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Chapter 7

Fundamentals of Respiratory Care: Techniques and Management

Chest Physiotherapy
Chest Physiotherapy
Chest physiotherapy is a therapeutic technique for enhancing ventilation, removing bronchial secretions, and increasing respiratory muscle efficiency, ...
Inhaled Medications
Inhaled Medications
Inhaled medications, such as bronchodilators, mucolytic agents, and corticosteroids, are crucial for treating respiratory conditions like asthma and COPD. ...
Oxygen Delivering System I: Nasal Cannula and Face Mask
Oxygen Delivering System I: Nasal Cannula and Face Mask
Oxygen-delivering devices such as nasal cannulas and face masks are used when natural breathing is obstructed. Nasal cannulas are lightweight tubes with ...
Oxygen Delivering System II:  Venturi Mask and Transtracheal Oxygen
Oxygen Delivering System II: Venturi Mask and Transtracheal Oxygen
The venturi mask comprises a large tube with an oxygen inlet that narrows down, creating a pressure drop that pulls air through side ports. The mask can ...
Oxygen Delivering System III: Tracheostomy and T-piece
Oxygen Delivering System III: Tracheostomy and T-piece
A tracheostomy is a surgical procedure involving an incision in the trachea to create an opening, which helps bypass airway obstructions or provides ...
Administering Oxygen by Nasal Cannula
Administering Oxygen by Nasal Cannula
Let us understand how to administer oxygen via a nasal cannula. First, prepare essential equipment, including a flow meter, humidifier, nasal cannula, ...
Administering Oxygen by Mask
Administering Oxygen by Mask
Let us understand how to administer oxygen using an oxygen face mask. First, gather the necessary equipment by the bedside for time conservation. The ...
Tracheostomy: Procedure and Tubes
Tracheostomy: Procedure and Tubes
Tracheostomy is a surgical technique that involves the creation of an opening in the trachea to establish a patent airway, bypass an upper airway ...
Tracheostomy Care I: Pre-procedural Steps
Tracheostomy Care I: Pre-procedural Steps
Here is a step-by-step pre-procedural preparation guide for tracheostomy care. First, gather all necessary equipment to conserve time. This includes ...
Tracheostomy Suctioning I: Pre-Procedural Steps
Tracheostomy Suctioning I: Pre-Procedural Steps
Here is a step-by-step pre-procedural guide for tracheostomy suctioning in an open system. First, gather all necessary equipment: a suction unit, a ...
Tracheostomy Decannulation
Tracheostomy Decannulation
Decannulation is the permanent removal of the tracheostomy tube, indicating that the condition requiring the tracheostomy has resolved. This process ...
Suctioning the Nasopharyngeal Airway
Suctioning the Nasopharyngeal Airway
To perform nasopharyngeal suctioning, nurses require a suction machine, sterile suction catheters, gloves, saline, lubricant, and personal protective ...
Suctioning the Oropharyngeal Airway
Suctioning the Oropharyngeal Airway
To suction the oropharyngeal airway, a nurse must first gather the necessary equipment, which includes a suction unit, suction kit, sterile gloves, ...
Endotracheal Intubation I: Procedure
Endotracheal Intubation I: Procedure
Endotracheal or ET intubation is a medical procedure for securing a patient's airway. It is commonly performed in acute respiratory distress, upper ...
Endotracheal Intubation II: Nursing Management
Endotracheal Intubation II: Nursing Management
Before intubation, nurses must be familiar with intubation equipment and ensure the crash cart is nearby. Next, they must prepare the patient by inserting ...
Tracheostomy Care II: Procedure
Tracheostomy Care II: Procedure
Here is a step-by-step procedural guide for tracheostomy care. First, open the package with the new disposable inner cannula without contaminating it. ...
Endotracheal Tube Extubation
Endotracheal Tube Extubation
Extubation involves removing the endotracheal tube or ETT from a patient on mechanical ventilation. Indications for extubation include resolving the need ...
Mechanical Ventilation I: Indication and Settings
Mechanical Ventilation I: Indication and Settings
Mechanical ventilation is a method of using a ventilator machine to deliver oxygen and remove carbon dioxide from the lungs when spontaneous breathing is ...
Mechanical Ventilation II: Invasive Ventilation
Mechanical Ventilation II: Invasive Ventilation
Invasive ventilation uses a mechanical ventilator connected to an endotracheal tube or tracheostomy to support breathing. One common type is ...
Mechanical Ventilation III: Noninvasive Ventilation
Mechanical Ventilation III: Noninvasive Ventilation
Noninvasive ventilation, or NIV, provides ventilatory support without inserting an artificial airway. This type of ventilation is used in patients with ...
Ventilatory Modes
Ventilatory Modes
Mechanical ventilators deliver breaths to patients in different modes, which include the following. First, full support modes, such as controlled ...
Tracheostomy Suctioning II: Procedure
Tracheostomy Suctioning II: Procedure
To start the procedure, open the sterile suction package using an aseptic technique to create a sterile field. Then, fill the sterile container with ...
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