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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 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 ADMINISTRATION OF O2 Match 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 SHOCK MATCHING • • • • • 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