Respiratory Review PDF

RESPIRATORY REVIEW Inge Luce, MSN/Ed, RN-C, Paramedic  RESPIRATORY ASSESSMENT Review A&P Vocabulary Tailor respiratory complaint history questions to your differential dx list See table with Important Respiratory Assessment Issues Complete your physical exam with careful att...

RESPIRATORY REVIEW Inge Luce, MSN/Ed, RN-C, Paramedic  RESPIRATORY ASSESSMENT Review A&P Vocabulary Tailor respiratory complaint history questions to your differential dx list See table with Important Respiratory Assessment Issues Complete your physical exam with careful attention to changes related to the respiratory system Know landmarks and sounds Consider the impact respiratory issues have on your CBC and ABG Review Laboratory profile  DIAGNOSTIC TESTING Pulse oximetry SpO2: Bronchoscopy Above 91% is usual goal Flexible (bedside) 88-92% is ok for chronic lung Rigid (OR) disease Thoracentesis Less than 86% is considered critical PETco2/ETCO2: Correlates with ABG CO2 KNOW TEACHING, EVALUATION, Pulmonary function tests and ASSESSMENTS Peak flow RECOGNIZE CRITICAL CHANGES  OXYGEN AND TRACHEOSTOMY OXYGEN TRACHEOSTOMY Goals of O2 therapy RN role in tracheostomy Titrate to effect management Lowest concentration, shortest Assessment time Oxygen Review O2 delivery systems p 499 Feeding Dangers of O2 therapy Suctioning Trach (QSEN box) Oxygen toxicity Teach about trach care (QSEN box)  NONINFECTIOUS UPPER RESPIRATORY PROBLEMS FBAO OSA and CPAP Patient education Humidified units Epistaxis Nasal Fx and Facial Trauma Laryngeal trauma Cancers of the upper airways Nose, Sinuses, Head, and Neck  NONINFECTIOUS LOWER RESPIRATORY PROBLEMS Asthma Pulmonary Arterial Hypertension (PAH) Asthma management box PAH and COPD can lead to Cor Pulmonale Pharmacology Right sided heart failure COPD Chest tube management Chronic bronchitis and Emphysema Chest tube drainage system Assessment and management, QSEN box Review Home Care Considerations Emergency complications CF Disconnection Diagnosis Removal Management Clot or tension pneumothorax  INFECTIOUS RESPIRATORY PROBLEMS VIRAL INFECTIONS TUBERCULOSIS Influenza Diagnosis Pandemic viruses Management Vaccines Medications PNEUMONIA RHINOSINUSITIS Prevention Viral Teaching Bacterial  RESPIRATORY EMERGENCIES PULMONARY EMBOLUS ACUTE RESPIRATORY DISTRESS QSEN Box - prevention SYNDROME (ARDS) Causes Presentation Assessment and management Management INTUBATION AND VENTILATION ACUTE RESPIRATORY FAILURE RN role Ventilation Paralytics, Pain management, Oxygenation Sedation Combined Soft wrist restraints Weaning Extubation  CHEST TRAUMA PULMONARY CONTUSIONS PNEUMOTHORAX Impair gas exchange Simple RIB FRACTURES Tension Pain management HEMOTHORAX Monitor for pneumothorax HEMOPNEUMOTHORAX FLAIL CHEST Pain management TENSION PTX Monitor for pneumothorax, Signs and Symptoms respiratory failure Critical rescue - decompression Then chest tube