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Medic NREG > Airway > Flashcards

Airway Flashcards

1
Q

OPA Measure

A

Bottom of Earlobe to the corner of the mouth. Along the curvature of the jaw.

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2
Q

NPA Measure

A

Bottom of the Airway to the corner of the mouth along the curvature of the jaw.

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3
Q

When do you assist ventilations with a BVM

A

Less than 10 or greater than 30 you would use a BVM to force air in. Unless it’s hyperventilation. Pt needs to calm down in that situation.

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4
Q

When do you not tube a patient?

A

When the underlying cause can be quickly reversed. Such as Heroin OD (Narcan/Nalaxone .4-2.0 mg) or Hypoglycemia (D50 25g adult, Peds .5mg kg Glucagon 1mg Peds .03mg). Or a patient has a gag reflex.

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5
Q

Contraindications of nasal intubation

A

Pt has facial injury or is apnea. Color wont’t change on color metric device via nasal tube.

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6
Q

Ways to confirm tube placement

A

Condensation, equal rise and fall, color metric, auscultation and CAPNOGRAPHY (definitive)

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7
Q

Capnography Measures & Values

A

CO2 Expulsion. Value should be 35-40

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8
Q

What does a 10 mean on Capnography?

What does a 70 Mean on Capnography?

A

10 Means they are not exhaling as much

70 means they are exhaling a lot.

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9
Q

Wheezes Loacation, cause & noise?

A

lower airway, bronchoconstriction, musical sound (test description)

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10
Q

What is the difference between the Upper & Lower Airway?

A

The glottic opening

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11
Q

Rhales/Crackles

A

Lower Airway, fluid in lungs(aveoli) Popping/ Rubbing noise/sensation. (Test description)

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12
Q

Stridor

A

Upper Airway Narrowing of the glottic opening (edema). High pitched whistling (test description)

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13
Q

Best treatment/My Treatment

A

Best treatment possible available to me as the paramedic.

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14
Q

Definitive Treatment

A

Best treatment to a patient via the hospital or specialist. Usually out of my scope of practice as a medic

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15
Q

Respiratory Cycle

A

Inhalation is active

Expiration is passive

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16
Q

What does Asthma do to the respiratory cycle?

A

It prolongs expiration

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17
Q

Respiratory patients in distress require what treatment other than medicine?

A

Positioning is a treatment! HIGH FOWLERS

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18
Q

ASHTMA & COPD S/S TREATMENT?

A

Wheezing(lower airway bronchoconstriction)
Give albuterol or atrovent (ipatropium bromide) if still not working give Epi Sub Q 1:1000 .3-.5 mg then corticosteroids are the next option(medics don’t give) prednisone or solumetrol.

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19
Q

CHF S/S

A

SOB, wet lung sounds (rhales/crackles fluid in lungs, popping/rubbing sensation/noise)

20
Q

CHF Treatment with Good Presentation (good BP/Skin Signs etc.)

A

CPAp is best O2 treatment.
Meds- Nitro (.4mg with good BP) then lasiks (20-40mg for patients not taking lasiks. 40-80 for patients taking lasiks Peds 1mg/kg).

21
Q

CHF Treatment Poor Presentaion (cool, pale, diaphoretic poor BP etc)

A

CPAP

Best Med is Dopamine (5-10mcg to increase cardiac output, 10-20mcg to increase vasocontriction)

22
Q

What is the difference between Allergic Reaction and Anaphylaxis Shock?

A

The patient in Anaphylaxis is in SHOCK. Has a poor BP! INADEQUATE TISSUE PERFUSION

23
Q

Person is having an allergic reaction what do you give?

A

1000% of the time you give Benadryl (25-50mg Peds 1mg/kg).

24
Q

Epi for Allergic Reaction
vs.
Anaphylaxis Shock

A

Allergic-Give SuB Q for Beta Properties (.3mg-.5mg Peds .01mg)
Anaphylaxis Shock- Give IV (.1-.3mg Peds .01mg)

25
Q

Pneumonia S/S

A

Low Grade Fever, productive cough, yellow brown sputum (100% pneumonia) TEST DEFINITION. Window dressing: SOB, pleuritic chest pain, Slow onset.

26
Q

Pneumonia Treatment

A

Definitive Treatment-ANTIBIOTICS
Medic- only give bronchodialators if wheezing
CPAP-if pt. has increased work of breathing

27
Q

Pink Puffers

A

COPD-Emphysema looking pt’s. Tweeker looking. Polycythemia due to increased RBC is bodies natural reaction to being constantly o2 deprived. Blood doping

28
Q

Blue Bloaters

A

Chronic Bronchitits(test will try to confuse you with pneumonia difference is no fever remember skin signs). Pt’s are cyanotic b/c of hypoxia, lethargic overweight

29
Q

Nasal Canula

A

23-44% O2

30
Q

Simple Mask (NRB w/o Bag)

A

40-60% O2

31
Q

NRB

A

65-95% O2

32
Q

BVM w/O2

A

100% only way to give 100% O2

33
Q

Fresh Water Drowning

A

The body is more salty than fresh water. The fluid that enters the lungs will be pulled into the interstitial space. Pulling the water out of the lungs

34
Q

Salt Water Drowning

A

Water will be pulled from the interstitial space causing the lungs to fill up with more fluid

35
Q

Wet Drowning

A

Outside water actually gets into the lungs causing drowning

36
Q

Dry drowning

A

The glottic opening spasms shut as a protective measure to prevent fluid from entering the lungs. But in turn kills you because it cuts off your airway

37
Q

Burns

A

Airway is number 1 concern. Any swelling of mouth or airway means tube IMMEDIATELY! A SOOT is a good sign

38
Q

Aerobic Respiration

A

requires O2

39
Q

Anaerobic Respiration

A

no O2 is required

40
Q

Pulmonary Embolism S/S

A

SOB, pleuritic CP, no cough, no fever.

Recent Surgery w/ SOB 100% think PE

41
Q

CO2 Poisoning S/S & Tx

A

Flushing/red skin, ALOC
High Flow O2, Supportive measures
Definitive Tx- Hyperbaric Chamber

42
Q

Kussmal Respirations

A

Angry deep rapid caused by conditions such as DKA that produce Metabolic Acidosis

43
Q

Central Neurogenic Respirations

A

Deep Rapid Respirations caused by Strokes or Brainstem Injuries. Loss of ventilatory control & respiratory alkalosis

44
Q

Atax/Biots Respirations

A

Repeted gasping ventilation followed by periods of apnea. ICP

45
Q

Apneustic Respirations

A

Long DEEP breaths that are stopped during inspiratory phase and seperated by periods of Apnea. Caused by STROKE or CNS disease

46
Q

Cheyne Stokes Respirations

A

Progressively increasing then declining followed by periods of apnea. Older patients w/terminal illness or Brain Injury

Medic NREG (19 decks)

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