RT 101

Respiratory Therapy Wisdom:
Everything RTs need to know about...

Information Cave:
  1. RT FAQ
  2. Links
  3. Respiratory Therapy Cheat Sheets and Protocols
  4. Respiratory therapy lexicon
  5. The 17 biggest myths of respiratory therapy
Pulmonary Diseases Cave:
  1. The difference between Obstructive versus Restrictive Diseases
  2. Conditions that cause decreased mucociliary clearance
  3. How to stop nosocomial diseases?
  4. Cystic Fibrosis 
  5. Asthma
  6. COPD
  7. Cardiac Asthma
  8. Fluid imbalance
  9. Swine flu (for more click here)
  10. Sepsis
  11. Pneumonia
  12. Lung Cancer
  13. Bronchiolitis
  14. Ventilator Acquired Pneumonia (VAP)
  15. DIC
  16. DVT and PE
  17. Heart Failure (CHF, pulmonary edema, cardiac asthma)
  18. Treatment for heart failure 
  19. ARDS 
  20. Bronchiolitis (RSV)
  21. Circadium Rythm Sleep Disorder (for night shifters)
  22. Dry Drowning: Drowning on dry land
  23. Interstitial Lung Disease (ILD) or Idiopathic Pulmonary Fibrosis 
  24. Sarcoidosis (may eventually lead to ILD)
  25. Lupus (may eventually lead to ILD)
  26. Bronchiectasis
  27. Restless Leg Syndrome
  28. Pertussis
  29. White Coat Fever
  30. Near drowning 
  31. Sarcoidosis 
  32. Lupas 
  33. Smoke inhalation/ burns
  34. Sleep apnea 
  35. Treatment for sleep apnea 
  36. Types of sleep apnea
  37. Chest trauma 
  38. Neurological disorders
  39. Atelectasi
  40. White coat fever
  41. Pleurisy and pleural effusions
  42. Interstitial Lung Disease
  43. Pneumothorax and Hemothorax 
  44. Emphysema
  45. Comorbidities
  46. Bronchiectasis
  47. Pulmonary infarction
  48. Mesothelioma
Pulmonary Medicine Cave:
  1. Respiratory Therapy Medicine Lexicon
  2. How to respiratory medicines work?
  3. Generic and brand names
  4. MDIs: Priming the pump
  5. Wasting aerosolized medicine
  6. Check out what your COPD, Asthma meds cost
  7. Comparison of efficacy of MDI versus SVN
  8. Giving Albuterol to Decrease Potassium
  9. The latest wisdom on mucolytics
  10. Ventolin with GPS:  Good idea?
  11. Nebulizer or inhaler:  which one works best for your child
  12. Improving aerosol drug delivery in children
  13. What is a nebulizer 
  14. What is a metered dose inhaler?
  15. What is a spacer?
  16. When do you end a breathing treatment
  17. The link between albuterol and potassium
  18. What size aerosolized particle is therapeutic?
  19. Things that effect distribution of aerosolized medications
  20. How long does medicine stay in your system?
  21. Nebulizer versus science: the nebulizer debate
  22. Why give treatments to intubated patients
Administrative Cave:
