Page 155 - JSOM Fall 2020

APPENDIX G: CONT. 2 (mmHg) Real Time
CO 2 (mmHg)
Real Time
50
37 Phase 3
Phase 4
CAPNOGRAPHY 2 (mmHg) Real Time
CO 2 (mmHg) Real Time
50 (ETCO ) WAVEFORM CHARACTERISTICS CONSIDERATIONS
Phase 3
37
2
Phase 4
2 (mmHg)
CO 2 (mmHg) Real Time Cuff Leak Real Time • Check ET tube for leak and replace as necessary (recommend exchange
50 Phase 3
CO 2 (mmHg)
37 Phase 3 Phase 3 Waveform degrades sharply over a bougie).
Real Time
40 Phase 4
50
37
Phase 1
CO 2 (mmHg)
Phase 3 Phase 3 Curare Cleft Real Time • Represents asynchronous ventilation
40 50
Cleft or notch in waveform • Reassess patient’s level of sedation and augment as needed.
37
Phase 3 Phase 3 Phase 1 CO 2 (mmHg) Real Time
40
50
37
CO 2 (mmHg)
CO 2 (mmHg) Real Time Obstruction Real Time • Represents bronchospasm or airway obstruction
50 50
Classic shark fin pattern • Assess for Hx of asthma, kinked ET tube, foreign body in airway or
37 Phase 3 Phase 1 37
Phase 2
2 (mmHg)
Real Time
CO 2 (mmHg) Real Time CO 2 (mmHg) Real Time CO 2 (mmHg) Real Time other anatomical airway obstruction.
50 Phase 3
37 50 37 Phase 3 50
37
Phase 4 2 (mmHg) Loss of Waveform • Assess for total airway obstruction, apnea, or cardiac arrest.
Real Time
CO 2 (mmHg) Real Time Phase 2 2 (mmHg) Real Time
Real Time
CO 2 (mmHg)
Real Time
CO 2 (mmHg)
50 50 Phase 3 CO 2 (mmHg) Real Time Normal waveform and then no
37 37 Phase 3 50 50 • Assess ET tube for dislodgement and/or the need for suction.
Phase 4 37 Phase 3 waveform
37
Phase 4
Phase 2 • Check equipment for failure.
Phase 3 Phase 3 CO 2 (mmHg) Real Time Increasing ETCO • Assess for insufficient respirations, if breathing spontaneously, and treat
40 2
50 Waveform increases in amplitude underlying cause.
37
Phase 3 Phase 3 Phase 1 CO 2 (mmHg) Real Time and width • Assess for respiratory failure.
CO 2 (mmHg)
Real Time
Phase 3
40 40 Phase 3
50 50
• Assess for temperature increase.
37 37
Phase 1 • Consider increasing minute ventilation.
Phase 1
Note: TQ release and sodium bicarbonate may cause a temporary increase
CO 2 (mmHg) Real Time CO 2 (mmHg) Real Time
50 50 in ETCO .
37 Phase 3 37 2
Phase 2
CO 2 (mmHg) Real Time CO 2 (mmHg) Real Time Decreasing ETCO • Assess for tachypnea and treat underlying cause, if patient breathing
Real Time
CO 2 (mmHg)
CO 2 (mmHg)
Real Time
50 50 50 50 2
Phase 3
37 37 Phase 3 37 37 Waveform decreases in amplitude spontaneously.
Phase 2 and width • Assess for pulmonary embolism (If possible).
Phase 2

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