Kaitlyn Finney Respiratory therapy 150 RESPIRATORY DISTRESS AND IT 'S AFFECT ON INFANTS Respiratory distress of the newborn is a very fatal but curable disease. It is a vicious series of events that all lead to severe impairment of the respiratory function. Although it is primarily due to immature lungs the reason the lung maturity is so important is because of the growth of surfactant. Surfactant replacement and mechanical ventilation are both very helpful therapies for infants with Respiratory distress syndrome however the best method is the prevention of prematurity. The purpose of this paper is to enlighten the reader about this devastating disease and the successful therapies we respiratory therapists use to reverse and care …show more content…
To go past a outer visual assessment of the patient, if there is time a chest radiograph will be able to definitively prove the presence of respiratory distress syndrome "will show a characteristic uniform reticulogranular pattern (network of rough grainy-appearing lung tissue) and peripheral air bronchograms". [#4 Peretta] Another key visual term used for respiratory distress syndrome is "ground glass". With the respiratory distress comes a spread out collapse of the alveoli, because of this the lung volumes are much lower and the lung aren 't able to oxygenate properly. If the child 's respiratory distress isn 't treated they will permanently lose lung volume and their respiratory distress signs will …show more content…
It is important for the respiratory therapist to check the patients vital signs as well as monitor their tidal volumes and saturation. By doing this they will be able to see if there is a good response to the instillation of the surfactant by "improvement in saturation with oxygen and or a reduction in Fi02 requirement, decreased work of breathing, improvement in lung volumes, as seen by an increase in tidal volume during pressure ventilation or improved aeration on the chest X-ray. This may occur very rapidly and requires close monitoring by the respiratory therapist to avoid over ventilation and lung injury in the period of time directly after surfactant replacement therapy". [#4 Peretta] With added surfactant the oxygenation will improve and there will be a decrease in surface tension and an increase in the are of gas
Understanding respiratory volumes, capacities, and measurements will help me perform my job as a medical assistant because they are significant being a medical assistant. First of all, when the patient is on the bed, I will measure the respiratory rate while he/she is at relaxation. In the next, I will observe the rise and fall of the victim 's chest and count the number of respirations for one full minute. Then, I will record the current time, respiratory rate and respiratory characteristics. Spirometry is used diagnose conditions that affect breathing such as asthma, pulmonary fibrosis, and cystic fibrosis.
Hyaline membranes help to the development of fibrosis and atelectasis (collapse) essential to decrease in gas exchange capability and lung dysfunction. These changes cause the lungs to become stiff, patient work hard to inspire. Hypoxemia and the stimulation of juxtacapillary receptors in the stiff lung parenchyma leading to increase respiratory rate and decrease in tidal volume. Breathing irregular increase carbon dioxide removal,
You need to select a combination over-the-counter product for the treatment of minor respiratory tract conditions. (Visit your local pharmacy and ask if you can write down details of a product on their shelves.) Consider the product itself rather than its use in a particular patient. Your submission should include the following: 1. Details of the selected product: 1.
I felt the same way as all of you. I am a Registered Respiratory Therapist. We all have a clinical based knowledge. Nurse and Respiratory Therapist is a part of clinical team who work always together and help each other out in the hospital. I am also anxious and enthusiastic about to follow my graduate classes at GCU.
When a concussion happens, the effects can appear immediately or very soon after the blow to the head and include sleep, mood disturbances, and sensitivity to light and noise. Sometimes some effects do not appear for hours even days and could last for several days. While not every patient with a concussion will lose consciousness, every suspected concussion should be treated seriously. As a medical assistant when assisting with a child after a concussion there are many things that you should look for or be aware of to make sure that the patient is receiving the proper care. Signals of a concussion include: Confusion (this can last from moments to several minutes) Headache Repeated questioning about what happened Temporary memory loss,
The concepts that are directly related to impaired gas exchange are: acid- base balance, perfusion, mobility, growth/development and anxiety. All these concepts were an issue when the patient first presented into the hospital; once the asthma attack was resolved and respiratory status because within normal limits these concepts resolved themselves as well. Acid-base balance is effected because the patient is breathing so fast and the body is not being able to exchange gasses affectively so there is a higher concentration of carbon dioxide in the blood than oxygen which illustrates as respiratory acidosis. Since there is decrease of oxygen in the blood the cells are not being perfused with adequate oxygen and then signs and symptoms of poor perfusion starts to be expressed. Then since the body is not being perfused well the cells and tissues do not have enough ATP to energize the cells which results in mobility issues.