  1. The Keystone Collaborative 
  2. Core Measures 
  3. Utilization Review 
  4. Intensity of Service 
  5. Hospital Quality Assurance Analyzer
  6. Simple sputum may assure reimbursement
  7. How to run a successful business
  8. What makes a good hospital
  9. When to call the doctor 
  10. Rapid Response Teams 
  11. Do Rapid Response Teams work?
  12. How to deal with arrogant doctors
  13. How to keep your lab from failing
  14. Positive outcomes based medicine
  15. Science in reverse
  16. Order sets are stupid, IMO (editorial)
  17. Hospital marketing lexicon 
  18. Core goals for hospitals
  19. DRGs or how a hospital makes money
  20. How to solve the healthcare problem
  21. Things RT bosses can do to make us happy
  22. Off Label
Neonatal Cave:
  1. Why premature babies are at higher risk for complications 
  2. T-piece resuscitators (NEOpuff) verses self-inflating bags (NEOpuff)
  3. Neonates must be kept warm
  4. Do not overoxygenate neonates
  5. Indications for intubating neonates
  6. How to decrease chances of brain injury in neonates
  7. The best dose of Albuterol and Xopenex for neonates
  8. The basics of neonatal CPAP
  9. Oxygen should be used on neonates as a drug with side effects
  10. It's time to get rid of neonatal AMBU-bags, or risk serious injury
  11. Setting up ventilator on neonate
  12. Neonatal abnormaities to consider
  13. Congenital heart abnormalities
  14. Neonatal tidal volumes
  15. Normal Neonatal ABGs and Vitals
  16. NeoPuff (T-piece resuscitator)
  17. Aerochamber Flow works great
Arterial Blood Gases Cave:
  1. ABG interpretation made easy: interpreting acid base status
  2. ABG interpretation made easy: interpreting level of hypoxemia 
  3. ABG interpretation made easy: how to know patient is CO2 retainer
  4. ABG Lexicon
  5. Cord blood gases made easy
  6. ABG Temperature Correction
  7. Normal Neonatal ABGs and Vitals
  8. The argument against ABGs and for VBGs
  9. How to keep your ABG lab from failing inspections
  10. Met Hemoglobin
  11. ABG errors and how to fix them
Cardio Section Cave
  1. EKG Interpretation made easy 
  2. The basics of axis deviation of the EKG
  3. 5 common myths about performing EKGs
  4. Hemodynamics made easy
  5. 5 common myths about performing EKGs
  6. Does supplemental oxygen help with heart attack/ chest pain
Pulmonary Cave:
  1. Lungsound Lexicon
  2. Where to listen to lungsounds
  3. How to listen to lungsounds
  4. Pulmonary Function Testing Basics
  5. Aerosol drug delivery in children (SVN, MDI or DPI)
  6. Blowby breathing treatments
  7. Most aerosolized medicine is wasted
  8. Crying during breathing treatments
  9. 5 Common myths about performing EKGs
  10. Sputum
  11. pulmonary toilet (also click here)
  12. Lavage and suction
  13. Oxygen Therapy made easy
  14. How do you know what oxygen device to use?
  15. Oxyhemoglobin Dissociation curve
  16. Nonindications for bronchodilators
  17. Real indications for bronchodilators
  18. Treatment stacking
  19. Respiratory therapy formulas
  20. Incentive spirometry
  21. The breathing patterns
  22. Chest tubes and pleural drainage systems
  23. Respiratory Therapy Formulas
  24. Tips for reading chest x-rays
Respiratory Teachings Cave:
  1. The Respiratory Pump:  How do we breath?
  2. All the lab values you need to know
  3. Smoking Cessation teaching
  4. Peak flow meters
  5. To lavage and suction or not to lavage and suction?
  6. The case against IPPB 
  7. The case for IPPB
  8. The argument against ABGs
  9. Interview: Debunking The Hypoxic Drive Theory
  10. Hypoxic Drive: A History of the Myth
  11. Hypoxic Drive: Here is your evidence
  12. The hypoxic drive theory:  Reality or hoax
  13. The hypoxic drive:  Here's the latest theory
  14. Religious -vs- nonreligious patients
  15. Crease in ear, RLD, linked to CAD?
  16. 15 Myths about Respiratory Therapy
  17. The truth about bronchodilators
  18. What is a tracheostomy?
  19. What is an AMBU-bag?
  20. What is intubation?
  21. What is a blood gas?
  22. What is a crash cart?
  23. Lungsounds for dunderheads
Critical Care Cave:
  1. Ventilating Morbidly Obese Patients
  2. Ideal Tidal Volumes
  3. Ventilator Delerium (psychosis)
  4. Guidelines for adjusting ventilator settings
  5. Ventilator Graphics
  6. Capnography
  7. Complete whiteout
  8. Change in recommended ETT cuff pressures
  9. Change in recommended tidal volumes
  10. Tracheotomies
  11. CPAP -vs- BiPAP: What you need to know
  12. How to qualify for BiPAP
  13. Does BiPAP force pulmonary edema from lungs?
  14. How to give breathing treatment to patient on BiPAP (2/27/13)
  15. The best way to do weaning parameters
  16. BiPAP on DNR patients: An ethical issue
  17. Indications for intubation of critically ill
  18. Up with IPPB
  19. Down with IPPB
  20. Good start settings for BiPAP
  21. What's the best way to do weaning parameters?
  22. Indications for Intubation
  23. What is a ventilator
Respiratory Protocol Cave:
  1. Ventilator set-up protocol
  2. Ventilator Extubation Protocol
  3. Ventilator Bundle
  4. Ventilator Management Protocol
  5. Acute lung injury protocol
  6. Five levels of a good Ventilator Protocol
  7. RT Driven Protocols
  8. Two types of protocols
  9. Advantages of protocols, and why many RT Departments don't have them
  10. How to do a PEEP study