Respiratory Therapy - Comprehensive Asthma Review

[@GaryMiller-mk8yd]

Dear resp coach. I retired 9 yrs ago after spending 35 yrs in resp care. 1 year ago i decided to refresh and re engage my brain. I have watched probably 80 videos so far . Thanks to you i have refreshed my brain. You are awesome. Keep up the good work.i will continue to review your videos. In fact thanks to you i understand new concepts like driving preesure and eit Thank you so much

[@svoceanghost7734]

Im in Respiratory school now and without these videos, im not sure what i would do to understand. You are a true blessing my friend.

[@kinder7513]

You’re a Godsend! I’ve been in Respiratory Therapy for many years but took a break due to burnout. I’m now working again and You have refreshed my memory of so many things.Thank you so much.

[@RespiratoryCoach]

Glad you made your way back! Go be great!

[@Daniel-rk2qz]

I’m a pulmonary fellow I am using your videos religiously. you are amazing.

[@jeannemori1320]

excellent class and covered so much . Thank you

[@RespiratoryCoach]

Thanks for watching and kindly commenting! I appreciate you!

[@imadjurdi9431]

Back to this outstanding performance. Great video for revision . Chapeau bas 👍

[@RespiratoryCoach]

Thanks Imad. Glad you find value out of the videos. Thank you so much for watching and commenting.

[@josheniajohnson252]

This was way more than beautiful and extremely helpful! I can truly learn all diseases process watching your lessons! Thanks from The bottom of my heart!

[@RespiratoryCoach]

You are very welcome, Joshenia!

[@carolynsatchell1469]

Im begin to learn respiratory therapist online .Will you show me sir!!.

[@carolynsatchell1469]

Im beginning I have been taking your courses. Im willing to learn. Soecisluzing in asthma.I'm Mrs. Patricia C. A. Satchell

[@fishingsouls4christceoofgi614]

I get it❣️ Thankyou for helping me connect the dots, my heart is full of gratitude. Thankyou for breaking it down to the fullest point!!! I have listened to you, transcribed your lecture because sometimes I just need to read it to process info…and that’s ok…You are molding me to be the kind of RCP I looked up to be, if I can be a fraction of what you are as a professional I have succeeded 💛🙏🏽Christ be the Glory

[@lizl.6874]

Your effort is not wasted. Rich info there to understand the disease and its management. I can never really understand the PFT numbers but you made such a great explanation! God bless you.

[@RespiratoryCoach]

Thanks, Liz. I appreciate the kind words. As usual, thanks for watching and commenting!

[@karmageddon942]

Trying to fine tune some things before my first job as RRT. I really like your videos!

[@RespiratoryCoach]

Awesome! Thank you! Go be GREAT!!

[@dalaisand5453]

I love your lectures❤ please continue teaching all of us.

[@ayachitaher]

I really appreciate the content of your channel it's very educational I hope you keep it up

[@RespiratoryCoach]

Not going anywhere my friend. Stop in anytime and refresh or learn something new. Thanks for watching!!!

[@shmilyx007]

Truly appreciate this video! Amazingly done to help me understand asthma. Thank you very much

[@RespiratoryCoach]

You're very welcome! Truly appreciate you watching and commenting!!!

[@hawasisay264]

Good job on asthma review, very helpful!

[@RespiratoryCoach]

Glad it was helpful, Hawa! Thank you so much for watching and commenting!

[@shellieprows971]

That was a great video! Thanks!

[@RespiratoryCoach]

Glad you liked it!

[@mobarakhanane2328]

Thank you very much

[@scottplines8585]

Love your videos! Helped me pass my exams

[@heatherparker2491]

I love pursed lip breathing. I do it for anxiety. It's awesome sauce.

[@RespiratoryCoach]

Lol... "Awesome sauce". I agree Heather.

[@miriami7]

Thank you!!!! why haven't i met you before? :)

[@sinclair657]

Thank you

[@masoudehtesham6591]

Hello. Thanx for your great class: I have a question , if my patient have airtrapping+respiratory acidosis what the set of ventilator is better (only increase flow without either decrease Vt or RR )

[@RespiratoryCoach]

That's correct. My first attempt to fix the airtrapping would be to increase flow, assuming we're in a volume mode. That's the simple answer that doesn't alter minute ventilation, which will only worsen your acidosis. However, depending on the severity of your airtrapping, that may be the cause of your acidosis due to the rebreathing of "stale" gas. If that's the case, then decreasing the rate, will increase total cycle time and allow for even more complete alveolar emptying, which allows for more CO2 removal, despite the reduction in minute ventilation. Also, if this is a emphysematic patient, the airtrapping is most likely due to premature distal airway collapse, and increasing peep might be the fix. This will stent open the distal airways and also allow greater alveolar emptying, much like pursed lip breathing. So you really have to dive in and assess the cause of the airtrapping, in regards to the disease process, anatomical alterations, and current vent settings. Does this make sense? I hope so. Thanks for watching and commenting. Great question!

