Topics
Diagnostics
ABG interpretation: the basic steps
A step-by-step method for reading an arterial blood gas: pH, PaCO2, HCO3, compensation and oxygenation.
Spirometry: reading the basic patterns
Read FEV1, FVC, and their ratio; distinguish obstruction from suspected restriction; and calculate bronchodilator response.
Pulse oximetry: reading beyond the number
Understand SpO2, check signal quality, and recognize why a reassuring saturation can miss ventilation problems or carbon monoxide exposure.
Capnography: end-tidal CO2 and the waveform
Read the normal capnogram, recognize common waveform changes, and understand why end-tidal CO2 is not interchangeable with PaCO2.
Equipment
HFNC: flow, oxygen, and humidification
Separate flow from FiO2, understand what HFNC provides, and assess response without relying on saturation alone.
Mask types: oxygen and NIV interfaces
Compare oxygen masks, reservoir systems, Venturi devices, aerosol masks, and NIV interfaces, with checks for flow, fit, and venting.
Ventilators: Hamilton and other hospital systems
Recognize Hamilton, Servo, Puritan Bennett, Dräger, and V60 systems, with a New Jersey example and settings that carry across brands.
MDIs: technique, spacers, and delivery
Use a pressurized metered-dose inhaler and holding chamber, identify technique errors, and distinguish other inhaler devices.
DPIs: loading, inhalation, and device care
Recognize dry-powder inhaler designs, load doses correctly, check inspiratory technique, and follow device-specific cleaning instructions.
Humidity setup: heated systems and HMEs
Compare active and passive humidification, check heated-circuit setup, and recognize rainout, HME limitations, and incompatible combinations.
SVNs: setup, delivery, and cleaning
Set up small-volume nebulizers, distinguish jet from mesh systems, check effective delivery, and separate home care from hospital handling.
Chest physiotherapy and airway-clearance devices
Compare PEP, OPEP, vest therapy, IPV, and cough-assist systems, and distinguish secretion mobilization from an effective cough.