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Typology: Study notes

2022/2023

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T h e S t a n d a r d o f C a r e
Capnography
Created by
Joshua English, EMT-P
James Pointer, MD
Mike Jacobs, EMT-P
Information can be found in the
following resources:
Wilkins Ch. 8, p. 146
Ch. 10, p. 314-316
Egans Ch. 19, p. 388-393
Ch. 52, p. 1150-1151
PPT updated by: T. Ulrich
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h e S t a n d a r d o f C a

apnography

Created by Joshua English, EMT-P James Pointer, MD Mike Jacobs, EMT-P Information can be found in the following resources: Wilkins Ch. 8, p. 146 Ch. 10, p. 314 - 316 Egans Ch. 19, p. 388- 393 Ch. 52, p. 1150 - 1151 PPT updated by: T. Ulrich

Capnometry

  • Measurement and numerical display of carbon dioxide at the airway Capnography
  • Measurement and graphic display of carbon dioxide at the airway
  • CO 2 levels vs time during breathing

Sidestream An indirect method of measuring exhaled CO 2 in non-intubated patients Mainstream Direct method of measuring exhaled CO 2 with intubated patients

Why Capnography? Because respiration, ventilation and oxygenation are

VERY different concepts.

O CO

O o x y g e n a t i o n alveoli perfusion m e t a b o l i s oxygen + m glucose^ energy back to lungs capillary vein CO Vessel Vein Physiology Ventilation Transport Cell Metabolism

Why Capnography? Core Concepts

  • How do oxygenation and ventilation differ?
  • What is the difference between capnometry and capnography?
  • What is the difference between a capnogram and capnograph?
  • Explain mainstream and sidestream sampling techniques.

Normal EtCO 2 O CO N o r m a l

EtCO 2 – End Tidal CO 2 The measurement of exhaled CO 2 in the breath Normal Range | 30-43 mmHg CO

Widened a-ADCO 2

Normal and Abnormal Capnogrpahy? Core Concepts

  • Describe A through E on a capnograph.
  • What is the normal value for EtCO 2 ?
  • List the factors that increase and decrease EtCO 2 .
  • List 3 reasons for a widened a-ADCO 2 stated in lecture.

Hyperventilation Hypoventilation Common Waveforms mmHg 48 8 RR mmHg 24 35 RR

4 Main Uses of Capnography

  • Severity of asthma patients
  • Monitoring head injured patients
  • Cardiac arrest
  • Tube confirmation

Moderate Attack Mild Attack EtCO 2 & Asthma mmHg 28 38 RR mmHg 36 20 RR

Severe Attack EtCO 2 & Asthma mmHg 49 9 RR Time To Get MOVING!!! The asthmatic who looks tired and has a shark fin appearance on the capnogram… IS HEADED FOR RESPIRATORY ARREST