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Class Author
Carol Knauff

Carol Knauff holds 35 years of nursing experience in various roles- staff, management, education- with an emphasis in gastrointestinal and critical care specialties. Carol’s passion in nursing is to help nurses understand why they do what they do. Her colleagues find her presentation style unique and look forward to any educational programs that she holds. 

Read Carol Knauff's Full Bio...
Class Accreditation
All states recognize our courses for accredited continuing nursing education, CNE, contact hours. This course is accredited by the following boards:

Provider approved by the California Board of Registered Nursing, Provider # CEP 15467.

Provider approved by the Arkansas, District of Columbia, Florida, Georgia, New Mexico, South Carolina, and West Virginia Boards of Nursing through CE Broker, CE Provider #: 50-13256.  
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Respiratory Management for Nurses

Contact Hours: 1.5
Cost: $15.00
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Respiratory Management for Nurses
For a complete list of accreditations for this course, please see the accreditation information box below the author’s bio.  All states recognize our courses for accredited continuing nursing education, CNE, contact hours.

Many changes have occurred within the Long Term Care setting. Nurses are now providing care to higher acuity residents, with many of the residents requiring thorough and accurate respiratory assessment as well as the provision of respiratory treatments. Being familiar with all aspects of respiratory therapy has become essential to nurses in the skilled nursing, long term care and post-acute care settings. Respiratory services may include coughing, deep breathing, nebulizers, inhalers and medication administration.

Competency will be established by documentation that the nurse successfully completed education with exam scores of 80% or higher and possess the skills to provide respiratory treatments by demonstrating the skill with an employer preceptor utilizing the skills competency checklists provided in the last chapter of this course.


  1. Discuss changes that occur in the elderly due to normal physiologic dysfunction.
  2. Identify nursing assessment signs and symptoms associated with cellular hypoventilation.
  3. Analyze the effect of preventative treatment strategies on the patient with chronic respiratory disorders.
  4. Discuss the effects of medication treatment regimens.
  5. Identify the steps required to successfully administer respiratory medications.


Chapter 1: Changes in the Elderly
Respiratory System
Immunologic System
Neurologic System
Cellular Oxygenation
Chapter 2: Assessment
Respiratory Signs & Symptoms
Chapter 3: Treatment Regimens
Preventative Measures
1. Vaccines
2. Oral Hygiene Practices
3. Coughing & Deep Breathing
Active Treatment Measures
1. Oxygen Therapies
2. Airway Management
1. Bronchodilators
a) Long-Acting
b) Short-Acting
2. Corticosteroids
3. Miscellaneous
Chapter 4: Delivery Routes
1. MDIs
a) Spacers
2. Flexhalers
3. Twisthalers
4. Dry Powder Inhalers
5. Aerolizers
6. Nebulizers
7. Nasal Sprays
Chapter 5: Resources
Skill Competency Checklists (printable)
Medication Administration Via an Aerolizer
Medication Administration Via a Dry Powder Inhaler
Medication Administration Via a Flexhaler
Medication Administration Via Metered Dose Inhaler
Medication Administration Via a Nebulizer
Medication Administration Using a Spacer
Medication Administration Via a Twisthaler
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