[@cindygonzales9085]

Love your videos !

[@zehrazukic8380]

Hi your videos areawesome and really helpful. Can you posted video about pulmonary fibrosis. Thanks

[@moaninglisa2021]

ILY bro. This helped so much

[@Godfavorsmi]

Ever since this pandemic it has been difficult to stay sharp! I take my TMC in 6 months and am so nervous! Sometimes I don’t know where to start reviewing

[@taesarauw8374]

Great video!!! Thanks!!!!........ can you make a video on tips on how to pass the clinical simulation exam please😎. Thanks

[@RespiratoryCoach]

Hi, Tae! Send me an email. [e-mail] And thanks for watching!!

[@johnlewis381]

What year student are you Tae??

[@taesarauw8374]

John Lewis I’m a senior . I’ll be done in June . Well hopefully 🤦🏾‍♀️

[@johnlewis381]

@@taesarauw8374 Right hopefully! I'm a senior too & will be done in May. Our graduation has been cancelled though.

[@taesarauw8374]

John Lewis sane here no graduation. But I honestly don’t care about the ceremony. I just want to get certified ! But they definitely working on making that happen.

[@tiffanidazzo9468]

How can you have a tracheostomy patient that has asthma pursed lip breathe or the equivalent of that

[@RespiratoryCoach]

You can't. A tracheostomy tube bypasses the upper airway which eliminates the ability to purse lip breathe. I guess you could add a peep valve, but I've never seen that in practice. Not sure what else you could do to mimic purse lip breathing.

[@samhassy3526]

Wouldn’t be co2 level goes high in abgs as patient is nt expiring properly??

[@RespiratoryCoach]

Eventually yes, but in the early phase of the acture asthma attack PaO2 decreases which stimulates the peripheral chemoreceptors to increase minute ventilation which leads to an initial drop in CO2 which increases pH. Now later, if not treated early, then yes, CO2 goes up and pH goes down as we enter into the Type 2 Respiratory Failure stage.

[@Alen1rt]

Sir, a basic question. Which mode is better to be started in an Asthmatic.. pressure control or volume control

[@alanabray9157]

"allergic to your ex" extrinsic asthma

[@liberoAquila]

Is AE-C worth it?

[@aldrinramos4160]

good day sir, just a question, base on my experience here in middle east as an RT, in a case of emphysema patient, dr. told me not to increase peep especially emphysema patient, but as you mention increasing peep will help emphysematic patient. iam confused

[@johnlewis381]

Great video again!!! Question: do you think students should be allowed in clinicals right now???

[@taesarauw8374]

John Lewis all the hospitals my school is associated with stopped the students from going

[@RespiratoryCoach]

Thanks, John! I do not. The risk vs reward just doesn't add up for me right now. Furthermore, my understanding is that PPE availability is already maxed out in certain regions. Considering the number of students, across all healthcare disciplines, in a facility on any given day would only add to this strain. Also, did you leave a comment a few days back? It ended with what appeared to be a request, but I was unable to read the rest because it was made unavailable. Feel free to email me any questions or request you may have that you don't feel comfortable posting publicly. Thanks again for watching and kindly commenting, John. [e-mail]

[@johnlewis381]

@@taesarauw8374 My school has been out for like 3 weeks. However, they are looking to get us back in there next week under certain rules.

[@johnlewis381]

Ok thanks! Yeah I feel the same as you do. I feel it is a hectic time for students right now. My program is looking to send us back under certain rules very soon. I did leave a comment. However, it was just complimenting the great content that you deliver and how it will make me a great therapist and not just an average therapist.

[@RespiratoryCoach]

@@johnlewis381 Wow. We're not even talking about go back into the hospital yet. I'm pretty sure this semester is a wrap for us in regards to clinicals. And cool, just wanted to make sure you didn't have a question. As always thanks for being active on the channel.

[@richardfriedel2248]

Just a mass of irrelevant facts. To cure asthma with acupressure: 1) Press lip with a finger and note how inhaling through your nose is facilitated 2) Make a habit of breathing in with lip pressure to stop asthma. A Google search for asthma pressure points shows points on lips. Asthma causes airway remodeling but this is cured in time by correct breathing. That is my experience.