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MODULE III 2016 ECRN CE: Respiratory assessment (Adult), capnography

MODULE III 2016 ECRN CE: Respiratory assessment (Adult), capnography. IDPH Site Code: 107200E-1216 Teresa Ehrhardt BSN, RN, TNS. Objectives. Upon successful completion of this module, the ECRN provider will be able to:

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MODULE III 2016 ECRN CE: Respiratory assessment (Adult), capnography

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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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