Which respiratory impairment symptoms are the late signs? - ANSWER -
Deficit in transcription
- JVD
What symptoms indicate poor breathing? - ANSWER - AMS
- Cyanosis, particularly in the oral cavity
- An uneven enlargement of the chest wall
- Inconsistent chest wall movement during inspiration and expiration
Use of diaphragmatic breathing or abdominal or auxiliary muscles, or both
Sucking wounds on the chest
- Diminished or absent respiratory sounds
- Use a bag-mask device to aid ventilations or administer O2 via NRB as
directed.
- Be prepared for definitive ventilation-supporting airway management.
What kind of oxygen should be administered initially to help a patient breathe
comfortably? - ANSWER A nonrebreather mask that fits snugly at 12 to 15
lpm.
What course of action ought to be taken if a patient exhibits effective
circulation? - ANSWER - Place two large-caliber IVs in.
- Apply warmed isotonic crystalloid solution according to the recommended
dosage.
,What symptoms indicate poor circulation? - ANSWER - Bradycardia
AMS
- Uncontrollably bleeding from the outside
- Pale, damp, and chilly skin
- External jugular veins that are enlarged or excessively flattened
- Remote heartbeats
Which therapies are used for circulation—effective or ineffective? - ANSWER -
Stop any uncontrollably excessive bleeding by:
- Directly pressing the area that is bleeding
- Raising the affected extremity
Pressing on the arterial pressure points
Applying a tourniquet as a final resort.
- Cannulate two large-caliber IVs and start an isotonic crystalloid solution
infusion.
Apply a heated solution.
- Use pressure bags to accelerate the infusion of IVF
- If blood administration is possible, use blood administration tubing.
Follow the procedure while using a rapid infusion device.
- Use the same tubing for the blood product and NS 0.9%.
IV stands for central line, surgical cut-down, or both.
- Blood sample for Rh and ABO group determination
- IO in the arms, legs, pelvis, or sternum
,- Give out blood products
PASG (without affecting the fluid resuscitation process)
What are the contributing elements to inadequate ventilation? - ANSWER -
AMS
- LOC
- Damage to the nervous system
- Damage to the spinal cord
- Traumatic Brain Injury
- Diminished trauma
Anguish brought on by rib fractures
- Permeating Injury
- A history of respiratory illnesses
- Growing older
Which drugs are administered during an intubation? - Mnemonic for Answer
Load:
L stands for lidocaine.
O stands for opioids
A = Atropin
D = agents that defasicultate
What steps are included in Rapid Sequence Intubation? - REPAIR OF
ANSWER:
, assemble personnel, equipment, etc.
Prior Oxygenation:
Utilize 100% O2 to reduce the chance of aspiration.
PRIMERA:
Reduction of intubation S/Es
STOPPAGE DURING INDUCTION:
- If the patient has LOC, give them a neuromuscular blocking medication.
Defensibility and positioning:
- Apply pressure on the cricoid cartilage to reduce the chance of aspiration and
vomiting
SETTLEMENT WITH EVIDENCE
Breathe out for 30 to 60 seconds in between each try, with a maximum of three
attempts lasting no more than 30 seconds each.
Following intubation, blow up the cuff.
Verify tube positioning with an inhaled CO2 detector.
POSTINTUBATION SUPERVISION:
- Safe ET tube
Adjust the ventilator's settings.
Acquire a chest x-ray
- Keep taking your medication.
- Verify VS and pulse oximetry again.
Deficit in transcription
- JVD
What symptoms indicate poor breathing? - ANSWER - AMS
- Cyanosis, particularly in the oral cavity
- An uneven enlargement of the chest wall
- Inconsistent chest wall movement during inspiration and expiration
Use of diaphragmatic breathing or abdominal or auxiliary muscles, or both
Sucking wounds on the chest
- Diminished or absent respiratory sounds
- Use a bag-mask device to aid ventilations or administer O2 via NRB as
directed.
- Be prepared for definitive ventilation-supporting airway management.
What kind of oxygen should be administered initially to help a patient breathe
comfortably? - ANSWER A nonrebreather mask that fits snugly at 12 to 15
lpm.
What course of action ought to be taken if a patient exhibits effective
circulation? - ANSWER - Place two large-caliber IVs in.
- Apply warmed isotonic crystalloid solution according to the recommended
dosage.
,What symptoms indicate poor circulation? - ANSWER - Bradycardia
AMS
- Uncontrollably bleeding from the outside
- Pale, damp, and chilly skin
- External jugular veins that are enlarged or excessively flattened
- Remote heartbeats
Which therapies are used for circulation—effective or ineffective? - ANSWER -
Stop any uncontrollably excessive bleeding by:
- Directly pressing the area that is bleeding
- Raising the affected extremity
Pressing on the arterial pressure points
Applying a tourniquet as a final resort.
- Cannulate two large-caliber IVs and start an isotonic crystalloid solution
infusion.
Apply a heated solution.
- Use pressure bags to accelerate the infusion of IVF
- If blood administration is possible, use blood administration tubing.
Follow the procedure while using a rapid infusion device.
- Use the same tubing for the blood product and NS 0.9%.
IV stands for central line, surgical cut-down, or both.
- Blood sample for Rh and ABO group determination
- IO in the arms, legs, pelvis, or sternum
,- Give out blood products
PASG (without affecting the fluid resuscitation process)
What are the contributing elements to inadequate ventilation? - ANSWER -
AMS
- LOC
- Damage to the nervous system
- Damage to the spinal cord
- Traumatic Brain Injury
- Diminished trauma
Anguish brought on by rib fractures
- Permeating Injury
- A history of respiratory illnesses
- Growing older
Which drugs are administered during an intubation? - Mnemonic for Answer
Load:
L stands for lidocaine.
O stands for opioids
A = Atropin
D = agents that defasicultate
What steps are included in Rapid Sequence Intubation? - REPAIR OF
ANSWER:
, assemble personnel, equipment, etc.
Prior Oxygenation:
Utilize 100% O2 to reduce the chance of aspiration.
PRIMERA:
Reduction of intubation S/Es
STOPPAGE DURING INDUCTION:
- If the patient has LOC, give them a neuromuscular blocking medication.
Defensibility and positioning:
- Apply pressure on the cricoid cartilage to reduce the chance of aspiration and
vomiting
SETTLEMENT WITH EVIDENCE
Breathe out for 30 to 60 seconds in between each try, with a maximum of three
attempts lasting no more than 30 seconds each.
Following intubation, blow up the cuff.
Verify tube positioning with an inhaled CO2 detector.
POSTINTUBATION SUPERVISION:
- Safe ET tube
Adjust the ventilator's settings.
Acquire a chest x-ray
- Keep taking your medication.
- Verify VS and pulse oximetry again.
