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Comprehensive Respiratory Assessment Training for Adult Care Providers

Enhance your skills in respiratory assessment through this module covering evaluation techniques, capnography benefits, and practical interventions. Learn to interpret lung sounds and waveform capnography readings, and justify diagnoses based on patient signs and symptoms.

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Comprehensive Respiratory Assessment Training for Adult Care Providers

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  1. MODULE III 2016 ECRN CE: Respiratory assessment (Adult), capnography IDPH Site Code: 107200E-1216 Teresa Ehrhardt BSN, RN, TNS

  2. Objectives Upon successful completion of this module, the ECRN provider will be able to: • Discuss the steps necessary to perform an assessment of the patient’s respiratory system. • Interpret lung sounds when presented with a variety of audible recordings. • Choose the appropriate Region X SOP intervention based on scenario presentation of respiratory complaint. • Review the benefits of capnography and how it is used in the field. • Justify a diagnosis based on the waveform capnography reading and patient signs and symptoms. • Successfully complete the post quiz with a score of 80% or better.

  3. Respiratory A & P

  4. Upper Airway

  5. Lower Airway

  6. Gas Exchange

  7. Respiratory Assessment in the Adult • RESPIRATORY ASSESSMENT CONSISTS OF 3 PARAMETERS • Respiratory Rate • Respiratory Effort • Quality of Respiration Assessed by • Inspection (Visualization) • Palpation (Feel) • Percussion (Tap) • Auscultation (LISTEN)

  8. Inspection • Form your general impression (LOOK!) • Chest • Is it uniform? • Is the chest wall movement symmetrical? • Is the A-P diameter large? • Is there any sign of trauma?

  9. Palpation • Feel for abnormalities • Feel for tenderness • Feel for loose segments • Feel for crepitus • Feel for vibrations (fremitus)

  10. Percussion • Determine if underlying tissues are air filled, fluid filled, or solid • Determine the position of the diaphragm • Note if percussion is different on one side

  11. Auscultation • Listen to the chest • Evaluate sounds heard • Differentiate between vesicular and adventitious breath sounds

  12. Let’s Listen Common Lung Sounds

  13. Putting it all together • Video

  14. Capnography • Understand M-V-P • Metabolism • Ventilation • Perfusion

  15. Capnography Why Capnography???

  16. Capnography Waveforms

  17. Respiratory Emergencies Airway Obstruction, Pulmonary Edema, COPD, Asthma

  18. Upper Airway obstruction • Tongue • Foreign body • Trauma • Burns • Allergic reaction

  19. Pulmonary Edema • Cardiogenic pulmonary edema • Non-cardiogenic pulmonary edema • Causes • Presentation • Tests and studies • Treatment Video

  20. COPD • Chronic Obstructive Pulmonary Disease • Symptoms • Causes • Risk Factors • Complications • Treatment

  21. Asthma • Symptoms • Causes • Risk Factors • Complications • Treatment

  22. References • https://acls-algorithms.com/waveform-capnography/ • http://what-when-how.com/wp-content/uploads/2012/04/tmp2A92_thumb221.jpg • https://vanessajunkin.files.wordpress.com/2013/06/waveform.jpg • http://www.mayoclinic.org/diseases-conditions • Bledsoe, Porter, Cherry. Paramedic Care Principles & Practice 4th Ed. Brady. 2013.

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