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ubExacerbated ubby ublying ubflat ub(Orthopnea). ubKnown ubby ubhistory uband ubmedications
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Significance ubof ubstomach ubdistension, uband ubrapidly ubdecreased ubETCO2 ubafter
ubsuccessful ubintubation ub- ubCorrect ubAnswer ub- ubTube ubwas ubplaced ubinto ubesophagus
Method ubto ubRAPIDLY ubconfirm ubthat uba ubstoma ubis ubclear ub(direct ublaryngoscopy,
ubsuction, ubremoving ubinner
cannula) ub* ub- ubCorrect ubAnswer ub- ubremove ubinner ubcatheter ubto ubsee ubthat ubits ubclear
Methods ubto ubclear ubtracheostomy ubtubes ub- ubCorrect ubAnswer ub- ub3 ubml ubof ubsaline
uband ubsuction.
"Maximum uballowable ubtime" ubfor ubintubation ubattempts. ub- ubCorrect ubAnswer ub- ub30
ubseconds ubwith uboxygenation ubbetween ubattempts
Indications uband ubcontraindications ubfor ubnasotracheal ubintubation ub- ubCorrect ubAnswer
ub- ubIndications: ubBreathing ubspontaneously ubbut ubrequire ubdefinitive ubairway
ubmanagement. ubResponsive
patients uband ubpatients ubwith uban ubaltered ubmental ubstatus uband uban ubintact ubgag
ubreflex ubwho ubare ubin ubrespiratory
failure.
Contraindications: ubpatients ubthat ubshould ubreceive uborotracheal ubintubation, ubhead
ubtrauma, uband
possible ubmidface ubfractures.
Differential ubdiagnosis ubfor ubemphysema, ubpneumonia, ubpleural ubeffusion uband ubCHF ub-
ubCorrect ubAnswer ub- ub-Emphysema ub(Pink ubPuffer ub"Polycythemia", ubBarrel ubchested)
ubis uba ubloss ubof ubelasticity ubof ubthe ubalveoli ubof ubthe ublungs. ubThis ubcauses ubextra ubdead
ubspace uband ubthese ubpatients ubbreathe uboff ubof uba ubhypoxic ubdrive ubdue ubto ubthe
ubretained ubCO2 ubin ubthe ublungs uband ubrespiratory ubsystem.
-Pneumonia ubis ubgoing ubto ubincorporate uba ubFEVER. ubMost ubcommonly ubit ubis ubonly uba
ubone ubsided ubissue. ubProductive ubcough. ubAsk ubabout ubsecretion ubcolor.
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ublung, ubmaking ubit ubharder ubto ubbreathe" ub(Visceral ubPleura, ubParietal ubPleura ubSpace).
ubSharp ubpain ubmade ubworse ubby ubdeep ubbreath.
, -CHF ubis ubgoing ubto ubhave ubpedal ubedema uband ubcough ubup ubpink ubfrothy ubsputum.
ubExacerbated ubby ublying ubflat ub(Orthopnea). ubKnown ubby ubhistory uband ubmedications
ubtaken. ubleft ubsided ubheart ubfailure ubprecedes ubright ubside ubheart ubfailure. ubPump
ubproblem ubnot uba ubpipe ubproblem.
Treatment ubof ubasthma ubpatients ubdepending ubon ubhow ubthey ubpresent ub(wheezes ubor
ubnot, ubmannerism ubof
speaking, ubdistress ubetc) ub- ubCorrect ubAnswer ub- ubPatients ubwho ubare ubhypersensitive-
ubremove ubthem ubfrom ubirritant
Asthma ubpatient ubwho ubis ubdehydrated- ubneeds ubhydrated
Asthma ubpatients ubwho ubare ubwheezing- ubNebulizer ubtreatment, ubalso ubconsider
ubcorticosteroid uband ubCPAP
Blue ubBloater ub(Chronic ubBronchitis) ub- ubCorrect ubAnswer ub- ubChronic ubBronchitis:
ubairway ubflow ubproblem, ubrecurrent ubproductive ubcough, ubhypoxia, ubrespiratory
acidosis, ubdyspnea ubon ubexertion, ubhigh ubhemoglobin, ub'blue ubbloater' ubincrease
ubrespiratory ubrate, ubdyspnea ubon
exertion, ubdigital ubclubbing, ubfat ubfinger ubtips, ubcardiac ubenlargement, ubbilateral ublower
ubextremity ubenlargement
pink ubpuffer ub- ubCorrect ubAnswer ub- ubEmphysema: ubPursed ublip ubbreathing, ubbarrel
ubchested, ubhigh ubRR ub(to ubcompensate ubfor ubpoor ubfunctioning
lungs), ubhigh ubHR, ub'pink ubpuffers', ubpink ubskin ubcaused ubby ubpolycythemia ubwhich ubis
uboverproduction ubof ubred ubblood
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Escalation ubof ubairway ubmanagement ubin uba ubburn ubpatient. ub- ubCorrect ubAnswer ub- ubBe
ubprepared ubto ubintubate. ubBasic ubairway ubmanagement, ubnebulizer ubtreatment. ubBe
ubready ubto ubintubate.
NTG=(Nitro) ub- ubCorrect ubAnswer ub- ubvasodilator ubthat ubworks ubthroughout ubthe ubentire
ubbody. ubDecreased ubthe ubwork ubof ubthe
heart. ubGives ubsomewhere ubfor ubthe ubfluid ubto ubgo. ubGive ubSL ub0.4 ubmg ubq ub3-5 ubmin.
ubGiven ubalso ubas ub1" ubnitropaste
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Lasix(furosemide) ub- ubCorrect ubAnswer ub- ub40-100 ubmg ubIV/IO. ub(0.5-1 ubmg/kg).
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dose ubof ubprescribed ubdose. ubDO ubNOT ubGIVE ubIF ubPATIENT ubIS ubHYPOTENSIVE
ubOR ubHYPOVOLEMIC. ubWorks ubin
the ubLoop ubof ubHenle ubin ubthe ubkidneys. ubMoves ubSodium, uband ubalso ubcauses ubshift
ubin ubpotassium.
