Upload File

airway management respiration adequate breathing adequate breathing inadequate breathing inadequate...

  • Home
  • Documents
  • AIRWAY MANAGEMENT Respiration Adequate Breathing Adequate Breathing Inadequate Breathing Inadequate Breathing Patient Assessment Patient Assessment Techniques
24

Upload: ella-mccarthy

Post on 27-Mar-2015

262 views

Category:

Documents


3 download

Report

Tags:

TRANSCRIPT

Page 1: AIRWAY MANAGEMENT Respiration Adequate Breathing Adequate Breathing Inadequate Breathing Inadequate Breathing Patient Assessment Patient Assessment Techniques
Page 2: AIRWAY MANAGEMENT Respiration Adequate Breathing Adequate Breathing Inadequate Breathing Inadequate Breathing Patient Assessment Patient Assessment Techniques

AIRWAY AIRWAY MANAGEMENTMANAGEMENT

Page 3: AIRWAY MANAGEMENT Respiration Adequate Breathing Adequate Breathing Inadequate Breathing Inadequate Breathing Patient Assessment Patient Assessment Techniques

RespirationRespiration Adequate BreathingAdequate Breathing Inadequate BreathingInadequate Breathing Patient AssessmentPatient AssessmentTechniques of Artificial VentilationTechniques of Artificial VentilationMouth to MaskMouth to MaskBVMBVM Airway AdjunctsAirway AdjunctsOP OP NPNP SuctioningSuctioning Oxygen TherapyOxygen TherapyOxygen AdministrationOxygen AdministrationHypoxiaHypoxiaOxygen Therapy EquipmentOxygen Therapy EquipmentSpecial ConsiderationsSpecial Considerations

Page 4: AIRWAY MANAGEMENT Respiration Adequate Breathing Adequate Breathing Inadequate Breathing Inadequate Breathing Patient Assessment Patient Assessment Techniques

Nose/mouth – pharynx/oropharynx – Nose/mouth – pharynx/oropharynx – Larynx – Trachea – Bronchi – Larynx – Trachea – Bronchi – Bronchioles – Lungs- AlveoliBronchioles – Lungs- Alveoli

Page 5: AIRWAY MANAGEMENT Respiration Adequate Breathing Adequate Breathing Inadequate Breathing Inadequate Breathing Patient Assessment Patient Assessment Techniques

The intercostal muscles and the diaphragm The intercostal muscles and the diaphragm contract, increasing the size of the contract, increasing the size of the thoracic cavity. The diaphragm moves thoracic cavity. The diaphragm moves slightly downward, the ribs move slightly downward, the ribs move upward/outward and air flows into the upward/outward and air flows into the lungslungs

InhalationInhalation

Exhalation is the reverseExhalation is the reverse

ALL IS NORMAL BASED ON………ALL IS NORMAL BASED ON………

Page 6: AIRWAY MANAGEMENT Respiration Adequate Breathing Adequate Breathing Inadequate Breathing Inadequate Breathing Patient Assessment Patient Assessment Techniques

RateRate RhythmRhythm QualityQuality DepthDepth

12-2012-20 regularregular breath breath adequateadequate

soundssounds

Skin is warm/pink/drySkin is warm/pink/dry

Page 7: AIRWAY MANAGEMENT Respiration Adequate Breathing Adequate Breathing Inadequate Breathing Inadequate Breathing Patient Assessment Patient Assessment Techniques

Minute VolumeMinute Volume The amount of air move through the The amount of air move through the

lungs in one minutelungs in one minute The higher the Minute Volume the The higher the Minute Volume the

more CO2 is being releasedmore CO2 is being released And the opposite is trueAnd the opposite is true

Page 8: AIRWAY MANAGEMENT Respiration Adequate Breathing Adequate Breathing Inadequate Breathing Inadequate Breathing Patient Assessment Patient Assessment Techniques

