Airway Obstruction (S-121)

Question 1

For a conscious patient: (BLS)

Answer 1

• Reassure, encourage coughing

* O2 prn

Question 2

For inadequate air exchange: (BLS)

Answer 2

airway maneuvers (AHA)
• Abdominal thrusts
• Use chest thrusts in the obese or pregnant patient

Question 3

If patient becomes unconscious or is found unconscious: (BLS)

Answer 3

• Begin CPR

Question 4

Once obstruction is removed: (BLS)

Answer 4

• High flow O2, ventilate prn

* O2 saturation prn

Question 5

If patient becomes unconscious or has a decreasing LOC: (ALS)

Answer 5

• Direct laryngoscopy and Magill forceps SO MR prn

* Capnography SO prn

Question 6

Once obstruction is removed: (ALS)

Answer 6

• Monitor / EKG

* IV/IO SO adjust prn

Question 7

Notes (ALS/BLS)

Answer 7

If unable to secure airway, transport STAT

Question 8

Asthma

Answer 8

Lung Sound: Wheezing / Diminished

S/S - Other: Hx allergies / asthma, Taking bronchodilators, Episodic

Question 9

Bronchitis

Answer 9

Lung Sound: Wheezing / Crackles

S/S - Other: Recent respiratory tract infection, Smoker, Productive cough

Question 10

CHF (Pulmonary Edema)

Answer 10

Lung Sound: Crackles (Rales) / Wheezing / Diminished

S/S - Other: Hx CHF, MI, HTN. Taking diuretics. Gradual onset, orthopnea. JVD, pedal edema, R/O aspiration / infection.

Question 11

COPD (Emphysema)

Answer 11

Lung Sound: Wheezing / Diminished

S/S - Other: Smoker, Barrel Chest, Chronic Cough, On home O2, Exertional

Question 12

Hyperventilation

Answer 12

Lung Sound: Clear

S/S - Other: Hand/face numbness, hand cramping. R/O cause: PE, shock, sepsis, OD, etc.

Question 13

Obstruction

Answer 13

Lung Sound: Stridor (Inspiratory)

S/S - Other: Anxious, hoarse, cough, cyanosis, drooling, pain

Question 14

Pneumonia

Answer 14

Lung Sound: Scattered Crackles / Rhonchi

S/S - Other: Fever, taking antibioitics, C/P. Cough/sputum: brown, green, yellow.

Question 15

Pneumothorax

Answer 15

Lung Sound: Decreased / Absent on affected side, or clear bilaterally
S/S - Other: Spontaneous or Traumatic, Sudden onset of pain typically pleuritic. Acute = hypotension, tracheal deviation.

Question 16

Pulmonary Embolism

Answer 16

Lung Sound: Clear
S/S - Other: Tachypnea, tachycardia, pain, dyspnea on exertion (sudden onset). O2 sat low with oxygen and good ventilations.