Unit 10 Patients suffering from some sort of respiratory distress after a postoperative time are entitled to receive Hyperinflation Therapy, or commonly known as Lung Expansion Therapy. Targeting the thoracic region, this therapy involves giving greater volume of oxygen to a patient to prevent atelectasis, which is, collapsed alveoli. Surfactant deals with a big part of hyperinflation therapy because surfactant is what reduces the tension of alveoli and keeps them inflated. If a patient is unable to fill their alveoli with air on their own, surfactant will not be released and cause the alveoli to collapse. In Cystic Fibrosis patients , the mucus creates a blockage in the airways which causes the patient to go into Atelectasis.…
Respiratory acidosis (respiratory failure/ventilator failure) is an acid based disturbance characterized by abnormally high amounts of carbon dioxide gas dissolved in systemic arterial blood, above 45 mmHg (millimeter of mercury) and a deviation of pH away from the normal value of 7.4. The elevation in PCO2 has been never due to an increase in CO2 production. (Angus MD, 2006). Other causes include the presence of excessive carbon dioxide in inspired air (inhaled breath). Decreased alveolar ventilation (exhaled breath).…
At which point, the subject was required to exhale normally over a period of 4-6 seconds to collect measurement for an end tidal volume sample. The degree of discomfort along with the measurements of pO2, pCO2 and saturation of Hb-O2 were recorded. The third exercise asked the subject to hyperventilate until the subject developed light-headedness with the nose clip on their nose before asked to exhale 4-6 seconds over the mouthpiece at the end of a normal expiration. Measurements of pO2, pCO2 and saturation of Hb-O2 were taken and recorded as well as symptoms and degree of light- headedness. For the last exercise, the subject was asked to hyperventilate like in the last exercise before they completed a breath hold after a normal inspiration.…
Most people with ARDS will need the help of a machine to breathe. A mechanical ventilator pushes air into lungs and forces some of the fluid out of the air sacs. It is important to manage the amount of intravenous fluid. Too much fluid may increase the liquid accumulated in the lungs. Too little fluid can lead to shock strain on the heart and other organs.…
The patient was intubated with a size 6 endotracheal tube using a McGrath video laryngoscope. Desflurane 2.5-4.3% was used for anesthesia maintenance, supplemented with muscle relaxation with vecuronium. Monitoring included standard anesthesia monitors, bispectral index (BIS), twitch stimulator, invasive central venous (CVP), and arterial pressure monitoring. Intraoperative transesophageal echocardiography (TEE) was considered and made available at the bedside, although it was not utilized due to its interference with the cranial fluoroscopy imaging. Mechanical ventilation using pressure-controlled ventilation (PCV) mode was used throughout the case with the following parameters: peak airway pressure 15 cmH2O, FiO2 0.4-0.6, fresh gas flow 1-1.5 L/min.…
A patient with lupus may call EMS for different situations. The reasons for the call may vary a lot because lupus can affect any body system. Most call we be for a patient that reports of having chest pain and shortness of breath. When listening to lung sounds there might be a decrease, sometime there might be crackles. Individuals may also have a series of seizure or strokes because blood might not be getting to the brain.…
As vasoconstriction increases due to increased pulmonary vascular resistance hypoxia occurs and eventually respiratory acidosis and is monitored through arterial blood gases (Kuhajda et al., 2014). Upon examination patient appears to be in respiratory distress - gasping for air and tracheal deviation as the lung space has decreased and pressures continue to rise, neck vein distention due to altered cardiac output, cyanosis and agitation set in as time goes on due to hypoxia and the increasing difficulty to breath (Crimlisk, 2010). Palpation reveals subcutaneous emphysema as air is trapped within the tissues. Upon listening to the patients chest there is reduced air entry and percussion reveals hyperresonance (Kuhajda et al., 2014). Generally, air enters the pleural space which shifts the equilibrium causing pressure on the surrounding organs and decreases adequate perfusion and…
This is the case of Giovanni DeBella, a 72 year old, male who was brought to the emergency department with complaints of shortness of breath and feeling of suffocation. He was diagnosed with acute indications of heart failure wherein the heart fails to fill and eject blood necessary for circulation (Brown, Edwards, Seaton, & Buckley, 2015 p.775-776). His presenting signs and symptoms include fatigue, shortness of breath, pitting edema, crackles, tachycardia, tachypnea and oxygen saturation (O2Sat) of 91 per cent. Hence, the two nursing priorities discussed in this paper are impaired gas exchange and fluid volume overload. The management of these health issues include both collaborative and independent interventions which consist the use of…
Flow trigger and sensitivity settings are appropriate as the patient has no trouble taking a breath in. her set tidal volume is set 6.5 ml/kg according to her weight. It’s a high volume being given, the reason could be to maintain her good ventilation.…
Intervention: Using saline solution to determine an estimated location for pneumothorax. Comparison: A standard CT scan with contrast versus using saline solution and vocalization. Outcome results implication: Air leaks were located and fixed using low-cost saline…
This intervention is also suitable as it is a simple non-invasive way to deliver oxygen and is tolerated well by both paediatric and geriatric patients according to Mikalsen, Davis and Øymar (2016 p.93).…
Bree Edwards October 12, 2015 Respiratory Therapy 210 What Does a Respiratory Therapist Do? Respiratory therapists are important health care professionals who provide care for patients with acute and chronic abnormal cardiopulmonary systems. They are educated and trained professionals who focus on providing quality respiratory care to patients. Almost seventy five percent of respiratory therapists work in a hospital setting while the other twenty five percent work in clinics, sleep study research and skilled nursing facilities. The main goal of a respiratory therapist is to deliver appropriate care of a patient by helping treat or identify the problem in order to assist the patient in reversing or helping with their illness or condition.…
1) Explain why a patient is admitted into the Critical Care Unit. People are admitted to the intensive care unit because they require professional respiratory help, patients requiring assistance of at least two organ frameworks, and patients with ceaseless impedance of at least one organ system who additionally require bolster for a serious reversible disappointment of another organ. Early referral is especially vital. On the off chance that referral is deferred until the patient's life is obviously at risk, the odds of full recuperation are imperiled.…
I have chosen the Respiratory Care program to versify my skills, to challenge myself and to help people and save lives. I understand versifying my skills will be both difficult and challenging. For example, in traumatic injuries Respiratory Therapist are needed if the patient has difficulty breathing. The respiratory therapist has to work quickly and precise to help the patient and help the physician to properly treat their patients.…
Sit up and take a deep, deep breath. If all you get is a good dose of fresh air, and you have no problems with your breathing, smile and relax -- you don't need a respiratory therapist. But if you have some trouble because of asthma, emphysema, or pneumonia, or maybe you've recently experienced some type of cardiovascular disorder or trauma, then don't fret – a respiratory therapist may be just what you need. Just what is a respiratory therapist? It is someone who is an expert in respiratory care, someone who can provide much needed therapy to people with respiratory problems, and someone who is simply well-versed in, well, breathing health.…