Amls Study Guide

The first action in Assessment pathway is - Answer - safety and initial observations, then identify and manage life threats. Understanding first impression and initial observation about a patient's body positioning can be an early indicator of - Answer - sick or not sick Paroxysmal Nocturnal dyspnea is most common in - Answer - left side heart failure CPAP is used on - Answer - alert patient's, patient's who follow commands, and patients who do not have hypotension CPAP can be used on asthmatic patients - Answer - not responding to nebulizer treatments On the exam choose - Answer - B supplemental oxygen and suction Histamines and Leukotrienes primarily cause - Answer - vasodilation during anaphylaxis Pathophysiology of asthma - Answer - chronic inflammation of the bronchi with contraction of the bronchial smooth muscle, resulting in narrowed bronchi and associated wheezing. Signs and symptoms of asthma - Answer - Wheezing, dyspnea, chest tightness. Asthma is NOT associated with fever or stridor Pathophysiology of COPD - Answer - chronic inflammation from exposure to inhaled particles injuries of the airway. Signs and symptoms of COPD - Answer - dyspnea, intolernce to exertion, wheezing, production cough, accesory muscle use, JVD, rhonchi ALI/ARDS (acute lung injury/acute respiratory distress syndrome) - Answer - breakdown of the alveolar-capillary border that allows fluid to seep into the alveoli, decreasing gas exchange in the lungs Be aware that a PE is characterized by a sudden onset of - Answer - dyspnea, especially in the COPD patient Breath sounds heard most often with early presentation of PE - Answer - new onset wheezing