Respiratory Patient Flashcards
What must be included in the assessment stage?
-respiratory rate
(effort and noise)
-oxygenation
(MM colour, pulse oximetry, radiograph, ultrasound)
What are the aims of respiratory therapy?
-increase oxygen saturation of the blood and tissues
-decrease respiratory effort
-minimise stress
-maintain temperature
-minimise handling
-coupage and nebulisation
What are methods of providing oxygen therapy?
-flow by oxygen
-mask
-nasal prongs
-nasal cannulae
-oxygen cage
-oxygen tent
-incubator
-intubation or ventilator
What are advantages and disadvantages of using flow by?
-well tolerated
-cheap
-delivers low concentration of oxygen
What are advantages and disadvantages of using masks?
-cheap
-no skills required
-not well tolerated
-delivers low concentration of oxygen
What are advantages and disadvantages of using nasal prongs?
-cheap
-not well tolerated
-cannot be used for cats or brachys
-easily removed by patients
What are advantages and disadvantages of using nasal catheter?
-cheap
-can cause irritation
-sedation can be required for placement
What are advantages and disadvantages of using oxygen cage?
-cheap
-can be used in any practice
-can cause hyperthermia
-can cause co2 build up
What are advantages and disadvantages of using oxygen collar?
-cheap
-used in any practice
-can cause build up of co2
What are advantages and disadvantages of using incubation?
-high % of oxygen delivery
-temp control
-expensive
-usually only seen in hospitals
What are advantages and disadvantages of using intubation?
-100% oxygen delivery
-short term fix
-anaesthetic required
What are potential problems for these patients?
-decreased o2 saturation to vital tissues
-increased dyspnoea
-keep patient in sternal/lateral recumbency
-drying of nasal mucous
-oxygen toxicity
How to evaluate these patients?
-maintain blood oxygen levels above 90%
-maintain normal MM colour
-decrease resp rate and effort
-monitor frequently
