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#37 Special | Sedation in a COPD Patient | Listener's Question
Manage episode 439445326 series 3538285
Kevin Stansbury द्वारा प्रदान की गई सामग्री. एपिसोड, ग्राफिक्स और पॉडकास्ट विवरण सहित सभी पॉडकास्ट सामग्री Kevin Stansbury या उनके पॉडकास्ट प्लेटफ़ॉर्म पार्टनर द्वारा सीधे अपलोड और प्रदान की जाती है। यदि आपको लगता है कि कोई आपकी अनुमति के बिना आपके कॉपीराइट किए गए कार्य का उपयोग कर रहा है, तो आप यहां बताई गई प्रक्रिया का पालन कर सकते हैं https://hi.player.fm/legal।
Do you know how to handle COPD patients during sedation without screwing up?
Today’s episode is a special one, thanks to a great question from Debbie Hasty, a longtime friend and a badass PACU/ICU nurse. Debbie wanted some clarity on what to do when a COPD patient on home oxygen starts to desaturate.
First off, let’s discuss GOLD standard. GOLD stands for the Global Initiative for Chronic Obstructive Lung Disease Classification. GOLD 1 is mild, GOLD 2 is moderate, GOLD 3 is severe, and GOLD 4 is very severe. Understanding the severity of COPD (GOLD 1 to GOLD 4) is crucial because it dictates how we manage sedation and oxygen therapy. If you don’t get this, you’re screwing up from the start.
We’ll discuss the importance of getting COPD under control before you start sedating anyone. Remember, patients are notoriously non-compliant. You’ve got to make sure they’re actually sticking to their regimen, or you’re setting yourself up for a world of trouble.
We'll also dive into how to handle potential desaturation, ensuring you monitor closely without tipping the balance. It’s not just about following protocols; it’s about managing the fine line between under-oxygenating and over-oxygenating to prevent complications and provide the best care possible.
Key Takeaways:
- Know Your GOLD Standards: Understand the severity of COPD (GOLD 1 to GOLD 4) and its implications for sedation.
- Sedation Strategies: Use the right sedatives like midazolam or dexmedetomidine to minimize respiratory impact.
- Monitor Closely: Keep a close eye on oxygen levels and patient status, adjusting treatment as needed without over-oxygenating.
Other links and resources mentioned:
- American Association of Moderate Sedation Nurses- https://aamsn.org/
- Episode 35: The Essential Respiratory Assessment- https://podcasts.apple.com/us/podcast/35-the-essential-respiratory-assessment/id1714328671?i=1000666907322
Don’t let uncertainty put your patients at risk—dive into the resources, stay informed, and make every shift count.
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