What are the respiratory rates when we should consider a BVM? - Answers less than 8 ventilate, over 25
How do we determine adequate respirations? - Answers equal chest rise and fall
improved skin signs
Wheezing - Answers high pitched sound in lungs = lower airway
Ronchi - Answers loud rumbling, thick secretions (congestion)
Crackles (Rales) - Answers wet, gurgling
Stridor - Answers strained, high-pitched sound
upper airway
Corrective action if we no longer see visible chest rise while performing PP ventilation - Answers
reposition the airway
still not rise and fall = obstruction, so suction
Oxygen flow rates for: Nasal cannula - Answers 1-6 L
Oxygen flow rates for: Non-rebreather mask - Answers 10-15L
Oxygen flow rates for: BVM - Answers 15-25L
Oxygen flow rates for: Nebulized breathing treatment - Answers 6-8L
What to ask and how to approach a patient who is possibly choking - Answers "are you choking"
if conscious with airway patent= allow them to cough it out
if conscious with no airway= Heimlich
Witness patient collapses.......what should your first objective be - Answers chest compressions
When do we simply encourage them to cough? - Answers if they are moving air and they can talk a little
bit
,How to treat a patient with a STOMA that is not with adequate respirations - Answers BVM over stoma,
and suction if needed (frenchie if clogged)
When to treat a patient with humidified oxygen? Hint: think of croup in a pediatric patient. - Answers
upper respiratory infection
breath in hot air
swollen airway = to help get swelling down
How to ask questions to a patient with extreme SOB (shortness of breathe) , what to ask and when...... -
Answers onset and provoction
sudden? onset?
NPA vs. OPA (when they are indicated and contra-indicated) - Answers Not breathing
OPA = no gag relex, unconscious
NPA = gag reflex, conscious -- facial trauma
When to suction a patient and what suction catheter would be best for oropharynx - Answers
secretions, gurgling sounds, airway not patent
yanker tip, rigid tip catheter
Signs and symptoms of "Spontaneous Pneumothorax" and "Tension Pneumothorax" - Answers S.P =
diminished lung sounds to one side, fast breathing, increased heart rate, chest pain
T.P = JVD, TD, tachycardia, diminished lung sounds, hypnotic skin signs
Signs and symptoms of Pneumonia and its etiology - Answers chills
fever
cough
, wheezing/ crackles
green septum
treatment: bls or als, transport with O2
assess: lung sounds, respirations, vital signs
Signs and symptoms of Chronic Bronchitis and its etiology - Answers shortness of breath, wheezing
etiology: irritation of lung passage ways
cause: smoking
Difference between Systole and Diastole - Answers systole (contraction) and diastole (relaxation)
difference between both = pulse pressure
If a patient regains their pulses after the use of an AED, what should we assist with? - Answers
ventilations
Know the major contraindications with NTG (nitroglycerin) - Answers low blood pressure
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When dealing with a possible stroke patient, what questions are important to ask? - Answers "when
were they last seen normal"
When assessing a patient with agonal respirations......what is our course of action? - Answers bag them
agonal = 2-4 breaths per min
How to position a patient that appears to be in shock? - Answers supine, with legs up
Which chamber of the heart, when in failure is responsible for causing pulmonary edema? - Answers
right sided failure (#1 cause= left sided failure)
(#1 cause of left sided heart failure= Myocardial infraction)