CEN3_Respiratory.

RESPIRATORY EMERGENCIES Objectives: At the completion of this section, the learner will be able to:  Analyze a blood gas abnormality by looking at blood gas values  List side effects of drugs used to treat chronic obstructive pulmonary disease  Differentiate between types of pulmonary emboli based on presenting symptomatology  Verbalize treatment strategies for pulmonary edema  List nursing interventions for various types of pneumothoraces The CEN exam contains eighteen questions on respiratory emergencies which involve the following topics:  Aspiration  Asthma  Chronic Obstructive Pulmonary Disease (COPD)  Infections  Inhalation Injuries  Obstruction  Pleural Effusion  Pneumothorax  Pulmonary Edema – non-cardiac  Pulmonary Embolus  Respiratory Distress Syndrome  Tension Pneumothorax  Trauma  Airway Interventions (Suctioning) o Limit suctioning to 10 seconds per pass o Suctioning can stimulate the vagal response (bradycardia and hypotension) esp. in the infant. o Place head in sniffing position for nasopharyngeal suctioning; any position for oropharyngeal suctioning. o Nasopharyngeal suctioning: use catheter with a diameter of no more than ½ diameter of the nari. o Bulb suctioning – depress bulb before inserting, release when in area of secretions. For oral suctioning, aim toward inside of cheeks not back of throat.  Breathing Interventions (Oxygen Therapy)