HFNO

HFNO stands for High Flow Nasal Oxygen. This is something that was used frequently in patients who were desaturating quickly with symptoms of COVID-19. It has the ability, through the use of several different devices or setups, to deliver very high concentrations of supplemental oxygen to patients with advanced pulmonary diseases or conditions. In theContinue reading “HFNO”

Venous Thromboembolism (VTE) Part 2: PEs

Thanks for tuning in to part 2 of this two-part feature of VTE. The first segment, which focuses on DVTs, can be found here! So now we are going to focus on the more critical version of a VTE. Yes, DVTs are critical. They are important to assess and treat quickly. But they are lessContinue reading “Venous Thromboembolism (VTE) Part 2: PEs”

Doctor B got tested for COVID-19!

No, I’m not sick or symptomatic or high risk or any of those things. As some of you know, after six years working home health, I recently transitioned to a long term care and skilled nursing setting. Governmental changes made testing mandatory for all providers, staff, and volunteers in these settings. I’m not going toContinue reading “Doctor B got tested for COVID-19!”

The Counting Talk Test

Time to give you guys another tool. This one is especially important for patients with COVID-19, and it’s not terribly often that we get an objective measure for exertion. I’ve found the counting talk test to be critical in quantifying exertion in my patients with respiratory diagnoses. This measure is phenomenal for taking breathlessness inContinue reading “The Counting Talk Test”

Orthostasis

“Whoops! Down I go! I thought I was going up, but apparently not!” I have heard this many times. Sometimes I hear it from the people around me just generally throughout the day. They black out or see stars or feel “whoozy” or report being lightheaded when they stand up from the couch or getContinue reading “Orthostasis”

The Beta Blockade

Ugh, medications… I know, I know. I will try to make this as painless as possible. This one matters. It REALLY matters. For patients who have COVID-19 and for patients who don’t. Please take a quick read. Let’s start off by asking some questions. What does a β-blocker do? Blocks norepinephrine and epinephrine from bindingContinue reading “The Beta Blockade”

Proning

We have been hearing all kinds of things about proning. What’s the big deal? Aren’t we just flipping people over? Well… yes! That’s exactly what we are doing. But here’s why its a bit more complicated than that. We’ve already talked about the role of PTs in supporting and improving V/Q matching. Proning helps withContinue reading “Proning”

NIV/NIPPV

Already updated since first posting!!! So many acronyms… Non-Invasive Ventilation (NIV) and Non-Invasive Positive Pressure Ventilation (NIPPV) are some of the more advanced respiratory interventions being provided to some patients who experience COVID-related and non-COVID-related ARDS. These interventions are pretty much what they sound like: mechanical ventilation is provided to the patient with or withoutContinue reading “NIV/NIPPV”

Pulse Oximetry and O2 Saturation

This may seem simple… but it is my constant battle: valuable but so difficult. This is one simple vitals measurement with one tiny tool. There can’t be that much to it… Let’s go for a ride down the river. The first day at your new job, there are lots of jobs for your team toContinue reading “Pulse Oximetry and O2 Saturation”

Acute Respiratory Distress Syndrome (ARDS)

UPDATED This is a pretty hot topic lately. the presence of the acronym has increased exponentially all over the internet and media. Prior to two months ago, I’m betting you didn’t really think much about ARDS, but now I feel like I hear about it daily. Of course, my research direction definitely influences that. ButContinue reading “Acute Respiratory Distress Syndrome (ARDS)”