Normal Minute VolumeNormal Minute Volume

12bpm x 500 mL – 150 mL/bpm dead 12bpm x 500 mL – 150 mL/bpm dead space=space=

4200mL/minute4200mL/minute

Dead space is air that does not take Dead space is air that does not take part in gas exchangepart in gas exchange

Page 9: AIRWAY MANAGEMENT Respiration Adequate Breathing Adequate Breathing Inadequate Breathing Inadequate Breathing Patient Assessment Patient Assessment Techniques

INADEQUATE BREATHINGINADEQUATE BREATHING Respiratory DistressRespiratory Distress Respiratory FailureRespiratory Failure Respiratory ArrestRespiratory Arrest

Page 10: AIRWAY MANAGEMENT Respiration Adequate Breathing Adequate Breathing Inadequate Breathing Inadequate Breathing Patient Assessment Patient Assessment Techniques

Inadequate Breathing DefinedInadequate Breathing Defined

Depth of breathing and rate fall Depth of breathing and rate fall outside normal limitsoutside normal limits

Page 11: AIRWAY MANAGEMENT Respiration Adequate Breathing Adequate Breathing Inadequate Breathing Inadequate Breathing Patient Assessment Patient Assessment Techniques

Signs of Inadequate BreathingSigns of Inadequate Breathing Rate, rhythm, qualityRate, rhythm, quality Skin colorSkin color

CyanosisCyanosis Use of Accessory MusclesUse of Accessory Muscles Abnormal soundsAbnormal sounds

Rales, Ronchi, Stridor, WheezesRales, Ronchi, Stridor, Wheezes

Page 12: AIRWAY MANAGEMENT Respiration Adequate Breathing Adequate Breathing Inadequate Breathing Inadequate Breathing Patient Assessment Patient Assessment Techniques

Considerations for Infants/ChildrenConsiderations for Infants/Children RetractionsRetractions

Above the clavicles and between Above the clavicles and between & below & below the ribsthe ribs

Nasal FlaringNasal Flaring

Page 13: AIRWAY MANAGEMENT Respiration Adequate Breathing Adequate Breathing Inadequate Breathing Inadequate Breathing Patient Assessment Patient Assessment Techniques

Respiratory DistressRespiratory Distress Increased work of breathingIncreased work of breathing Sensation of shortness of breathSensation of shortness of breath

Page 14: AIRWAY MANAGEMENT Respiration Adequate Breathing Adequate Breathing Inadequate Breathing Inadequate Breathing Patient Assessment Patient Assessment Techniques

Respiratory FailureRespiratory Failure The reduction of breathing to the The reduction of breathing to the

point where oxygen intake is not point where oxygen intake is not sufficient to support lifesufficient to support life

Page 15: AIRWAY MANAGEMENT Respiration Adequate Breathing Adequate Breathing Inadequate Breathing Inadequate Breathing Patient Assessment Patient Assessment Techniques

Respiratory ArrestRespiratory Arrest

Page 16: AIRWAY MANAGEMENT Respiration Adequate Breathing Adequate Breathing Inadequate Breathing Inadequate Breathing Patient Assessment Patient Assessment Techniques

Patient AssessmentPatient Assessment

RateRate Rhythm Rhythm QualityQuality

12-2012-20 RegularRegular Depth Depth (minute volume)(minute volume)

NoneNone

Too FastToo Fast

Too SlowToo Slow

Page 17: AIRWAY MANAGEMENT Respiration Adequate Breathing Adequate Breathing Inadequate Breathing Inadequate Breathing Patient Assessment Patient Assessment Techniques

Airway management:Airway management: UnconsciousUnconscious

Open AirwayOpen AirwayAirway AdjunctAirway AdjunctBreatheBreathe

Mouth to Mask with O2Mouth to Mask with O2BVM with O2BVM with O2

Airway adjunctAirway adjunctAirwayAirwaySuctionSuction

Page 18: AIRWAY MANAGEMENT Respiration Adequate Breathing Adequate Breathing Inadequate Breathing Inadequate Breathing Patient Assessment Patient Assessment Techniques

