Adult Respiratory

Question 1

Foreign Body Airway Obstruction Management

Answer 1

BLS

• Perform abdominal thrusts
• Begin CPR if pt becomes unresponsive
• Check mouth & remove any visible FB, do not perform blind finger sweeps

ALS

• Perform direct laryngoscopy and remove any visible FB with magill forceps
• If continued inadequate ventilation, consider needle cricothyrotomy

Question 2

CPAP Indications

Answer 2

• CHF with pulmonary edema
• Moderate to severe respiratory distress
• Near drowning

Question 3

CPAP Contraindications

Answer 3

• <8 years of age
• Agonal Respirations
• SBP <90
• Respiratory or cardiac arrest
• Inability to maintain airway
• Major trauma, especially head injury or significant chest trauma
• Severe decreased LOC
• Suspected pneumothorax

Question 4

CPAP Complications

Answer 4

• Hypotension
• Pneumothorax
• Corneal drying

Question 5

Mild Respiratory Distress

Answer 5

• Mild wheezing
• Mild shortness of breath
• Cough

Question 6

Moderate to Severe Respiratory Distress

Answer 6

• Cyanosis
• Accessory muscle use
• Inability to speak >3 words
• Severe wheezing/shortness of breath
• Decreased or absent air movement