Difficulty Breathing/Asthma/COPD Flashcards
What kind of patient history should you get?
- OPQRST/SAMPLE
- Medication Hx (Albuterol, Atrovent, Singulair, steroids)
- Social Hx (tobacco use)
- Home O2 therapy
- Hx of asthma/COPD exacerbation requiring hospitalization and/or intubation
What are some s/s to look for?
- Respiratory distress
- Bilateral wheezes/stridor
- Diminished breath sounds
- Accessory muscle use
- Chest tightness
- Cough
-Tachycardia
What are the guidelines for SL1?
- General patient care/OLMD as needed
- Airway management
- Suspected Influenza/COVID
What do you consider when giving O2 if SpO2 <85%?
HFNC
What do you do if there is suspected influenza/covid?
Follow the Airborne Illness protocol
What are the guidelines for SL2?
- EtCO2
- Cardiac Monitoring and 12-Lead EKG
- Wheezing/respiratory distress
- Consider CPAP
- PEEP Valve
When do you do cardiac monitoring nd get a 12-lead EKG?
If there is no impovement in condition/clinically required
What medication do you give for wheezing/respiratory distress?
- Albuterol 2.5mg/3mL nebulized and repeat q 10 min PRN
- Ipratropium Bromide 0.5mg/3mL nebulized x 1
When do you increase the CPAP?
If SPO2 remains < 90%
What are the guidelines for SL 3?
Vascular access
What two meds can you combine in one nebulizer treatment?
Albuterol/Ipratropium Bromide
What can cause EtCO2 to decrease?
Hyperventilation
What can cause EtCO2 to rise?
If bronchoconstriction increases and affects ventilation
What is the outcome if bronchoconstriction becomes severe?
The pt may have decreased perfusion causing a drop in EtCO2
What will a mild waveform look like?
No change or slightly decreased EtCO2 due to mild hyperventilation
