Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Sinclair Paramedic Lab 2130 > CC Resp-Differential Diagnosis > Flashcards

CC Resp-Differential Diagnosis Flashcards

You may prefer our related Brainscape-certified flashcards:
NREMT® EMT flashcards NREMT® Paramedic flashcards
1
Q

Airway obstruction (Causes)

A
  • Infections: Croup, epiglottis is
  • Foreign bodies, trauma, cancer
  • Anaphylaxis
  • Chemical burns
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Airway obstruction (Important History)

A
  • Duration of problem, history of infection

- Quickness of decompensation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Airway obstruction (Exam findings)

A
  • (S/S)Stridor, dyshphagia, drooling, wheezing, unable to speak, cyanosis, air hunger, anxiety, confusion, ALOC, HR up, RR up, TV down, fever
  • PETCO2 up, SpO2 down
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Airway obstruction (Treatment)

A
  • Scene safety
  • Patent airway
  • Cool air, heimlich, laryngoscope, intubation, surg cric, Epi/Benadryl, glucagon (esophageal obstruction), manage problem
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Asthma (Causes)

A
  • Bronchoconstriction
  • Bronchial edema
  • Increased mucous production
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Asthma (Important history)

A
  • History of asthma
  • It’s a TRIGGER DISEASE
  • Find out trigger of cause
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Asthma (Exam findings)

A
  • Progressing wheezes
  • Airtrapping
  • ALOC, HR up, RR up, I:E up, PETCO2 up, TV down, diaphoresis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Asthma (Treatment)

A
  • O2 NRB, Capnography
  • Meds: -Albuterol, Ipratropium neb.
    - Dexamethasone, Terbutaline/Epi Sq (if severe)
  • IV / Monitor
  • Intubation if needed
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

COPD: Bronchitis / Emphysema (Causes)

A
  • Inflammation, mucous in bronchial trees
  • Alveolar destruction
  • Most COPD has both of these
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

COPD: Bronchitis / Emphysema (Important history)

A
  • COPD history
  • Smoker (previous)
  • Long term exposure to irritants
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

COPD: Bronchitis / Emphysema (Exam findings)

A

Chronic bronchitis: Productive cost, cyanosis, JVD, accessory muscles

Emphysema: Barrel chest, little cough, tripod, accessory muscle hypertrophy

Both: PETCO2 up, SpO2 down, H&H up

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

COPD: Bronchitis / Emphysema (Treatment)

A
  • O2
  • IV
  • Airway (CPAP, Intubate)
  • Monitor
  • Meds: Epi or albuterol if bronchoconstricted
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

CHF (Causes)

A
  • Impaired heart ability
  • MI
  • Cardiovascular disease (CAD, HTN, valvular malfunction)
  • Drugs: sympathomimetic, alchohol
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

CHF (Important History)

A
  • Altered vitals cause more s/s
  • Gradual onset
  • Dyspnea at rest, laying flat, at night or during normal activity
  • Improvement when upright or at open window
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

CHF (Exam findings)

A
  • Coarse/fine crackles, wheezes
  • Dependent edema, enlarged liver, JVD, ascites, dyspnea on exertion
  • BP down, RR up
  • JVD while pressing on liver (Hepatojugular reflex), BUN up
  • S1, S2, S3
  • Increased WOB, alveolar collapse
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

CHF (Treatment)

A
  • O2, IV
  • CPAP w/ PEEP, Intubation
  • Treat rhythm/rate problem
  • Meds: Lasix, albuterol, morphine, nitro, dopamine, Mild fluid Bolus, dobutamine
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Metabolic acidosis (Causes)

A
  • Increased acid production/elimination

- Aspirin, ethylene, glycol, iron, TCA ingestion

18
Q

Metabolic acidosis (Important history)

A

-It is a result of some other underlying disease/OD

19
Q

Metabolic acidosis (Exam findings)

A
  • Tinnitus, blurred vision, chest pain, head ache, abd pain, tahcyC, Arrythmia, low BP
  • Hyperkalemia often present, BGL up (DKA), PETCO2 down
20
Q