The child immediately improved and was stable on continuous delivery for many hours. When the source of the humidified water was switched to a Vapotherm system at the same flow (10 L/min) but not containing epinephrine, the child’s croup worsened, only to improve again when epinephrine was added to the humidifying water. A similar experience was found with a second child with croup which led to the hypothesis that epinephrine may be deliverable in the vapour phase as opposed to droplets as has been the usual method with a nebulizer. It also appeared that the improvement in upper airway obstruction was not due (at least alone) to the high flow delivering continuous positive airway pressure, as originally theorized by Klein and
Approximately eleven percent of children between the ages of four and seventeen have been diagnosed with Attentiondeficit/hyperactivity disorder, or ADHD, since 2011 (Data and Statistics). The percentage of children with an ADHD diagnosis continues to increase. This disorder affects children, adolescents, and adults; it causes problems with attention, impulsivity, and hyperactivity. Those with ADHD experience challenges with school work and social settings. These individuals have higher rates of emergency room visits and automobile accidents.
An occupational therapist is a occupation in which helps patients through everyday activities through therapeutic uses. Occupational therapists are usually known to work with the elderly, disabled patients, or patients with mental illnesses. They will help these patients recover or improve their skills for a more independent and active life. How much occupational therapists work can vary from their hours to days. Although it may vary, full time occupational therapists commonly do not work more than 40 hours a week.
Every job has its ups and downs so you better be ready to embrace the good along with the bad things you may experience while fulfilling your duties. The task of a respiratory therapist is not so easy and it’s definitely not all fun. This profession is not meant for everyone. One who considers pursuing this career must understand all the expectations this job brings. Being a healthcare professional in this field requires working closely with other specialists.
As a result, these patients can’t bring the carbon dioxide out, they become retain the carbon dioxide which makes it so hard for them to breathe
1.6. SCOPE AND DELIMITATIONS OF STUDY The study is applicable to occupational therapists, especially those working in the paediatric field of occupational therapy. The results will be most relevant to occupational therapists working with children with CP. The study involves the assessment of sensory modulation under the umbrella of SPD.
Ethical Issues in Healthcare There are many ethical issues facing health care at any time and it is impossible to say definitively which is the most pressing or the most important. Health care professionals are expected to base their practice on a set of ethical principles, including truthfulness, beneficence, nonmaleficence, justice, and confidentiality. Ethical issues can arise, however, when a l professional is called upon to act in opposition to personal values or in cases where the values of patient, health care worker, and sponsoring institution conflict. The following issues are presented in no order. Neonatal Ethics Neonates are babies within their first twenty-eight days of life.
The aim of this paper is to analyse a critical incident which occurred at the student health visitor’s area of practice. A critical incident is an event which when it occurs, makes one pause and consider the situation to give an element of understanding whilst dwelling on the negative and positive aspects of the experience in transforming knowledge and behaviour Hannigan (2001), as cited in Elliot (2004). In order for one to analysis an events there is a need for reflection on the process and evaluate its outcome. Critical incident analysis is identified as discussion and reflection on motives and justification of actions used when an incident happens and its effectiveness in enhancing practice in future (Elliot 2004). This process involves
A rare cause of Acute Respiratory Distress Syndrome (ARDS) - Mycoplasma pneumonia in a middle aged women Case History A 66-year-old female presented to the Emergency Department of Sri Jayewardenepura General hospital with generalized weakness, faintness, and progressive worsening of difficulty in breathing over a week prior to admission. She also had dry non-productive cough, general malaise with myalgia and a low grade fever. She had consulted a GP and treated with salbutamol and steroid inhalers on outpatient basis. However, since her symptoms became more and more troublesome, she was admitted to the hospital.