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Written by: Dennise Stannard, Director of Medical Surgical Unit/Birthplace

The Use of Capnography to Optimize safety for patients identified at risk for Respiratory Compromise. Written by: Dennise Stannard, Director of Medical Surgical Unit/Birthplace Steve Dunning, Director of Respiratory Care. Capnography.

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Written by: Dennise Stannard, Director of Medical Surgical Unit/Birthplace

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  1. The Use of Capnography to Optimize safety for patients identified at risk for Respiratory Compromise Written by: Dennise Stannard, Director of Medical Surgical Unit/Birthplace Steve Dunning, Director of Respiratory Care

  2. Capnography Capnography measures and displays end-tidal (exhaled) carbon dioxide (ETCO2). Capnography levels in conjunction with oxygen saturation provide a more comprehensive assessment of respiratory status.

  3. Central Sleep Apnea versus Obstructive Sleep Apnea

  4. Adult Post-op Respiratory Compromise Risk Assessment Many patients with obstructive sleep apnea (OSA) have not been formally diagnosed or treated. Pre-op screening for OSA help anticipate complications after surgery. The Epworth Sleepiness Scale to assess a patient’s increased potential for OSA Post-op respiratory failure is the 3rd most common patient safety incident in hospitals each year. (Prevention unnecessary deaths with capnography. AARC Times, 28-32.Spratt, 2010).” ETCO2 monitoring is also part of the nursing protocol when patients have certain risk factors and are using patient control analgesia (PCA). See patient care policy S#1

  5. EPWORTH SLEEPINESS SCALE

  6. PCA Nursing Protocol See #6 for ETCO2 monitoring

  7. End-Tidal Monitoring Competency Check Off List Arrange a time with a RT to orient you to the monitor and demonstrate the following: Bleed oxygen into the ETCO2 cannula Shut down the ETCO2 monitor completely when the monitor is no longer needed Turn off the ETCO2 monitor while maintaining the function of the oximeter Describe the information displayed on the monitored when connected to the patient Describe when the monitor will alarm and where the alarm will be audible

  8. Quiz 1. Capnography measures and displays end-tidal carbon dioxide. True 2. The use of capnography with continuous oximetry will be used for patients on a PCA for the following except: C a. BMI greater than 30 b. Diagnosis of COPD c. Diagnosis of Diabetes d. Diagnosis of sleep apnea without their CPAP 3. Post-op respiratory failure is the 3rd most common patient safety incident in hospitals each year. T 4. With central sleep apnea a patient will become cyanotic but the patient is still breathing. F 5. Causes of obstructive sleep apnea include the following except. D a. Obesity b. Smoking c. Narrow airways d. Over narcotized

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