Chapter 4 - Respiratory Emergencies Flashcards
In patients w/ severe resp. compromise, treatment should be aggressive in order to prevent respiratory arrest. Lung sounds and degree of distress should guide treatment.
True or false?
True
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Respiratory Distress - 4010
Treatment (5)
- Airway/breathing management
* Monitor SpO2, SpO2 is not a reliable indicator of the patients level of distress
* Administer O2 via proper adjunct to maintain oxygen saturation of 95% or greater
* Determine respiratory rate, depth and quality
* Assess lung sounds - Consider possible treatment situations and refer to appropriate protocol
* Clear lung sounds with difficulty breathing
* Administer O2 via proper adjunct to maintain oxygen saturation of 95% or greater
* Known or suspected pneumonia (Fever, decreased lung sounds, and/or cough) - Initiate cardiac monitoring
- Assess temperature
- Determine blood glucose level
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Respiratory Arrest - 4020
Treatment (8)
- Insert an airway adjunct(s) - Oral pharyngeal airway and/or nasal pharyngeal airway
- Provide 100% oxygen via BVM
- Provide suction as needed
- Airway/breathing management
* If unable to intubate patient after 2 attempts
* Insert supra-glottic airway - Monitor SpO2
- Initiate cardiac monitoring
- Assess blood glucose level
- Assess temperature
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Asthma - 4030
Treatment: (6)
- Airway/breathing management
* Monitor SpO2, SpO2 is not a reliable indicator of the patients level of distress.
* Administer O2 via proper adjunct to maintain oxygen saturation of 95% or greater
* Determine respiratory rate, depth and quality
* Assess lung sounds - Initiate cardiac monitoring
- Assess temperature
- Determine Blood Glucose level
- Treatment should be based on lung sounds and level of distress:
- If unable to intubate after 2 attemptd
* Insert supra-glottic airway
Asthma - 4030
Treatment should be based on lung sounds and level of distress:
Mild Distress -
• Wheezes only
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Asthma - 4030
Treatment should be based on lung sounds and level of distress:
Moderate Distress -
• Wheezes/decreased breath sounds/accesory muscles use
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Asthma - 4030
Treatment should be based on lung sounds and level of distress:
Severe Distress -
• Wheezes/stridor/decreased breath sounds with little or no air movement/accesory muscle use/tripoding
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Chronic Obstructive Pulmonary Disease - 4040
Treatment: (6)
Airway/breathing management
• Monitor SpO2, SpO2 is not a reliable indicator of the patients level of distress.
• Administer O2 via proper adjunct to maintain oxygen saturation of 95% or greater
• Determine respiratory rate, depth and
quality
• Assess lung sounds
• Initiate cardiac monitoring
• Assess temperature
• Determine Blood Glucose level
• Treatment should be based on lung sounds and level of distress:
• If unable to intubate after 2 attempts
• Insert supra-glottic airway
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Chronic Obstructive Pulmonary Disease - 4040
Treatment should be based on lung sounds and level of distress:
Mild Distress -
• Wheezes only
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Chronic Obstructive Pulmonary Disease - 4040
Treatment should be based on lung sounds and level of distress:
Moderate Distress -
• Wheezes/decreased breath sounds/accesory muscle use
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Chronic Obstructive Pulmonary Disease - 4040
Treatment should be based on lung sounds and level of distress:
Severe Distress -
• Wheezes/stridor/decreased breath sounds with little to no air movement/accesory muscle use/tripoding
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Foreign Body Airway Obstruction - 4050
Treatment: (3)
• Airway /breathing management
• Conscious
• MILD OBSTRUCTION (with good air exchange)
▪ Encourage patient’s own spontaneous coughing and breathing efforts
• SEVERE OBSTRUCTION
• Abdominal thrusts (Heimlick maneuver)
• If patient is pregnant or obese, perform chest thrusts instead of abdominal thrusts
• Unconscious
• Begin CPR as indicated
• Suction as indicated
• Airway/breathing management
• Monitor SpO2
• Administer O2 via proper adjunct to maintain adequate oxygen saturation of 95% or greater
• Assess lung sounds
• Determine respirstory rate, depth and quality
• Initiate cardiac monitoring
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* No assess blood glucose level or assess temperature*
Hyperventilation - 4060
Many serious medical problems can cause hyperventilation. Consider possible underlying causes.
True or false?
True
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Hyperventilation - 4060
Treatment: (4)
- Airway/breathing management
- Determine respiratory rate, depth and quality
- Assess lung sounds
- Administer O2 via NRB until hyperventilation has resolved
- Monitor SpO2
- DO NOT ADMINISTER CO2 RE-BREATHING TECHNIQUES
- Initiate cardiac monitoring
- Assess temperature
- Determine blood glucose level
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