Hey guys,

Just wanted to off help where needed. I am an RRT-ACCS, RRT-NPS / ECMO Specialist here in California.

Congrats on joining the Respiratory squad! I absolutely love what I do and can't imagine anything else. I have worked with 400g babies all the way up to 500lb adults. I've helped deliver babies, and terminally extubated quite a few patients unfortunately. This profession has its ups and downs, but it is definitely rewarding.

Feel free to hit me up if you guys need anything or need some advice. I'm always around ;)

Hi! I’ll be graduating this week and would like to get something for the preceptors who have had me at this hospital. There’s probably been about 8 of them total. Any ideas? I could do gift card, but want something more personal, but also do not have the time this week. 🤷🏼‍♀️

Make reasonable assumptions don't go wild

What are some of the New-Grad Offers/Pay being offered in Georgia and surrounding areas. So far, $34/hr is the highest if came across.

Hi, we here at Master Respiratory are currently working on some courses to help those seeking to master respiratory care. As the excitement builds up as we are close to completion we would love to hear issues or topics that are need of addressing better in respiratory care. Open to all!! Students and practicing therapist!!

What do you find to be the biggest challenge when it comes to mastering ABG interpretation?

What is the most confusing part of learning about Mechanical Ventilation?

Are there any topics in respiratory care that you feel are not discussed enough in your studies?

Are there any topics related to respiratory care that you feel have been overlooked or are lacking in educational materials?

Looking for opinions. It says it works with any stethoscope. Are the heart/lung sounds realistic?

https://www.enasco.com/p/101-020

1. lab - pH 7.32, PaCO2 59, HCO3 -32, PaO2 50,

SaO2 84%, FiO2 0.21, WBC 11,200 Hgb 13.3, hematocrit 44 order - O2 via 0.28 Ventui (air entrainment) mask.

2.lab - pH 7.44, PaCO2 58, HCO3 -38, PaO2 50, SaO2 83%, FiO2 0.21, WBC 9,800, Hgb 16.9, hematocrit 49 order - Oxygen via nasal cannula at 6 Lpm.

3. lab - pH 7.52, PaCO2 26, HCO3 -21, PaO2 45,

SaO2 86%, FiO2 0.21, WBC 3,800, Hgb 8.6, hematocrit 28 order - Oxygen via simple mask at 3 Lpm.

4. lab - pH 7.50, PaCO2 28, HCO3 -22, PaO2 48,

SaO2 85%, FiO2 nasal cannula at 2 Lpm. No other blood work done. order - Increase oxygen to 4 Lpm.

5. lab - pH 7.52, PaCO2 30, HCO3 -24, PaO2 42,

SaO2 80%, FiO2 0.21, Hgb 10.2, WBC 9,400. order - Oxygen via nasal catheter at 2 Lpm.

6. lab - pH 7.50, PaCO2 29, HCO3 -23, PaO2 72,

SaO2 96%, FiO2 0.21, other blood work pending. order - Oxygen via simple mask at 5 Lpm.

7. lab - SpO2 (pulse oximeter) 92% on room air.

order - Oxygen via nasal cannula at 5 Lpm.

8. lab - SpO2 (pulse oximeter) 93% Hgb 12.4,

WBC 12,200. order - Oxygen via 35% Venturi (air entrainment) mask..

9. lab - pH 7.46, PaCO2 38, HCO3 -25, PaO2 54,

SaO2 90%, FiO2 0.21, Hgb 17.4, WBC 13,200. order - Oxygen via nasal cannula at 4 Lpm.

Would you implement this order as it is written? What would you recommend in its place? Would you add or delete anything from this order?

Hey everyone- how much do Rt students make in a hospital? I was told after the second semester students can work prn in hospitals. Just planning for the future- thanks!

Hey y'all, just stared my RT program and honestly just need a refresher on a lot of the anatomical structures associated. Does anybody have a good flashcard set? It's coming back to me but i need it now.

Hope everyone is doing well!

I’m considering respiratory therapy as a career and I have a quick question. I have a bachelors degree in biology and am currently working as a scribe/CNA. I’m wondering whether or not I should look into RT associates programs or bachelors? Which would be the best in far as job applicant competitiveness and continuing education?

Hello everyone,

I'm projected to start respiratory therapist courses next fall. I'm currently a paramedic(which sadly means nothing to my college despite being ventilator trained and familiarized), with experience in high level STEM courses (physician level A&P, I'll be finishing organic chemistry by the time I start classes).

I've heard RT is difficult but how difficult is difficult? Does anyone have experience being an RT in Ohio? What is the most lucrative path for a passionate RT(my family life has massive medical and educational bills, we need money)?

I'm looking for resources for studying for the CSE exam. I am currently using tutorial systems, RTboard review, and kettering classmates. I have unfortunately failed the exam prior. Does anyone know of any vouchers or perhaps have any additional advice. I REALLY want to pass this next time and I am going to take a few weeks to do a zillion study questions. I usually do really good on the information-gathering but sometimes I don't do as well in the decision-making section. Looking forward to hearing from you all. Thank you all ♥️💯

Hi, I am currently looking to apply for the diploma in Respiratory therapy course in Canada. I am an international student so I looked through a lot of websites and reviews. Can anyone let me know if the college listed below are actually good and well reputed??

