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Transcript of CNA 2 OSBN Curriculum. ◦ The Respiratory System e=title=
Respiratory System
CNA 2 OSBN Curriculum
This project was funded $3,000,000 (100% of its total cost) from a grant awarded under the Trade Adjustment Assistance Community College and Career Training Grants, as implemented by the U.S. Department of Labor’s Employment and Training Administration. Rogue Community College is an equal opportunity employer/program. Auxiliary aids and services, alternate form and language services are available to individuals with disabilities and limited English proficiency free of cost upon request.
This work is licensed under a Creative Commons Attribution 4.0 International License.
◦The Respiratory Systemhttp://www.medcomrn.com/dev/flash/flvplayer/movie.php?movie=http://ss1.medcomrn.com/flv/78716r_sec02_300k.flv&title=&detectflash=false&detectflash=false
◦Organs of the Respiratory Systemhttp://www.medcomrn.com/dev/flash/flvplayer/movie.php?movie=http://ss1.medcomrn.com/flv/78716r_sec03_300k.flv&title=&detectflash=false&detectflash=false
Overview Anatomy & Physiology
Bacterium infects lungs◦Kidneys◦Bones◦Brain
2 forms◦Inactive◦Active
Annual Screening of Health workers
Tuberculosis
WeaknessProductive CoughFeverNight SweatsWt. LossLoss of Appetite
Observation & Reporting
Treatment: RX x 2 mos.Precautions:
◦HANDWASHING◦Airborne Precautions◦Isolation
Negative Flow Room
◦PPE N95 PAPR Hood
CNA 2 Actions
Episodic inflammation & narrowing airways SOB Chronic
Asthma
WeatherAllergies InfectionsStressSmoke Animals danderExerciseMay have an inhaler or a nebulizer
Triggers
Observation & ReportingWheezingSOBAnxietyChest TightnessLow EnergyCyanosis
STAY CALMPt. can get worse fastReport STAT
CNA 2 Actions
Inflammation of the BronchiAcute
◦Viral◦Bacterial
Chronic◦Irritation
Bronchitis
“Bark-Like” cough◦Non-productive
Coughing EpisodesFeverChest PainRestlessnessMay Progress
Observation & Reporting
Report increasing SOBAdequate PO fluids
◦Thin secretions
CNA 2 Actions
COPD◦Emphysema◦Chronic Bronchitis◦Asthma
Limited Air Flow ◦Obstructed Airways
Chronic Obstructive Pulmonary Disease
After Repeated Episodes of Bronchitis
Mucus Inflamed Bronchus
Chronic Bronchitis
Smokers morning cough◦Starts dry and hacking◦Progresses to productive
Difficulty BreathingTires Easily
Observation & Reporting
Damaged AirwaysAir trapped O2 & CO2 blockedLess O2
Emphysema
SOB/DyspneaSputum/PusOrthopneaWt. LossBarrel Chest InactivitySkin BreakdownDifficult w/ ADLs
Observation & Reporting
Report Increasing SOB STATUpright PositionsHydrateEmotional SupportReduce Fatigue
◦Cluster ADL’s◦Plan Rest Periods
CNA 2 Actions: COPD
“The Flu”Acute InfectionAt Risk for Complications
◦Young◦Elderly
A VirusEasily Spread
Influenza
PREVENTION!!!!!◦HANDWASHING!!!!!
Alcohol-based sanitizer
◦Cross Contamination Don’t touch your face
Medications◦Decongestants◦Antipyretic◦Analgesic
Treatment
Handwashing
Alcohol Based
Observation & Reporting
HANDWASHING◦Pt.s should also◦So should visitors◦So should Doctors◦ETC…..
Standard PrecautionsReport Changes
CNA 2 Actions
Lung Infection◦Tissue inflamed◦Fluid in alveoli◦Poor gas exchange
Causes:◦Bacteria◦Virus◦Aspiration
Pneumonia
Based on PresentationAntibioticsSupplemental O2
Fluids
Treatment
Observation & Reporting
CNA 2 ActionsHANDWASHINGTissue for sputumReport: SOB/DyspneaO2 as directed
◦DO NOT ADJUST Increase FluidsCluster Activities
Collapsed LungSmall or LargeCauses
◦Hypoventilation◦Airway Obstruction◦Lung Compression◦Post Surgery◦Severe Pneumonia
Atelectasis
S/S may not be presentDyspneaBreathing difficultyChest PainCough
Observation & Reporting
C & DB Post-opTCDB ALL PatientsAmbulate IS every hour
◦ https://www.youtube.com/watch?v=-O-Zawtb32o
Pulse OximetryReport abnormals
CNA 2 Actions
PneumothoraxAir in Pleural SpaceLung CollapseTraumaSpontaneousTreatment
◦Chest Tubes
Chest tubes
Lewis, Figs. 28-7 & 28-8, pg. 589
Sudden onset Sharp Severe Pain Pain may radiateSOBDyspneaCyanosisUnequal Chest Movement
Observation & Reporting
Report SOB/Dyspnea STAT Reassure Observe
◦Dressing◦Crepitus◦Drainage
Closed Container Amount Color Change
CNA2 Actions
Thrombus to the Lung: Bld/Air/FatRisk Factors
◦Immobilization◦Surgery◦Obesity◦HF◦Pregnancy◦Advancing Age◦Prior Hx◦Major Trauma
Pulmonary Embolism: PE
Increased EffortSOBS&S Hypoxia
◦Confusion/restlessnessProductive CoughEngorged Neck Veins
Observation & Reporting
Prevention:◦Passive/Active ROM◦Ambulation◦TED Hose◦SCDs◦Decrease Popliteal
Space Pressure◦Adequate Fluids
Report Sudden ChangesSTAT
CNA 2 Actions
Adjust O2https://www.youtube.com/watch?v=RiolsHuB_GA
Apply and remove delivery device and turn on and off continuous positive airway pressure (CPAP) or bilevel positive airway (BiPAP) device
https://www.youtube.com/watch?v=5gH5aIMsQ40
Suction nose Suction oral pharynxhttp://www.medcomrn.com/dev/flash/flvplayer/movie.php?movie=http://ss1.medcomrn.com/flv/m234tb_sec03_300k.flv&title=&detectflash=false
Suctioning (Infant Nose) https://www.youtube.com/watch?v=hFZ15PSdOSw
Technical Skills
This project was funded $3,000,000 (100% of its total cost) from a grant awarded under the Trade Adjustment Assistance Community College and Career Training Grants, as implemented by the U.S. Department of Labor’s Employment and Training Administration. Rogue Community College is an equal opportunity employer/program. Auxiliary aids and services, alternate form and language services are available to individuals with disabilities and limited English proficiency free of cost upon request.
This work is licensed under a Creative Commons Attribution 4.0 International License.