNDS AND BURNS
MORE TRAUMA
• CVA
• TIA
• SEIZURES
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MAL
PARTIAL
WHAT SHOULD YOU DO?
WHAT SHOULDN’T YOU DO?
TYPES OF SHOCK
MATCHING
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ANALPHYLAXIS
CARDIOGENIC
HYPOVOLEMIC
NEUROGENIC
SEPTIC
• FAILURE OF
ARTERIAL
RESISTANCE DUE TO
NERVOUS SYSTEM
INJURY
• CAUSED BY MASSIVE
INFECTION
• RESULTS FROM
CARDIA FAILURE
• ALLERGY ENDUCED
• LOSS OF LARGE
AMOUNTS OF BLOOD
SHOCK
PAGE 278
MEDICAL EMERGENCIES
• Contrast Reactions
– Mild symptoms
– Intermediate
• Vasovagal
– severe
• Diabetic Emergencies
– Diabetes Insipidus
– Diabetes Melleitus
EMERGENCY
• CVA
• SEIZURES
• VERTIGO AND ORTHOSTATIC
HYPOTENSION
• NAUSEA AND VOMITING