Chapter 10 Respiratory conditions w interventions

Question 1

inadequate breathing (respiratory failure)

Answer 1

• some breathing but not enough to sustain life
• diminished or absent breath sounds
• noises like strider, snoring, gurgling, or gasping
• cyanotic skin color
• decreased minute volume
• O2 saturation below 95% (low oxygen)

intervention

Assisted ventilation (forced into lungs)

• pocket mask
• bvm
• FROPVD

Question 2

not breathing at all (respiratory arrest)

Answer 2

intervention
-Artificial ventilations
- pocket mask
-bvm
FROPVD
ATV 
10-12 (we say 15) adult
20/min for child
(oxygen powered devices are not used on children or infants because of dangerous high pressure to their airways)

Question 3

Adult breaths adequate

Answer 3

12-20 bp/min

Question 4

child breaths adequate

Answer 4

15-30 bp/min

Question 5

infant breaths adequate

Answer 5

25-50 bp/min

Question 6

Positive pressure ventilation dangers

Answer 6

decreasing cardiac output (blood pressure)

gastric distention

hyperventilation - the danger of blowing off too much carbon dioxide is that it may cause vasoconstriction and further blocking blood from reaching the brain.

Question 7

Techniques of Artificial ventilation

Answer 7

• mouth to mask
• 2 rescuer BVM (preferably with oxygen at 15 liters per min)
• flow restricted, oxygen powered ventilation device
• 1 rescuer BVM (preferably with oxygen at 15 liters per min)

Question 8

Patients who are vomitting/ or have vommitus in airway

Answer 8

DO NOT VENTILATE!!

-could cause vomit to be forced into lungs

Question 9

signs of inadequate ventilation

Answer 9

• chest doesn’t rise and fall equally

- rate of ventilation is too fast or too slow

Question 10

CPAP/BiPAP non invasive positive pressure ventilation

Answer 10

continuous positive airway pressure

biphasic continuous airway pressure

-any NPPV can only be used on patients who can breath on their own. it simply follows the breathing rhythm of the person and assists with higher concentration of O2.

Question 11

FROPVD

Answer 11

flow restricted, oxygen powered ventilation device

• a device that uses oxygen under pressure to deliver artificial ventilations. its trigger is placed so that a rescuer can operate it while still using both hands to maintain seal on face mask.
• has an automatic oxygen delivery flow restriction to maintain proper delivery of oxygen to patient

Question 12

Automatic transport ventilator (ATV)

Answer 12

• device that provides positive pressure ventilations. it includes settings designed to adjust ventilation rate and volume. while being portable and easy to carry on ambulance.
• ideal for 1 rescuer applications