1. North Alberta Institute of Tech (NAIT) , Alberta, Canada.
2. Thompson Rivers University, Kamloops, BC, Canada.

A friend who I play with suggested SAIT, but sadly they dont accept international students i guess for now. Please help!!

Well when I spoke to the director of the program I'm attending she said from the looks of my GPA I should be accepted with everything that's going on its taking a while to get the letters sent out and trying to still teach the current class online so idk she said she is hoping to get them sent out this week but that's just where I'm sitting on getting in.. now I believe I have anxiety because i worry all the time well it's really starting to kick in because before I decided to go into respiratory I tried to do nursing or in this case practical nursing(LPN) and it didn't work out so I'm trying something totally new because I didn't think this is what I would end up doing but I've done a little research and I applied for the program back in February and well im nervous I really wanna do good and learn but I'm not all that great at studying or note taking I believe specifically. I've gotten a few ideas from different people who are in they rt programs and who are already rt therapists. So any advice would be great.

Drop school advice you got bellow, or just say hi to prove this sub isn't completey dead :)

I was just wondering if it’s normal for one of your lungs to be louder than the other. My friend was assessing for bronchophony and my “99” was much louder on my right lung. Apparently the sound was still muffled, but it was louder than my left side.

when solving for the equation vt ÷ pip - peep is the vt measurement in ml or liters?

thanks in advanced!

Hello, I am a RT student in my last semester and am getting ready for my Peds/neonatal rotation in a couple of days. I was wondering if anyone had any suggestions or recommendations of what to prep for. Aside from the obvious such as MR SOPA, etc.........Thank you.

When calculating for compliance (dynamic or static), do you use set tidal volume or measured tidal volume?

I'm heading into my first semester of RT school this upcoming fall and was interested in how some of you feel regarding specific topics that were covered.

As I understand, the partial pressure of oxygen decreases from ~160 mm Hg, to 150 mm Hg in the trachea, to ~100 mm Hg in the alveoli. In order to correct for the partial pressure of water vapor, we use the formula Px = (PB - Ph20) x F where PB is barometric pressure, Ph20 is water vapor pressure, and F is the fractional concentration of gas, in the case of oxygen, 21%.

Completing the above for dry air,

Px = 760x.21

Px = 159.6 = ~160mm Hg

Completing the above for humidified tracheal air...

Px = (760-47)x.21

Px=149.73 = ~150mm Hg

My question is, why does the presence of water vapor nor affect the fractional concentration of oxygen in the trachea. Why are the concentrations themselves of oxygen/nitrogen (21/79) not slightly decreased to make up for the addition of water vapor, as it must contribute to the total pressure of 760 mm Hg.

Ie, if dry air is ~21% oxygen, ~79% nitrogen then why is humidified air not, say for example, 3% h20, 20% oxygen, 77% nitrogen?

Thanks,

hroir

######SOLVED#######

Alright so I think I made sense of it actually, as long as we subtract the vapor pressure of water, as its constant in relation to temperature and in equilibrium, we're still calculating for a fractional oxygen percentage of 21%, but its 21% of the remaining pressure, not the total barometric pressure.

Px = (760-47)x.21

Px=149.73 = ~150mm Hg

Dividing 149.73 into the total barometric pressure of 760mm Hg, it can be seen that the actual percentage of oxygen in the whole sample is only 19.7%. As well, the fractional value of nitrogen will then be ~74.1%, with water vapor taking up 6.2% of gas.

Taking an approximation of 100mm Hg reaching the alveoli, with continued absorption into capillaries and excretion of CO2, that means that the actual percentage concentration of oxygen is only 13.2%, exerting a partial pressure of 100mm Hg at the capillaries.

...Right?

Hi r/RTStudents, so I picked your brain awhile ago for my wife and you gave some helpful advice. So she's passed her classes and will be on to boards next. However, one of her classmates was unable to pass the mock-TMC exit exam for the program and is not allowed to graduate despite having good grades throughout the program. My question is, what can she do with all of this credit? Their director makes it seem like her only option is to wait another year and retake the last class and try to pass the exit exam again. But honestly, after a year of not using or practicing this information in any formal way, how much could her chances of passing actually increase?

Has anyone had a similar experience? Are there any online programs where she could quickly pick up where she left off? Any ideas?

Morning! My wife is finishing her last semester now, and will be closing in that sweet day of taking her board exam. I'm an ER nurse, so I've been able to be a pretty decent study partner throughout the program, able to converse, dig deeper into topics, and when things went beyond me, able to learn alongside her. My question is, what are some tips for preparing to take the boards? Best resources? She is actually finishing the last day of her Kettering seminar today, which from the RTs that I work with, is supposed to be an excellent tool for understanding how crack the test. Just thought I would pick reddit's brain for some other study tips. Thanks in advance guys!

What's up guys? Always see the typical "clinical" post and stuff like that, so I figured I'd offer my services if you guys had any questions. I have worked the floors, ICU, NICU, CTICU, L&D, C-sections, you name it!

I also have my RRT-ACCS-NPS and plan on getting my AE-C and NPT soon.