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Capnography Powerpoint Templates

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CAPNOGRAPHY

Transcript: - Used by anasthesiologists since 1970's -Standard of care in the OR since 1991 Capnography is the monitoring of the concentration or partial pressure of carbon dioxide (CO2) in the respiratory gases. Its main development has been as a monitoring tool for use during anesthesia and intensive care. It is usually presented as a graph of expiratory CO2 (measured in millimeters of mercury, "mmHg") plotted against time, or, less commonly, but more usefully, expired volume. The plot may also show the inspired CO2, which is of interest when rebreathing systems are being used. FUTURE BREAKTHROUGH DISCUSSION FUNCTIONS AND APPLICATIONS design by Dóri Sirály for Prezi DIAGNOSTIC USAGE TECHNICAL OPERTAION -Oxygenation and ventilation are distinct physiologic functions that must be assessed in both intubated and spontaneously breathing patients. -Capnography became a routine part of anesthesia practice in Europe in the 1970s and in the United States in the 1980s. -Registered Nurses in critical care settings use capnography to determine if a nasogastric tube, which is used for feeding, has been placed in the esophagus as opposed to the trachea. HISTORICAL ACCOUNT MEDICAL SERVICES Capnography is a well-studied technology in anesthesia and has been used in the operating room for more than 35 years. USE IN Anesthesia CAPNOGRAPHY is the continuous non-invasive monitoring of exhaled carbon dioxide, and is essential for the measurement of adequacy of ventilation (breathing). By detecting changes in ventilation immediately as they happen, clinicians are alerted to potential respiratory problems before they become a serious threat to the patient. No other measure is as fast or effective as Capnography to monitor the breathing process and reduce the risk to patients of unrecognized, lifethreatening respiratory distress, which is the leading cause of preventable deaths in hospitals. CAPNOGRAPHY

PowerPoint Game Templates

Transcript: Example of a Jeopardy Template By: Laken Feeser and Rachel Chapman When creating without a template... http://www.edtechnetwork.com/powerpoint.html https://www.thebalance.com/free-family-feud-powerpoint-templates-1358184 Example of a Deal or No Deal Template PowerPoint Game Templates There are free templates for games such as jeopardy, wheel of fortune, and cash cab that can be downloaded online. However, some templates may cost more money depending on the complexity of the game. Classroom Games that Make Test Review and Memorization Fun! (n.d.). Retrieved February 17, 2017, from http://people.uncw.edu/ertzbergerj/msgames.htm Fisher, S. (n.d.). Customize a PowerPoint Game for Your Class with These Free Templates. Retrieved February 17, 2017, from https://www.thebalance.com/free-powerpoint-games-for-teachers-1358169 1. Users will begin with a lot of slides all with the same basic graphic design. 2. The, decide and create a series of questions that are to be asked during the game. 3. By hyper linking certain answers to different slides, the game jumps from slide to slide while playing the game. 4. This kind of setup is normally seen as a simple quiz show game. Example of a Wheel of Fortune Template https://www.teacherspayteachers.com/Product/Wheel-of-Riches-PowerPoint-Template-Plays-Just-Like-Wheel-of-Fortune-383606 Games can be made in order to make a fun and easy way to learn. Popular game templates include: Family Feud Millionaire Jeopardy and other quiz shows. http://www.free-power-point-templates.com/deal-powerpoint-template/ Quick video on template "Millionaire" PowerPoint Games Some games are easier to make compared to others If users are unsure whether or not downloading certain templates is safe, you can actually make your own game by just simply using PowerPoint. add logo here References Example of a Family Feud Template PowerPoint Games are a great way to introduce new concepts and ideas You can create a fun, competitive atmosphere with the use of different templates You can change and rearrange information to correlate with the topic or idea being discussed. Great with students, workers, family, etc. For example: With games like Jeopardy and Family Feud, players can pick practically any answers. The person who is running the game will have to have all of the answers in order to determine if players are correct or not. However, with a game like Who Wants to be a Millionaire, the players only have a choice between answers, A, B, C, or D. Therefore, when the player decides their answer, the person running the game clicks it, and the game will tell them whether they are right or wrong.