Airway AdjunctsAirway Adjuncts

Op airwayOp airway

Np airwayNp airway

Page 19: AIRWAY MANAGEMENT Respiration Adequate Breathing Adequate Breathing Inadequate Breathing Inadequate Breathing Patient Assessment Patient Assessment Techniques

Airway devicesAirway devices

Combi TubeCombi Tube

King AirwayKing Airway

Page 20: AIRWAY MANAGEMENT Respiration Adequate Breathing Adequate Breathing Inadequate Breathing Inadequate Breathing Patient Assessment Patient Assessment Techniques

SuctioningSuctioning

Page 21: AIRWAY MANAGEMENT Respiration Adequate Breathing Adequate Breathing Inadequate Breathing Inadequate Breathing Patient Assessment Patient Assessment Techniques

ConsciousConscious

Oxygen TherapyOxygen Therapy

Nasal CanulaeNasal Canulae

Non-RebreatherNon-Rebreather

Page 22: AIRWAY MANAGEMENT Respiration Adequate Breathing Adequate Breathing Inadequate Breathing Inadequate Breathing Patient Assessment Patient Assessment Techniques

Oxygen Therapy (administration)Oxygen Therapy (administration)Examples requiring O2 administration:Examples requiring O2 administration: Respiratory or cardiac arrestRespiratory or cardiac arrest Heart attack Heart attack StrokeStroke ShockShock Blood lossBlood loss Lung diseaseLung disease Broken bonesBroken bones Head injuriesHead injuries

Page 23: AIRWAY MANAGEMENT Respiration Adequate Breathing Adequate Breathing Inadequate Breathing Inadequate Breathing Patient Assessment Patient Assessment Techniques

HypoxiaHypoxia An insufficiency of oxygen to the An insufficiency of oxygen to the

body’s tissuesbody’s tissues Smoke InhalationSmoke Inhalation

EmphysemaEmphysema

StokeStoke

Heart AttackHeart Attack

Page 24: AIRWAY MANAGEMENT Respiration Adequate Breathing Adequate Breathing Inadequate Breathing Inadequate Breathing Patient Assessment Patient Assessment Techniques

CyanosisCyanosis AMS AMS

Brain is deprived of oxygenBrain is deprived of oxygen

RestlessnessRestlessness


“I Need to Cough”: Ways to Keep Your Airways Clear€¢ Weakened cough Usually adequate when well. Problems develop with infections. Can lead to (recurrent) ... • Inadequate

Breathing Design Breathing Space

Adequate and Inadequate Ideas in Spinoza · Bennett correctly notes that Spinoza’s definition of an adequate idea at 2d4 is unhelpful despite the fact that the notion of adequacy

Anemia Inadequate number of red blood cells, hemoglobin or both. Signs/Symptoms: Fatigue, dyspnea (difficulty breathing), rapid heart rate

Reproductive Health BioMed Central · of the study (adequate versus inadequate), scope of study (national versus sub-national), source (journal versus non-journal) and language of

Mitchell Park Horticultural Conservatory Future Path …...The Domes do not have adequate event space, educational space, presentation space, and equipment. The inadequate The inadequate

Ventilator/Respirator - Fundamentals and Design · Layout design ... Mechanical ventilation is designed to maintain an adequate exchange of gases, even through diminished breathing

Self-Sufficiency Matrix Guidance - MemberClicks · Employed full time; inadequate pay; few or no benefits. Employed full time with adequate pay and benefits. Maintains permanent employment

TES - Home | Ministry of Finance | Ghana...1.2.5 Enhance quality of teaching and learning 1.2.6 Ensure adequate supply of teaching and learning materials Inadequate funding source

WHAT REALLY HAPPENS IN AN NIH STUDY REVIEW · 15 • Evaluate risks as acceptable or unacceptable • Evaluate protections as adequate or inadequate • Items for evaluation • Risk

ACLS Provider Manual Supplementary Material · Are seriously ill, responsive, spontaneously breathing, have adequate tidal volume, and require high oxygen concentrations • May avoid

