EMR - Day #6 Flashcards
What is entonox?
A gas used for pain relief. Is a half and half mix of O2 and nitrous oxide, must shake before admin to mix gases
What is COPD?
Chronic Obstructive Pulmonary Disease
What are examples of COPD?
Emphysema, chronic bronchitis and asthma
What do we assist with when it comes to SOB patients?
Their inhalers, commonly ventolin inside of them
What is pneumonia?
Fluid in the lungs.
What is a Pulmonary Embolism?
It is an artery blockage in the lungs
What is acute pulmonary edema
Is it fluid build up in the air sacs of the lungs
What are the contraindications of entonox
P pneumothorax
A air embolism
I inhalation injury
N nitro within the last five mins
D decompression sickness
I inability to comply
E enclosed space
What are the cautions of entonox
S shock
A abdominal distension
D depressant drugs
F facial injury
C COPD
What is a CVA?
Cerebrovascular accident
What defines an EMR scope of practice?
Provincial law and local regulation
What are the contraindications of naloxone (narcan)
A known allergy or if under 28 days old.
What are the cautions of narcan?
Acute withdrawal and aggression
What does CEBBS stand for?
Clear, Equal, Bilateral, Breath, Sounds
It is what you are looking for when you auscultate.
Is entonox used for SOB?
No it’s not
What order should you auscultate the points of the chest in?
Top R, Top L, Middle L, Middle R, Lower R, Lower L.
What part of the airway does anaphylaxis affect?
It affects both the upper and lower parts of the airway.
How do you differentiate between the upper and lower airway?
The upper airways is everything about the epiglottis and the lower airway is everything below the epiglottis.
What is shock?
Shock is when there are pressure changes causing inadequate perfusion to the body cells.
When bagging a patient how do you know when to stop squeezing the bag?
As soon as you see chest rise stop.
What types of shock are there?
Hypovolemic
Septic
Anaphylactic
Cardiogenic
Obstructive
Neurogenic
What are signs/symptoms of a respiratory emergency?
- can’t speak in full sentences
- noisy breathing
- tripod position
- use of accessory muscles for breathing
- altered mental status
- abnormal breathing rate and pattern
- increased pulse
- skin colour (blue, pale)
What is a NRB?
It is a Non Re Breather Mask, they can be used for 10-15 lpm
How should you treat patients who are in respiratory distress?
You should admin high flow 15 lpm O2 through a NBR, put them in a sitting position and rapid transport.