PowerPoint Game Templates

Transcript: Conservation of fishing cat Introduction of fishing cat Health: Fishing cats are susceptible to carnivore protoparvovirus, a disease known to kill them. This disease significantly damages the kidney, spleen and gastrointestinal tract of the body. The fishing cat is also vulnerable to diseases and medical conditions such as feline hemoplasmas, transitional cell carcinoma and canine distemper virus. Conservation Threats Wild life Shamim khan 2225138043 Bs Zoology 2022-2026 Since 2016, the fishing cat is listed as a vulnerable species on the IUCN Red List, as the global population is thought to have declined by around 30% in the years 2010–2015; the destruction of wetlands and killings by local people are major threats to the fishing cat.[1] The destruction of wetlands includes increased pollution or conversion for agricultural use and human settlements. The conversion of mangrove forests to commercial aquaculture ponds is a major threat in Andhra Pradesh, and in some places fishing cats are killed. Over-exploitation of local fish stocks and retaliatory killing by local people are also significant threats. The fishing cat is included on CITES Appendix II and protected by national legislation over most of its range. Hunting is prohibited in Bangladesh, China, India, Indonesia, Myanmar, Nepal, Pakistan, Sri Lanka, and Thailand. Hunting regulations apply in Laos. In Bhutan, Malaysia, and Vietnam, it is not protected outside protected areas, and no information is known about its legal protections in Cambodia. It is the state animal of the Indian state of West Bengal. Its survival depends on protection of wetlands, prevention of indiscriminate trapping, snaring and poisoning. fishing cat The fishing cat (Prionailurus viverrinus) is a medium-sized wild cat of South and Southeast Asia. It has a deep yellowish-grey fur with black lines and spots. Adults have a head-to-body length of 57 to 78 cm (22 to 31 in), with a 20 to 30 cm (8 to 12 in) long tail. Males are larger than females classification of fishing cat: Scientific classification Domain: Eukaryota Kingdom: Animalia Phylum: Chordata Class: Mammalia Order: Carnivora Suborder: Feliformia Family: Felidae Subfamily: Felinae Genus: Prionailurus Species: P. viverrinus Characteristics: The fishing cat has a deep yellowish-grey fur with black lines and spots. Two stripes are on the cheeks, and two are above the eyes running to the neck with broken lines on the forehead. It has two rows of spots around the throat. The spots on the shoulder are longitudinal, and those on the sides, limbs and tail are roundish Endangered in Pakistan: In captivity: Fishing cat captive breeding programmes have been established by the European Association of Zoos and Aquaria and the American Association of Zoos and Aquariums. All the fishing cats kept in zoos around the world are listed in the International Studbook of the World Association of Zoos and Aquariums.Zoos in Thailand house around 30 individuals; birth rates are not particularly high.They have been placed in captivity as an "insurance population" due to their vulnerable status in the wild Taxonomy Topic: fishing cat Submitted to: Dr Najiya Al-Arifa Behaviour and ecology Phylogeny: Distribution and habitat: The fishing cat lives among dense vegetation near water and is thought to be primarily nocturnal. It is known to be a proficient long-distance and underwater swimmer. Adult males and females without dependent young are solitary. Females have been reported to range over areas of 4 to 6 km2 (1.5 to 2.3 sq mi), while males range over 16 to 22 km2 (6.2 to 8.5 sq mi). It has been observed resting in thick grassy habitats, often near a water body but sometimes far away from them. Adults have been recorded to vocalise "chuckling" sounds The fishing cat is broadly but discontinuously distributed in South and Southeast Asia. It predominantly inhabits densely vegetated wetlands around slow-moving bodies of water like swamps and marshes.These include low-salinity bodies such as oxbow lakes, and high-salinity ones such as tidal creeks and mangrove forests. Along these bodies of water, it conceals itself within the thick cover of forests, scrublands, reed beds, and grasslands. Most records are from lowland areas. Reproduction and development: Wild fishing cats most likely mate during January and February; most kittens in the wild were observed in March and April. However, fishing cats may mate as late as June. In captivity, the gestation period lasts 63–70 days; females give birth to an average of two to three kittens; the litter size can be as small as one to as large as four.

Capnography

Transcript: The End 1. Is there CO2 present? (any waveform) Normal 35-45mmHg Hypocapnea less than 35mm/Hg Hypercapnea more than 45 mm/Hg Air leak around ET tube Patient is blowing off more CO2 than is making during metabolism. Hyperventilation syndrome Esophageal intubation Blood does not return to the lungs to exchange gases. Uneven or "shark fin" plateau is uneven alveolar emptying. Curved plateaus are secondary to bronchospasm in conditions such as an asthma attack. Sedation wearing off from RSI. Patient attempting to breath on their own. C 0 metabolism is slowed in hypothermic state Problems with Intubation (compensation for metabolic conditions such as DKA) B 2. Look for rebreathing. You will see a breath to breath increase in the respiratory baseline. 4. Look at the alveolar expiratory plateau. Should be flat. Ventilatory failure blood pH drops below 7.35 causes problems with oxygen binding and off loading to cells. Normal 35-45mmHg Hypocapnea less than 35mm/Hg Hypercapnea more than 45 mm/Hg Esophageal intubation (BVM had forced some CO2 into the stomach. 5. Read the CO2 value. Hypothermia End Tidal CO2 monitoring Hypoperfusion Acidosis (Shock, hypotension, PE, CPR) 70 hypoventilation and respiratory failure leads to acidosis. D Evaluation process A more than 45 mm/Hg Hyperventilation end stage COPD patients may retain CO2 and still maintain normal acid base balance through kidneys. Hypoventilation 40 An ETCO2 value without a waveform is like a heart rate without an ECG Hypocapnea Normal Capnogram Hypercapnea E Alveoli empty at the same rate, therefore CO2 is eliminated at the same rate creating a square waveform. CO2 Retention less than 35 mm/Hg 3. Respiratory upstroke should be square.

