CPR Case Study

PCO2 decreased during rapid breathing because more CO2 was removed from the blood than normal. Each breath expels a certain amount of CO2. If the breathing rate increases, then more CO2 is expelled.

-Use of indiscriminate sedatives, benzos, and opioid’s, especially in post-op patient who retains Co2, may suppress the ventilator drive and lead to respiratory failure

Once you have provided two rescue breathes, you should check the victim for a pulse. To check the pulse, you should use two fingers, not your thumb, on the carotid artery on the side closet to you. The carotid artery is located right beside the throat and at times is difficult to feel. You should check for a pulse at least five seconds but no longer than ten. If pulse is present, simply provide rescue breathing every six to eight seconds. Remember that you do not want to hyperventilate the victim. If there is no pulse present, you should then begin compressions.

Both rapid, shallow breathing patterns and hypoventilation effect gas exchange. Arterial blood gases will be monitored and changes discussed with provider. Alteration in PaCO2 and PaO2 levels are signs of respiratory failure. Patient’s body position will be properly aligned for optimum respiratory excursion, this promotes lung expansion and improved air exchange. Patient will be suctioned as needed to clear secretions and maintain patent airways. The expected outcome is that the patient’s airway and gas exchange will be maintained as evidence by normal arterial blood gases (Herdman,

Patients had to measure their IC by using an incentive spirometer to measure static lung values. They performed this test for 20 minutes after inhaling 400 mg of salbutamol via a nebulizer. The patients were asked to use the FVC spirometer and told to take a deep breath and then to let the breath out passively. They were then asked to do the same maneuver 2 more times, but the closeness made the study choose the first attempt.

interrupted and so the number of rotations can be measured. The frequency of rotations depends on the flow of air so a flow signal can be generated.

Capnography provides a quantitative reading and a graphic waveform that measures the patient’s exhaled carbon dioxide (CO2). The byproduct of metabolism in the human body is carbon dioxide; it is diffused into the blood and transported to the lungs. The alveoli in the lungs eliminate it from the body. This process provides the healthcare provider with valuable information on the health status of the individual. Capnography provides quick and accurate information on the ventilator, circulatory and metabolic function of the patient in real-time (Brandt, 2010).

Respiratory therapy refers to both a subject area within clinical medicine and to a distinct health care profession. During the 20th century, there were many health care fundamental transformations. Here are 10 possible predictions of what may occur in the future of respiratory care: (1) Less focus on raising PaO2 as a primary goal in managing patients with acute hypoxemic respiratory failure. (2) More attention to

➢ The patient may have no respiratory problems, but may still have inhaled carbon monoxide.

Managing complex ventilator patients require critical thinking to solve problems pertaining to ventilator issues. Even though I am a certified ventilator paramedic, ventilator management is managed an respiratory therapist. Having the ventilator certification was useful in which I was able to apply my knowledge to

The determination of the potential for cardiac arrest is readily apparent in some patients. Patients with the greatest potential for cardiac arrest require close scrutiny for the signs and symptoms of respiratory and hemodynamic instability. This investigation will attempt to determine the best methods of administering high quality chest compressions in CPR. The PICO(T) acronym represents a format that can be used to create an answerable research question. The PICO(T) formulated question for this investigation is: In adult cardiac arrest, will the utilization of automated chest compressions compared to physical chest compressions during cardiopulmonary resuscitation improve survival outcomes? PICO(T) components consist of patient population (P), intervention (I), comparison (C), outcome (O) and time (T). The PICO(T) components used to formulate the answerable research question are: Patient population: adults in cardiac

Spirometry is the most popular lung function test. The patient performs a maximal inhalation and then forcefully exhales as quickly and as long as they are able. The spirometer measures the volume of the air exhaled by patients. These measurements are taken at two intervals. The first measurement is the forced expiratory volume in one second (FEV1), records the volume of air exhaled after one second. The second measurement is taken at the point where the patient has fully exhaled the volume of inhaled air; this measurement is the forced vital capacity (FVC) (Harpreet Ranu et al.,

Rather than what variety of fluid to administer, the issue of administration volume has been the issue of greatest concern. Initiating fluid resuscitation with critical non-invasive hemodynamic parameters is relatively straightforward, yet assessing fluid responsiveness, the potential for a positive hemodynamic response to additional fluid volume, is much less clear. Fluid overloading is a concern as it may generate life-threatening pulmonary edema, additional cardiac stress, and peripheral edema6. A range of modalities exist to assess fluid responsiveness with various ranges of invasiveness and skill levels to interpret. Utilizing central venous pressure parameters has not been shown to be efficacious in the determination of fluid responsiveness34. Alternatively, dynamic arterial waveform modalities have been shown to predict fluid responsiveness with a high degree of accuracy in patients on a ventilator35.

Air quality is one of the most important environmental problems, since it has a major impact on the health of a large section of the urban population. Carbon monoxide (CO) can cause harmful effects on human health as it reduces the oxygen supply to various organs of the body. Exposure to lower levels of carbon monoxide is very serious for those who suffer from heart disease and can cause chest pain while recurrent exposure may contribute to additional cardiovascular disease. Even healthy people can be affected by high levels of carbon monoxide. People who breathe in high levels of carbon monoxide can develop vision problems, reduce the ability to work or learn, reduce the manual ability, and difficulty in performing complicated tasks. At very high levels, carbon monoxide is poisonous and can cause death. [1-5]. Consequently, the effects of carbon monoxide on human health are significant and reinforce the need for appropriate measures to adequately control the pollution of the environment. For this reason, recording, studying and predicting carbon monoxide concentrations are necessary.

Hypothesis: The newly developed portable Forced Oscillation Technique (FOT) measures the respiratory impedance as accurately as existing market devices. This aim is designed to validate the lab developed devices.