SAFETY DATA SHEET ALUPREM - aluminum trihydrate · ALUPREM - aluminum trihydrate Precautionary Statements P261 Avoid breathing dust. P285 In case of inadequate ventilation wear respiratory

Burden of Disease Rden of Disease h Inadequate Housing Adequate Housing - Unknown - Region

Podiatric Practice Templates - WordPress.com · Removal of Painful Internal Fixation ... Figure 9 – Pinpoint laser producer ... [Inadequate, Adequate] fat padding to the inferior

Bridging the Climate Information and Communication Gaps …...±poor season (inadequate rainfall) ±good season (adequate rainfall), Other information needs ±onset of season which

Adequate or Inadequate - IFTA, Inc. or Inadequate.pdfInadequate Evaluation The carrier received an inadequate distance rating and an inadequate fuel rating because… No distance records

Realising Children’s Rights to Adequate Nutrition through ......REALISING CHILDREN’S RIGHTS TO ADEQUATE NUTRITION THROUGH NATIONAL LEGISLATIVE REFORM Inadequate nutrition early

Edited by: Fareed Halteh - JU Medicine...Deep breathing exercises o Patients with inadequate pulmonary toilet can develop fever, hypoxemia, pneumonia, and atelactasis - G tachycardia

Breathing and breathing exercise

CHAPTER 9 - United States Navy · Web view OSHA Respirator Standard, requires procedures to ensure adequate quality, quantity, and flow of breathing air for atmosphere

Operational Reach: Is Current Army Doctrine Adequate? · The research revealed that current Army doctrine on operational reach is inadequate. One of the characteristics of sound doctrine

challenges affecting LAC assessment projects · PDF fileInter-rater Reliability 2 Adequate levels ensure ‣accuracy ‣ consistency in the assessment. Purposes Inadequate levels indicate

The Right to Adequate Housing Case Study: El Alto, Bolivia · The Right to Adequate Housing Case Study: ... Yet the vast majority of people ‘living’ in these cities live in inadequate

The Standard · responsible for a violation due to inadequate supervision. On the basis of adequate evidence, and considering the seriousness of the acts or omissions, disciplinary

DOCDM-166486 CITES biennial report 20056Attached is the biennial report for New Zealand for 2005/2006 in the format distributed with ... Item Adequate Partially Inadequate ... With

Epistaxis - Resus · PDF fileActive Epistaxis Airway safe? Breathing not compromised? Circulation adequate? Conservative management measures; Spray with oxymetalozine Nasal compression

Weight ofEvidence Cheat Sheet - · PDF fileWeight ofEvidence Cheat Sheet 1. Data Quality (QAPP) -Whether data is considered adequate or inadequate? Was there a QAPP associated with

Rescue Breathing for Laryngectomees and other Neck Breathers · Laryngectomees and other neck breathers are at great risk of getting inadequate acute care when they experience breathing

NEWBORN Lecture 12. Care of Newborn in Delivery Room: Adequate breathing pattern established Mouth suctioned 1 st Nurse wraps infant in warm blanket &

23: Shock Shock State of collapse and failure of the cardiovascular system Leads to inadequate circulation Without adequate blood flow, cells cannot

Criteria for considering Domestic Homicide Review reports · 2 Criteria Adequate Inadequate Timescales Decisions and notifications are made in line with the timescales stipulated

Food Workers’ Perspectives on Handwashing … · adequate hand hygiene at food prepara- ... and 5,000 deaths are caused in the ... personal hygiene, including inadequate

Basics of Mechanical Ventilation. Objectives To understand: How positive pressure ventilation helps Reduce the work of breathing Restore adequate gas

Treatment-resistant Depression€¦ · research. From a clinical point of view, TRD usually refers to an inadequate response to at least one antidepressant trial of adequate dose

Common Law: A court will not grant equitable relief if P has an adequate remedy at law (i.e., unless P’s injury is irreparable). An inadequate remedy