Capnography

Transcript: Emergency Medical Services Capnography Airway Anatomy & Physiology Airway, Ventilation and Oxygenation Anatomy is reviewed to refresh on the structures involved with airway management Ventilation will review the mechanical process of ventilation Oxygenation will review the physiology of external respiration, oxygen transport, cellular metabolism, the blood buffer system, and carbon dioxide expulsion Subtopic Anatomy Review Title Ventilation Medina B. Brenda's A&P eportfolio: objective 48 & 49: inhalation and exhalation [Online]. 2011 [accessed 2012 Dec 11]. Available from URL: http://blm1128.blogspot.co.uk/2011/04/objective-49-contrast-inspiration-and.html. Oxygenation Oxygenation https://www.thinglink.com/scene/701078083121184768 Inhalation & Exhalation External Respiration External Respiration Diatomic molecule Essential to life Effects on the body Permits cellular respiration to occur Vasoconstrictor Can cause the development of free radicals Air: 20.9% O2 Oxygen Diffusion of O2 across the alveolar membrane and binding of O2 to RBCs Caused by a pressure gradient Possible causes for impairment (V/Q mismatch) Obstruction Pulmonary edema Pneumonia Atelectasis COPD External Respiration Partial Pressure: The pressure exerted by a gas, at a given temperature and volume, on its environment. Dalton's Law: The total pressure of a gas mixture is the sum of the partial pressures of that mixture. ​ Henry’s Law: The amount of a gas that dissolves in a liquid is directly proportional to the pressure of the gas above it. Partial Pressure & Gas Laws V = Ventilation, Q = Perfusion Expressed in a ratio 1L of blood can carry ~200mL O2 ; 1L atmospheric air ~200mL O2 V/Q mismatch occurs which the volumes do not appropriately correlate Problem with the synchronization of gas exchange Low V/Q: pathology that is preventing the proper amount of O2 from entering into the lungs for diffusion High V/Q: pathology that is blocking complete blood flow to alveoli V/Q Mismatch Oxygenation Defines how O2 hemoglobin saturation levels are maintained or increased Four binding sites per hemoglobin, each RBC has multiple hemoglobin proteins 5-6L of blood in an adult (24,860,000,000,000 RBCs) SPO2 values determined by calculating percentage of fully bound hemoglobin that pass by SPO2 sensor area Uses red and infrared light and sensor Does not detect unbound oxygen (oxygen dissolved in the plasma) A simple SPO2 sensor will also read bound CO as O2 Not affected by volume of blood Does not provide any information to perfusion status or metabolic status. Only that O2 is (or is not) bound to hemoglobin. Oxygenation SPO2 Pleth https://www.amperordirect.com/mm5/website_v3/products/medchoice/plethgraph.jpg Oxyhemoglobin Disassociation Curve Oxygen less readily binds to hemoglobin, but more readily releases O2 in a rightward shift. Oxygen more readily binds to hemoglobin, but less readily releases O2 in a leftward shift. Factors that drive the curve to the right: lowered pH (including higher CO2), increased temp, exercise. Factors that drive the curve to the left: increased pH (including decreased temp), decreased temp. Oxyhemoglobin Disassociation Curve Oxygenation Requires good blood flow and adequate perfusion pressures throughout the body Pathologies that inhibit oxygen binding, blood flow, or adequate perfusion pressures Hemorrhage All types of Shock Reduced CO PE / DVT Blood agents Acidosis Can be affected by other diseases Sickle cell anemia Hypoxemia: Low concentration of Oxygen in the blood Hypoxia: Deficiency in the amount of oxygen reaching the tissues Hypoxic Hypoxia Caused by a problem with ventilation or external respiration Hypemic Hypoxia Caused by a problem with the carrying capacity of hemoglobin Stagnant Hypoxia Caused by a pathophysiology that causes relative stagnation of blood Histotoxic Hypoxia Caused by interference with internal respiration Hypoxia Internal Respiration Once RBCs make it to capillaries, it is unbound from hemoglobin and becomes dissolved in the blood, eventually making its way to the tissues Krebs Cycle O2 + Other Inputs -> Outputs + Energy + CO2 CO2 is ALWAYS produced by cells that are undergoing metabolism Aerobic Metabolism Anaerobic Metabolism The CO2 moves from the cell back into the blood stream Internal Respiration By Narayanese, WikiUserPedia, YassineMrabet, TotoBaggins - http://biocyc.org/META/NEW-IMAGE?type=PATHWAY&object=TCA. Image adapted from :Image:Citric acid cycle noi.svg (uploaded to Commons by wadester16), CC BY-SA 3.0, https://commons.wikimedia.org/w/index.php?curid=6217701 Caused by an overabundance of oxygen molecules within the body, among other natural processes Can be produced by too many oxygen molecules within the electron transport chain and not enough antioxidants Produces an oxygen ion, and a free electron, both of which can cause cellular damage and damage DNA Free Radicals / Oxygen Toxicity Blood Buffer System pH: The measure of free hydrogen ions in a solution 1 7 14 Acidic [H+] Body

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