In this episode of the Straight A Nursing podcast, we talk about ventilator weaning, which is actually a process that starts the moment the patient is intubated. If you are entering your advanced Med/Surg clinical rotation or are new to the ICU, this podcast will provide you with the basic knowledge you need to advocate for your patient and help guide them toward extubation.
When your patient has a tracheostomy, being prepared for the worst that could happen is crucial. There are three basics types of tracheostomy emergencies: occlusion, dislodgement and hemorrhage.
Tracheostomy Emergencies: Occlusion
Let’s say your patient has a trach, is on a trach mask and you heard in report that they have thick, copious secretions. Suddenly, the monitor alarm goes off, and you see that your patient’s O2 saturation has dropped to 62%. Whaaaaat? Knowing what you do about their thick secretions, you hurry in to the room pretty confident that you know what the problem is.
Respiratory nursing interventions come into play all the time. After all, difficulties can present in many forms, but the end-game is all the same…your patient can’t breathe as well as they should. And it can be scary for both the patient AND the nurse.
In this podcast, we talk about the very important skill of understanding when your patient is in respiratory distress and how to know if intubation is needed.
- Normal respiratory parameters and assessment findings
- Abnormal findings and what to do about them
- The nurse’s role in the intubation process
- Taking care of your patient post intubation
You can also read about this process here.
And something we don’t cover in the podcast, but that’s super helpful to understand is the P/F ratio, which you can check out here!
Prone positioning is likely to be one of the most intimidating things you’ll encounter in the ICU…the beds are big, they don’t provide instant access to your patient and the risk for complications is higher than in a standard bed. But, with excellent nursing care you can keep your patient safe without biting your fingernails down to the quick!
This episode debuts something I’m really excited about….if you’ve ready my book, Nursing School Thrive Guide, you know that I am a big fan of learning in a variety of ways. So…one of the things I did when I was a student was to record audio quizzes so I could basically quiz myself on topics while I went for a walk, did the laundry, cleaned house….whatever. It freed me from the prison of my desk and used a different part of my brain as well. Win-Win!
In this episode we talk about the basics of ARDS – Acute Respiratory Distress Syndrome. It is the most severe form of acute lung injury and is something we see pretty regularly in the MICU. Learn about the different stages that occur as ARDS develops, what you’re going to assess and how the patient is going to be treated in this episode of the Straight A Nursing Podcast.
ECMO (otherwise known as extracorporeal membraneous oxygenation) is essentially a life support measure used when the lungs or both heart and lungs cannot function adequately with traditional mechanical ventilation support. In ECMO, blood is drained from the body, diverted to an oxygenator where gas exchange takes place, then returned to the patient. There! Now you know everything you need to know about ECMO. Just kidding! Let’s start at the very beginning.