O2 Systems
Lightweight, and used for travel
Liquid system
Largest healthcare payer and sets standards of care outside acute care setting
CMS
Point when there is not enough oxygen to meet metabolic energy demands
Onset of Blood Lactate Accumulation
Professional responsible for educating patients and home care givers trach care, suctioning, and aerosol therapy
Respiratory therapist
A COPD patient is being discharged with pH 7.40, CO2 63, PaO2 51, HCO3 33, SpO2 81% on RA. What do you recommend?
Home O2
Molecular sieve removes trace gases leaving O2
Concentrator
Accreditor that ensures hospitals meet high standards of safety and quality
TJC
Method used to calculate the exercise target HR
Karvonen's formula
Target = [(Max HR - Resting HR) X Intensity usually 50% to 70%] + Resting HR
Location where RCPs check fire hazards, unsecured oxygen tanks, exposed electrical wires, and environmental safety
Home Care
What should be assessed before home discharge for a 78 y/o patient with COPD who lives alone (3)
Activities of Daily Living, Pulmonary Rehab, DMEPOS
Tank used for small amount of O2 or in case of a power outage
Cylinder
Covers medical items prescribed for home use
Essential self-care tasks that patients perform independently
Activites of Daily Living
Largest concern with bland aerosol use in the home setting
Bacterial infection
What are pulmonary rehab goals for a 67 y/o patient with Chronic Bronchitis with 50 pack years? (3)
Smoke Cessation, Reduce disease progression, Maximize functional ability
Device best used for in-home activities
Concentrator
Specialized hospital-level care for an extended period, typically over 25 days
LTACH
Nutritional goals for COPD in terms of carbs and protein
High protein and fat
Low carb
Solution trach patients should use for humidity therapy in the home setting
Sterile water
Distilled water
You are assessing a patient during a cardiac stress test. The patient's vitals include HR 185, RR 40, BP 210/115, perfused diaphoresis, SpO2 83% RA, and audible wheezing. What do you recommend?
Stop the test, Contact the physician, Assess the patient
AARC home O2 qualifications
Documented PaO2 less than 55 or SaO2 less than 88%
Medicare-certified facility providing nursing care & rehabilitation temporarily for patients
SNF
Term used to describe restoration of physical, mental, social, and fullest possible medical potential
Rehabilitation
Centers considered post-actute care
LTACH, SNF, Home
What do you recommend a patient who completed 9 weeks of pulmonary rehab with an oxygen cylinder at 2 LPM continuously, SpO2 93% RA during exercise, walks 2 miles on a treadmill with HR 98, RR 22, and no signs of SOB
Reduce O2 as needed, PRN