QUESTIONS ANSWERS AND
n n n
Significance n of n stomach n distension, n and n rapidly n decreased n ETCO2 n after
n n n n n n n n
n successful n intubation n - n Correct n Answer n - n Tube n was n placed n into n esophagus
n n n n n n n n n n n
Method n to n RAPIDLY n confirm n that n a n stoma n is n clear n (direct n laryngoscopy,
n n n n n n n n n n
n suction, n removing n inner
n n n
cannula) n * n - n Correct n Answer n - n remove n inner n catheter n to n see n that n its n clear
n n n n n n n n n n n n n
Methods n to n clear n tracheostomy n tubes n - n Correct n Answer n - n 3 n ml n of n saline n and
n n n n n n n n n n n n n
n suction.
n
"Maximum n allowable n time" n for n intubation n attempts. n - n Correct n Answer n - n 30
n n n n n n n n n n
n seconds n with n oxygenation n between n attempts
n n n n n
Indications n and n contraindications n for n nasotracheal n intubation n - n Correct n Answer
n n n n n n n n
n - n Indications: n Breathing n spontaneously n but n require n definitive n airway
n n n n n n n n
n management. n Responsive
n n
patients n and n patients n with n an n altered n mental n status n and n an n intact n gag n reflex
n n n n n n n n n n n n
n who n are n in n respiratory
n n n n
failure.
Contraindications: n patients n that n should n receive n orotracheal n intubation, n head
n n n n n n n
n trauma, n and
n n
possible n midface n fractures.
n n
Differential n diagnosis n for n emphysema, n pneumonia, n pleural n effusion n and n CHF n -
n n n n n n n n n
n Correct n Answer n - n -Emphysema n (Pink n Puffer n "Polycythemia", n Barrel n chested)
n n n n n n n n n
n is n a n loss n of n elasticity n of n the n alveoli n of n the n lungs. n This n causes n extra n dead
n n n n n n n n n n n n n n n
n space n and n these n patients n breathe n off n of n a n hypoxic n drive n due n to n the
n n n n n n n n n n n n n
n retained n CO2 n in n the n lungs n and n respiratory n system.
n n n n n n n n
-Pneumonia n is n going n to n incorporate n a n FEVER. n Most n commonly n it n is n only n a
n n n n n n n n n n n n
n one n sided n issue. n Productive n cough. n Ask n about n secretion n color.
n n n n n n n n n
- n Pleural n effusion n is n air n or n fluid n in n the n chest n cavity n "air n or n fluid n constricts
n n n n n n n n n n n n n n
n lung, n making n it n harder n to n breathe" n (Visceral n Pleura, n Parietal n Pleura n Space).
n n n n n n n n n n n
n Sharp n pain n made n worse n by n deep n breath.
n n n n n n n
-CHF n is n going n to n have n pedal n edema n and n cough n up n pink n frothy n sputum.
n n n n n n n n n n n n
n Exacerbated n by n lying n flat n (Orthopnea). n Known n by n history n and n medications
n n n n n n n n n n
, nntaken. nnleft nnsided nnheart nnfailure nnprecedes nnright nnside nnheart nnfailure. nnPump
nnproblem nnnot nna nnpipe nnproblem.
Treatment n of n asthma n patients n depending n on n how n they n present n (wheezes n or
n n n n n n n n n n
n not, n mannerism n of
n n n
speaking, n distress n etc) n - n Correct n Answer n - n Patients n who n are n hypersensitive-
n n n n n n n n n n
n remove n them n from n irritant
n n n n
Asthma n patient n who n is n dehydrated- n needs n hydrated
n n n n n n
Asthma n patients n who n are n wheezing- n Nebulizer n treatment, n also n consider
n n n n n n n n
n corticosteroid n and n CPAP
n n n
Blue n Bloater n (Chronic n Bronchitis) n - n Correct n Answer n - n Chronic n Bronchitis:
n n n n n n n n n
n airway n flow n problem, n recurrent n productive n cough, n hypoxia, n respiratory
n n n n n n n n
acidosis, n dyspnea n on n exertion, n high n hemoglobin, n 'blue n bloater' n increase
n n n n n n n n
n respiratory n rate, n dyspnea n on
n n n n
exertion, n digital n clubbing, n fat n finger n tips, n cardiac n enlargement, n bilateral n lower
n n n n n n n n n
n extremity n enlargement
n n
pink n puffer n - n Correct n Answer n - n Emphysema: n Pursed n lip n breathing, n barrel
n n n n n n n n n n
n chested, n high n RR n (to n compensate n for n poor n functioning
n n n n n n n n
lungs), n high n HR, n 'pink n puffers', n pink n skin n caused n by n polycythemia n which n is
n n n n n n n n n n n
n overproduction n of n red n blood
n n n n
cells
Escalation n of n airway n management n in n a n burn n patient. n - n Correct n Answer n - n Be
n n n n n n n n n n n n
n prepared n to n intubate. n Basic n airway n management, n nebulizer n treatment. n Be
n n n n n n n n n
n ready n to n intubate.
n n n
NTG=(Nitro) n - n Correct n Answer n - n vasodilator n that n works n throughout n the n entire
n n n n n n n n n n
n body. n Decreased n the n work n of n the
n n n n n n
heart. n Gives n somewhere n for n the n fluid n to n go. n Give n SL n 0.4 n mg n q n 3-5 n min.
n n n n n n n n n n n n n n
n Given n also n as n 1" n nitropaste
n n n n n
Drip n dose. n Nitro n Drip n 10 n mcg/min.
n n n n n
Lasix(furosemide) n - n Correct n Answer n - n 40-100 n mg n IV/IO. n (0.5-1 n mg/kg). n n n n n n n n n
n Indications=Pulmonary n Edema/CHF. n Double
n n n
dose n of n prescribed n dose. n DO n NOT n GIVE n IF n PATIENT n IS n HYPOTENSIVE n OR
n n n n n n n n n n n
n HYPOVOLEMIC. n Works n in
n n n
the n Loop n of n Henle n in n the n kidneys. n Moves n Sodium, n and n also n causes n shift n in
n n n n n n n n n n n n n
n potassium.
n
Albuterol n - n Correct n Answer n - n 2.5 n mg n nebulized. n Works n on n B2 n receptors.
n n n n n n n n n n n
n Bronchodilator. n Contraindications=CHF.
n n
Use n caution n with n tachydysrhythmias.
n n n