Metabolic acidosis (Treatment)

A
  • Stabilize ABC’s, arrythmias, underlying cause

- Meds: Sodium bicarb .5-1 mEq/Kg, will decrease K level

21
Q

Neurogenic: ALS/Guillain-Barre (Causes)

A
  • Amyotrophic Lateral Sclerosis (ALS)- Unknown

- Guillain-Barre Syndrome (GBS)- Autoimmune

22
Q

Neurogenic: ALS/GBS (Important History)

A

GBS- Symmetrical ascending wave of weakness/paralysis. Usually 2-4 weeks after GI or Resp infection. Weakness over several days, 1/3 of affected need ventilated. Range ~15-35 y/o

ALS- Progressive weakness, no sensation change. Disease = fatal

23
Q

Neurogenic: ALS/GBS (Exam findings)

A

GBS- Weakness, pain of weakened areas, paraesthesia (tingling), respiratory distress, facial droop, alt BP & HR, unable to walk

ALS- Starts with limb weakness, difficulty speaking, dysphagia, fasciculations, stiffness, impaired resp muscles

24
Q

Neurogenic: ALS/GBS (Treatment)

A

ALS- Supportive care: Ensure resp/Cardiac function, Check DNR

GBS- Supportive care: Ensure resp/Cardiac function, Pain management

25
Q

Pneumonia (Causes)

A
  • Viral
  • Bacterial
  • Aspiration
  • Fungal
  • Mixed
  • Usually unilateral
26
Q

Pneumonia (Important History)

A
  • History of viral/bacterial infection
  • History of aspiration

-Can present as separate disease or part of complex medical pt

27
Q

Pneumonia (Exam findings)

A
  • Productive cough (color and odor, viral = white), pleuritic chest pain, fever with chills, fatigue, diminished aeration, resp distress, TachyC, TachyP, tactile fremitus
  • Check for dehydration
28
Q

Pneumonia (Treatment)

A
  • IV, O2, Monitor
  • Support breathing
  • Meds: Fluid if dehydrated
29
Q

Psychogenic Hyperventilation (Causes)

A
  • Anxiety

- Stress

30
Q

Psychogenic Hyperventilation (Important history)

A
  • Stressful event

- Rule out more serious conditions

31
Q

Psychogenic Hyperventilation (Exam findings)

A
  • TachyC, P, dyspnea
  • Numbness, tingling in extremities, mouth, dizzy
  • PETCO2 down, SpO2 up
32
Q

Psychogenic Hyperventilation (Treatment)

A
  • High flow O2
  • Ensure not MI/PE
  • Coach breathing
  • IV, Monitor
33
Q

Tuberculosis (Causes)

A
  • Resp infection with M tuberculosis

- M tuberculosis becoming more resistant to therapy

34
Q

Tuberculosis (Important history)

A
  • May have history
  • Associated with prisons, homeless, HIV, travel to areas of high TB
  • Can effect GI, Neuro, Skeletal, GU
35
Q

Tuberculosis (Exam findings)

A

-Productive cough, NIGHT SWEATS, recent weight loss, chest pain, fever

36
Q

Tuberculosis (Treatment)

A
  • Masks for all
  • O2
  • Supportive care
  • IV, monitor
37
Q

Acute Respiratory Distress Syndrome (ARDS) (Causes)

A
  • Non-cardiac PE
  • Sepsis, near drowning, burns, OD, pancreatitis, trauma, aspiration, pneumonia
  • Generalized diagnosis
38
Q

ARDS (Important history)

A
  • Is a result of another condition
  • Usually starts 12-48hrs after initial incident
  • 40-70% mortality
39
Q

ARDS (Exam findings)

A

-RR up, HR up, PETCO2 up, SPO2 down (even on O2), hemoptysis, fine/coarse crackles, wheezing, no JVD, fever, pulmonary edema

40
Q

ARDS (Treatment)

A
  • Critical patients
  • CPAP w/ PEEP, capno, vent if needed
  • Meds: Furosemide, Albuterol, Dopamine/Fluids

Sinclair Paramedic Lab 2130 (2 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions