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OXYGEN. COPD TRIAGE STAT LOC ER CALLING A CODE CVA/TIA Intubation Tracheostomy. Ventilator EPISTAXIS ANOXIA SYNCOPE URTICARIA ERYTHEMA HEMORRHAGE DIAPHORETIC. TERMS. RESPIRATORY. O 2 from environment to tissues via lungs Eliminates CO 2 Diaphragm and ventilation
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COPD TRIAGE STAT LOC ER CALLING A CODE CVA/TIA Intubation Tracheostomy Ventilator EPISTAXIS ANOXIA SYNCOPE URTICARIA ERYTHEMA HEMORRHAGE DIAPHORETIC TERMS
RESPIRATORY • 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 • 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
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 ADMINISTRATION OF O2Match the device with the description
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 • 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 • LOC • GLASGOW COMA SCALE • ICP • PORTABLES
MORE TRAUMA • SPINAL • CHEST • HEMOTHORAX • PNEUMOTHORAX • RIB FRACTURES • Cardiac tamponade • EXTREMITY • WOUNDS AND BURNS
MORE TRAUMA • CVA • TIA • SEIZURES • MAL • PARTIAL • WHAT SHOULD YOU DO? • WHAT SHOULDN’T YOU DO?
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 TYPES OF SHOCKMATCHING
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