AIDET
During a busy shift, a respiratory therapist enters a room and immediately begins setting up a nebulizer treatment without introducing themselves or explaining the procedure. This AIDET component was missed first.
What is Introduce?
A 24-year-old patient presents with a panic attack. ABG results: pH 7.52, PaCO₂ 28 mmHg, HCO₃⁻ 24 mEq/L, PaO₂ 95 mmHg.
What is acute respiratory alkalosis with normal oxygenation?
This step of the respiratory physical assessment may reveal hyperresonance in a patient with a tension pneumothorax.
What is Percussion?
A patient undergoing HBO₂ therapy suddenly experiences a tonic-clonic seizure.
What is Oxygen toxicity
Where does your patient assessment start?
What is at/before the door?
A patient asks, "How much longer until my bronchoscopy?" The therapist responds, "I'm not sure, someone will let you know." This missed opportunity fails to address patient anxiety through this AIDET principle.
What is Duration?
A 68-year-old COPD patient arrives with increased dyspnea. ABG results: pH 7.36, PaCO₂ 58 mmHg, HCO₃⁻ 32 mEq/L, PaO₂ 58 mmHg.
What is fully compensated chronic respiratory acidosis with moderate hypoxemia?
When the entrainment ports of an air-entrainment mask become occluded, this happens to the delivered FiO₂.
What is the FiO₂ increases?
The typical treatment pressure range for HBO₂ therapy is
What is 2.5-3 ATA
This is the only absolute contraindication to hyperbaric oxygen therapy because pressure changes can rapidly expand trapped air and cause a life-threatening tension pneumothorax.
What is an untreated pneumothorax?
A therapist explains that an arterial blood gas will require a needle stick into the radial artery, may be briefly painful, and will help evaluate oxygenation and ventilation status. This AIDET element helps reduce uncertainty and increase patient cooperation.
What is Explanation?
A patient in septic shock has an ABG showing: pH 7.28, PaCO₂ 30 mmHg, HCO₃⁻ 14 mEq/L, PaO₂ 70 mmHg.
What is partially compensated metabolic acidosis with mild hypoxemia?
A COPD patient with an irregular breathing pattern requires a precise 28% FiO₂. This is the most appropriate oxygen delivery device.
What is a Venturi mask (Air-Entrainment Mask)?
According to Henry's Law, increasing pressure results in
What is an increase in the amount of gas dissolved in a liquid?
What are the 5 RIGHTS for drug administration?
Right - Patient, Medication, Dose, Route, Time
Before obtaining an ABG, the respiratory therapist notices the patient appears nervous and says, "I can see you're concerned. Many patients feel that way, and I'll explain everything before we begin." Which AIDET component is primarily being demonstrated?
What is Acknowledge?
An ABG reveals a PaO₂ of 48 mmHg.
What is severe hypoxemia?
Mild: 60-79 mmHg, Moderate: 40-59 mmHg, Severe: <40 mmHg are commonly taught classifications, though programs may vary.
A patient with airway obstruction receives a gas mixture whose therapeutic value comes solely from its low density, reducing work of breathing.
What is Heliox therapy?
A 30-year-old recreational diver rapidly ascends from a depth of 40 meters and develops severe joint pain, dizziness, and shortness of breath. The physician orders HBO₂ therapy.
What condition is this patient most likely experiencing?
What is Decompression sickness
Describe tachyphylaxis
what happens when when repeated administration of a medication results in a rapid decrease in the patient's response, requiring higher doses or a period without the drug to restore effectiveness.
A respiratory therapist says: "Good morning, Mr. Smith. My name is Rachel, and I'm the respiratory therapist working with your nurse and physician today. I'll be assessing your breathing and giving a treatment that should take about 15 minutes. Do you have any questions before we begin?" This statement contains four of the five AIDET elements.
What are Acknowledge, Introduce, Duration, and Explanation?
A COPD patient on long-term oxygen therapy has an ABG of: pH 7.40, PaCO₂ 60 mmHg, HCO₃⁻ 36 mEq/L, PaO₂ 52 mmHg.
What is fully compensated chronic respiratory acidosis with moderate hypoxemia?
A full E-cylinder contains 1800 psi. The patient is receiving oxygen at 8 L/min, and the therapist plans to change the cylinder when it reaches the safe residual pressure of 200 psi. Using an E-cylinder tank factor of 0.28, what is the equation you would use?
Tank factor (0.28) x PSI (1800)/Lpm
Time = (1200 − 200) × 0.28
-------------------
10
Time = 1000 × 0.28 ÷ 10
Time = 280 ÷ 10
Time = 28 minutes
This type of hyperbaric chamber is typically pressurized with 100% oxygen, allowing the patient to breathe oxygen directly from the chamber atmosphere.
What is a monoplace hyperbaric chamber?
This class of drugs stimulates the sympathetic nervous system by acting on alpha and/or beta receptors, producing effects such as bronchodilation and increased heart rate
What are adrenergic agents?