FISDAP EMT Mock Exam |Question and Answer| 100% Correct [UPDATED!!!]

FISDAP EMT Mock Exam |Question and Answer| 100% Correct [UPDATED!!!] BVM Respiratory Rates..How do we determine adequate respiration? *Ans* - theoretically less than 8 or more than 25-ish - assess via adequate chest rise/fall, skin signs, respiratory status. - is patient getting job done on their one or do they need hel? Wheezing *Ans* High pitched on exhale Lower airway obstruction (bronchioles) Asthma + allergic reaction/anaphylaxis RONCHI *Ans* Denser fluid in lungs (pneumonia, cystic fibrosis, chronic bronchitis) CRACKLES (RALES) *Ans* Fluid in lungs ("underwater") Blood or water CHF, PE STRIDOR *Ans* High pitched during inspiration Upper airway obstruction Croup, epiglottitis, anaphylaxis Corrective action if no longer see chest rise/fall during PPV ventilations? *Ans* Reposition airway Supplemental O2 Flow Rates *Ans* NC: 2-6 l/min NRB: 10-15 l/min BVM: 15-25 l/min Nebulized breathing treatment: 6-8 l/min Witness patient collapse..airway obstruction..first objective? *Ans* Check breathing pulse — begin compressions (active 911/AED if possible) What to ask chokng patient? How to approach? *Ans* "Are you choking?" "Can you cough?" Keep coughing Approach from front and go to back if need to perform abdominal thrusts How to treat pt w/ Stoma with inadequate respirations? *Ans* BVM Pediatric mask w/ adult bag Attach directly to stoma tube Humidified oxygen candidates *Ans* Croup Epiglottitis Adults - long transport time, long term o2 therapy "Hoarse" "dry" "something is stuck" How to ask questions to patient w/ extreme SOB and what to ask? *Ans* Simple yes/no questions How long has this been going on? Acute vs chronic - acute more emergent NPA *Ans* Tip of nose to ear lobe IND: semiconscoius or conscious w/ intact gag reflex, any patient who doesn't tolerate OPA CI: severe head injury w/ bleeding in nose, history of nasal fracture OPA *Ans* Corner of moth to ear lobe IND: unresponsive w/o gag reflex, apneic patients being ventilated w/ BVM CI: conscious pt, intact gag reflex, heavy oral trauma TENSION PNEUMOTHORAX *Ans* Results from ongoing/uncorrected pneumothorax Increasing respiratory difficulty Diminished/absent lung sounds on affected side JVD + tracheal deviation to opposite side SPONTANEOUS PNEUMOTHORAX *Ans* Acute SOB Diminished/absent lung sounds on affected side Tall, thin males w/ history of smoking, asthma