Resp Emerg Flashcards

1
Q

What is adequate breathing?

A

Unlaboured
Normal resp
Equal adequate chest expansion
Quality of breath sounds
Reg rhythm
Adequate depth

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2
Q

What is inadequate breathing?

A

Laboured
Increased effort
Nasal flaring
Unequal inadequate chest expansion
Diminished chest sounds
Irregular rhythm
Higher or lower resp rate

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3
Q

What is stridor?

A

High pitched sound in upper airway sound indicated partial obstruction of trachea or larynx

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4
Q

Signs and symptoms of resp compromise (someone having trouble breathing)

A

Cyanosis pale flushed skin
Flaring nostril
Wheezing stridor snoring
Tripod position
Oxygen below 95
High or low pulse grabbing at chest
Numbness/tingling in hands feet

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5
Q

Bag valve mask respirations

A

Adult 10-12/min

Child 12-20/min

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6
Q

What happens to our resp system as we age?

A

Muscles become less flexible
Effectiveness of cough lessens
Increase of risk of lung infection

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7
Q

Nasal cannula used when ?

A

Adequate breathing
Speaks full sentences
Alert and calm

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8
Q

Use non rebreather when?

A

Visibly short of breath
Speaking 3-4 word sentences
Increasing anxiety

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9
Q

Use BVM when?

A

Severe resp distress
Speaking 1-2 word sentences
Severe anxiety
Continuing to deteriorate
Becomes unarousable
8 breaths or less with full ppe

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10
Q

When do we start artificial ventilations?

A

When they aren’t breathing, do with CPR
At rate of 10-12/min adults
12-20/min kids

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11
Q

What are some causes of pulmonary edema?

A

Heart failure
Acute respiratory distress
Adverse drug reactions or drug overdose
Blood clots in the lungs
Hi altitudes, near drowning, smoke in elation, viral infections

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12
Q

Signs and symptoms of pulmonary Edema?

A

Shortness of breath
Chest pain non-radiating
Cough
Frothy sputum
Sob
Peripheral edema
Shock signs & symptoms 

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13
Q

What are the signs and symptoms of pneumonia

A

Cough
Fever
Shaking Chills
SOB
Confusion in elderly
Excess sweating clammy skin
Headache
Loss of appetite low energy
Malaise
Sharp stabbing chest pain that gets worse when they take a deep breath or cough
White nail syndrome

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14
Q

What is a pulmonary embolism

A

A blockage in an artery of the lung

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15
Q

Signs and symptoms of a pulmonary embolism

A

Chest pain may be worse when breathing in
SOB
Cough
Leg pain or swelling
Dizziness
Blueish lips nails

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16
Q

If someone has had a recent major surgery history of being bedridden takes birth control is pregnant had a recent history of travel with long flight time or fracture to the lower extremity what may they have? 

A

Pulmonary embolism

17
Q

What is a spontaneous pneumothorax And what are the signs and symptoms

A

Collapsed lung.
Chest pain
sOB
Excessive sweating
Tachycardia
Low ox reading
Hypotension