OXYGEN

TERMS

• COPD• TRIAGE• STAT• LOC• ER• CALLING A CODE• CVA/TIA• Intubation• Tracheostomy

• Ventilator• EPISTAXIS• ANOXIA• SYNCOPE• URTICARIA• ERYTHEMA• HEMORRHAGE• DIAPHORETIC

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 DepthPattern

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

ADMINISTRATION OF O2Match 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

• 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?

TYPES OF SHOCKMATCHING

• 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