As a respiratory therapist I often use ventilators to help ventilate and oxygenate patient. The ventilator has many functions and capabilities. I collect various data to determine how compliant a patient lung is or if the patient lung is strong enough to come of the ventilator. Prior to extubation in collect a set numbers record and provide the doctor with the information to determine if the patient can off the breathing machine. Interobserver reliability is done by more than one researchers to compare research and technique. By comparing each observer finding they are also verifying the reliability of the observer. If there is a significant difference in the results then there may be a problem on or both observers (Patten ,2012, p. 87).
The Ventilatory threshold was reached at 5 minutes or stage 3 for patient 92 C. The ventilatory threshold is important because it indicates the point at which the blood lactate acid increases non-linearly. It indicates that there is an increase in the lactate acid level in the blood as well as the excess carbon dioxide (Kenny et al., 2015). The increase in carbon dioxide will stimulate chemoreceptors to increase ventilation. The ventilatory threshold is related to the anaerobic threshold which refers to the increase in carbon dioxide and indicates that the body has shifted towards anaerobic metabolism (Kenny et al., 2015).
The job of a Respiratory Therapist is to care for patients who have trouble breathing.They consult with physicians to develop a patient treatment plan.They monitor and record the progress of treatment.Respiratory Therapist
Respiratory therapists care for patients who have trouble breathing—for example, from a chronic respiratory disease, such as asthma or emphysema. Their
Respiratory Therapist or Technicians can work many location such as hospitals, nursing facilities, emergency transport centers, neonatal or pediatric intensive care, physician’s offices, home health agencies, surgical intensive care, specialized care hospitals, medical equipment supply companies, and patients at homes. Working as a Respiratory Therapist they perform a variety type of functions to maintain a patient airway. Under the direction of a physician, respiratory therapists have primary responsibility for all respiratory care diagnostic procedures and therapeutic medication & treatments. Respiratory therapists also supervise the work of respiratory technicians. When technicians implement
Ventilator-associated pneumonia is a bacterial infection that occurs in the lower respiratory system within the first 48 hours of endotrachal intubation (Lewis, Dirksen, Heitkemper, Bucher, & Camera, 2011). Although any hospital patient is susceptible to pneumonia, ventilator dependent patients are at the highest risk of acquiring pneumonia. The purpose of this paper is to identify the risk factors, incidences, and preventions of ventilator-associated pneumonia (VAP) using a quantitative research study performed in Malaysia. “The aim of this
Breathing assistance- devices such as a ventilator improve upon a patients oxygen delivery, especially at night.
Respiratory therapists are specialized healthcare practitioners that care for patients who have trouble breathing due to a multitude of reasons such as asthma, emphysema, or chronic obstructive pulmonary disease. They practice under and aid physicians in assessing patients, diagnostic evaluations, treatment, prevention, education and general pulmonary care. Respiratory therapists assume primary responsibility for all diagnoses and treatments. Respiratory Therapists discuss and review patients with physicians and other healthcare professional to assist in developing and/or modifying a patients’ care
Ventilator - associated pneumonia (VAP) is the second most common hospital acquired infection (HAI) and is associated with high morbidity and mortality rates for ventilated patients in intensive care units (Bingham, Ashley, Jong, & Swift, 2010). The VAP increases patients’ mortality rates, length of stay and hospital costs (Hiner, Kasuya, Cottingham, & Whitney, 2010). The VAP is the leading causes of death due to nosocomial infections and the
I didn’t know what to expect with my observation with the respiratory therapist. All what I knew about them was they floated around and gave patients aerosol breathing treatments. I learned that a respiratory therapist does a lot more than that. They have access to the Pixis, and are able to give patients any type of respiratory medication. They teach patients how to correctly use inhalers. They educate their patients on way they have to do breathing treatments, or why they have to take certain respiratory medications. They also do an examination to find out what type of breathing treatment or oxygen device is needed to help a patient get the oxygen they need, or help with expanding their lungs, etc
Clinical problem: Oral care and ventilator-associated pneumonia (VAP) is extremely important in all healthcare organizations and has gained increased attention. For this reason, oral care has been introduced in many hospital settings. However, there is not enough evidence on critically ill patients concerning the effect of oral care interventions on the development of VAP. In order to evaluate the effect of oral care on VAP for hospitalized patients, additional studies are required.
Respiratory therapists eat, sleep, and work mainly in hospitals. It is common to work in nursing homes or even travel to patients’ homes. From the time babies are born to the adults reaching old age, they assist anyone who has breathing difficulties. Typically, RT’s interview/examine patients, perform diagnostic tests, treat patients, monitor/record the progress of treatment and teach patients how to use treatments (“Occupational Outlook Handbook”). The environment in which they work in is extremely clean to prevent patients from catching bugs that can put their health in more danger.
Respiratory therapists have one of the most exciting and gratifying careers within the medical field. Unfortunately as with any other job or career, it doesn’t come without having challenging times. Respiratory therapists work along-side physicians and are highly trained to treat patients with any sort of lung concern or breathing complications. This job requires hands on care, and deals with life and death daily. One specific scope of this field involves caring for patients (of all ages) attached to mechanical ventilation. It is the respiratory therapists’ responsibility to remove assistive ventilation to patients with written order from the doctor; which ultimately results in death of the patient (Keene, Samples, Masini, Byington).
Respiratory Therapists work in sleep laboratories helping to diagnose disorders like sleep apnea, in skilled nursing facilities and pulmonary rehabilitation programs helping older people breathe easier and get more out of life. Respiratory Therapists play an important role in asthma education. Not only can they treat disorders and breathing complications their job are to diagnose the patient and follow diagnostics procedures. Common procedures respiratory therapists perform are Arterial Blood Gas Analysis, Pulmonary Function Studies, Sleep Studies, EKG and Cardiac Test, Sputum Specimens, and Stress/Exercise test. Smoking programs assisting those who want to kick the habit for good also in air transport and ambulance programs rushing to rescue people in need of immediate medical attention.
Some of the duties of a Respiratory Therapist are to interview patients and examine their breathing disorders. Therapist use many different kinds of tests to diagnose patients, there are breathing instruments that patients will breathe into to test lung capacity. Also they use a gas analyzer to test the amount of oxygen and carbon dioxide.
Physical therapists develop specific programs for each patient's needs. They may apply therapeutic exercise, ultrasound, massage, and applications of heat and cold to alleviate pain and restore normal function to the body. The physical therapist is able to evaluate a patient's joint motion, muscle strength, endurance, functional abflity, muscle tone, reflexes, and stability of walking. The physical therapist also assesses the need and use of braces and artificial limbs, function of the heart and lungs, integrity of sensation and perception, and performance of activities required in daily living. ("A Future" 18). Another important part of the job of a physical therapist is to maintain careful documentation. The documentation is mainly used to keep a record of rehab used, to reflect back on improvement, and to provide legal records.