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Related Concept Videos

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Respiratory Assessment: Purpose and Indications

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Respiratory assessment is a cornerstone of nursing assessments, crucial for the early detection of patient deterioration. This evaluation transcends routine procedures, representing a critical skill nurses must master to ensure optimal patient care.
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The respiratory system's basic structures and primary functions lay the foundation for nurses' comprehensive respiratory assessments. This assessment includes subjective and objective data to gauge the patient's respiratory health.
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The treatment for acute respiratory failure varies based on factors like the underlying cause, overall health, and severity. A collaborative healthcare team is essential for early detection, often through arterial blood gas analysis. Identifying the cause is the primary goal, with treatment strategies adjusted for ventilation/perfusion (V/Q) mismatch, shunting, or diffusion impairment.
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Assessment of Ventilation I: Respiratory Rate01:20

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Nursing management of Chronic Obstructive Pulmonary Disease (COPD) is crucial for providing thorough care and support to patients. Nurses play an integral role in this process through detailed assessment, careful planning, targeted interventions, and ongoing evaluation. Here's an overview of the critical steps in nursing management for COPD.
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Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
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Related Experiment Video

Updated: Oct 28, 2025

Conducting Respiratory Oscillometry in an Outpatient Setting
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Improving primary care access to respirologists using eConsult.

Jean-Grégoire Leduc1, Erin Keely2, Clare Liddy3

  • 1Montfort Hospital, University of Ottawa, 713 Montreal Rd, Ottawa, ON K1K 0T2, Canada.

International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care
|July 16, 2021
PubMed
Summary

The Champlain BASE eConsult service improved access to respirology specialists, with rapid responses and significant impact on primary care provider management. This digital platform helps avoid unnecessary in-person visits and guides clinical decisions.

Keywords:
access to health careclinical contenteConsulteConsultationelectronic consultationpulmonologyquestion typereferral timerespirologyvirtual carewait times

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Area of Science:

  • Digital health interventions
  • Respiratory medicine
  • Healthcare access

Background:

  • Primary care providers (PCPs) face challenges accessing specialist care, leading to patient and provider frustration.
  • The Champlain Building Access to Specialists through eConsultation (BASE) platform connects PCPs with 142 specialty groups for rapid online consultations.

Purpose of the Study:

  • To evaluate the impact and effectiveness of the respirology eConsult service within the Champlain BASE platform.
  • To analyze specialist response times, types of inquiries, and the influence on traditional referral patterns.

Main Methods:

  • Retrospective review of respirology eConsults from January 2017 to December 2018.
  • Categorization of eConsults by question type and clinical topic.
  • Analysis of specialist response times and provider-reported impact via surveys.

Main Results:

  • Respirology eConsults (268 cases) showed a median specialist response time of 0.8 days.
  • Common topics included pulmonary nodules, cough, and COPD; primary care providers frequently sought advice on investigations and management.
  • eConsults led to avoided referrals in 23% of cases and prompted referrals in 13%, with 49% resulting in a new clinical course of action.

Conclusions:

  • eConsult participation enhances timely access to respirology expertise, potentially reducing clinic visits.
  • The service significantly influences PCP clinical decision-making and management strategies.
  • Data on common clinical topics and questions can inform Continuing Medical Education (CME) planning.