This device may be brought to the patient’s bedside to look for signs of lung problems such as infant respiratory distress syndrome and checking for signs of bowel problems. Nasal cannula. This is a small plastic tubes that go into the patients’ nose. Air and oxygen go through the tubes into the patients’ lungs. Nasogastric tube. This is a feeding tube that goes through a patients’ nose, down the esophagus and into the stomach.…
This week in clinical, me and another nursing student were assigned to go and visit the PACU. All patients are admitted to the PACU, Post-anesthesia care unit, following surgery. We visited the PACU in the first week of clinical, so I was familiar with the environment. When I first walked into the PACU it was empty, but the nurse told me just give it a few minutes it is going to get busy. I was assigned to be with a nurse for the day and observe how she takes care of patients after surgery is…
Nitric oxide can be administered by a few different ways. When a patient is on a ventilator, nitric oxide is nebulized on the inspiratory cycle. Nitric oxide can also be given by a facemask or even a nasal cannula. The normal ranges for nitric oxide is 1 – 80 parts per million. High levels of nitric oxide can be very harmful and may even cause death, pulmonary edema or methemoglobinemia. A high concentration would be considered to be between 5,000 and 20,000 ppm. The length of time that…
factor if it doesn’t close shortly after birth. A clinician will notice upon arrival to stabilize the patient that the infant will be tachypneic, retracting (abdominal and/or sternal), have inconsistent respirations, grunting, and might also exhibit nasal flaring. The first test that should be ordered is a chest x-ray. This is the main way that RDS is commonly diagnosed. The chest x-ray will most likely show a reticulogranular arrangement because some respiratory bronchioles are being…
Oxygen is one of the most common used drug in emergency medicine and when it is used judiciously in the treatment of hypoxemia it undoubtedly saves life. However, oxygen is often used inappropriately and the dangers of over-oxygenation are unappreciated. Routine oxygen administration is a medical intervention that can be for a variety of purposes in both chronic and acute patients. A normal air rate is composed of 20.95% oxygen by volume and it is essential for cell metabolism in return tissue…
As most of you know I recently went from being a psychiatric nurse at a youth residential center to a long-term care/ skilled care facility. As a psychiatric nurse of ten years, I was excited about the much-needed change. I was hired in as an assistant nurse manager and received one week of training and I was on my own. I was very anxious, to say the least, my first weekend flying solo, yet I was excited about the challenge. This weekend experience was the first thing that came to my mind for…
IS IT SAFE TO USE OXYGEN AT HOME? How does long- term oxygen therapy work? Long- term oxygen therapy is delivered by an oxygen concentrator in the patient’s home. It is used to stabilise oxygen levels for at least 15 hours per day. An oxygen concentrator is a machine used to deliver oxygen to patient with heart or lung disease which is lowering the oxygen level in their blood. Oxygen is prescribed on a home oxygen order form known as Home Oxygen Order Form and patient will provide consent using…
Life of an RT A Respiratory therapist (RT) has a big role in the clinical setting. They were once called oxygen technicians in the 1940’s, but now they play a bigger part in patient care. Today’s RTs are health care professionals that aim to provide quality and evidence-based respiratory care while ensuring safety, maintaining communication, and keeping record of what goes on with their patients. The RTs must understand the respiratory and cardiovascular system in order to efficiently apply…
altered mental status, excessive coughing, tripod positioning and a decrease in their pulse ox level (Mistovich, 449). Patients who are in respiratory distress will always need oxygen but those who are in early distress are possibly able to use a nasal cannula to slightly increase or maintain an adequate blood oxygen level of 94%. But, for those patients who are in the later stages of respiratory distress or severe hypoxia are going to need to be administered oxygen through a CPAP in order to…
Easy pediatric nasal intubation Abstract: Background: Pediatric anesthesiologists use Magill forceps commonly during nasotracheal intubation but often have difficultly during advancing the nasotracheal tube into the trachea, differences in pediatric airway structure relative to adults are thought to be the reason of this problem. The modified pediatric Magill forceps (modified by Farrukh and his colleagues) added anteroposterior firm grasping of the nasotracheal tube enables us for…