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PARAMEDIC DAILY STUDY > Respiratory > Flashcards

Respiratory Flashcards

1
Q

Why do asthmatics feel short of breath when having an asthmatic episode?

A

Because they have insufficient tidal volume due to gas trapping and therefore feel like they cannot move air sufficiently.

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2
Q

How would an asthmatic patient have to present in order to receive BVM inspiratory assistance?

A

Silent chest?

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3
Q

How does a pneumothorax adversely affect the lung’s anatomy and functioning?

A

a

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4
Q

How would a paramedic treat a patient with moderate asthma?

A

Speaks in phrases, HR 100-120/min, Salbutamol and atrovent nebulised

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5
Q

How would a paramedic treat a patient with severe/life-threatening asthma?

A

Decreased LOC or silent chest; adrenaline IM, and then salbumatol and atrovent, expiratory assistance, urgent transport

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6
Q

How does Salbutamol and Ipratropium bromide act to relieve the sign and symptoms associated with an asthmatic episode?

A

a

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7
Q

What are the indications for use of IM Adrenaline in a respiratory/anaphylactic episode? What is the dose?

A

Decreased LOC/silent chest, HR>120/min, speaks only words, paradoxical chest movement, reduced BP???

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8
Q

What are the indications for use of nebulised adrenaline and what is the dose?

A

Persisting stridor at rest, marked tracheal tug and chest wall recession, apathetic or restless/cyanosis, pulsus paradoxus

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9
Q

What are the complications and benefits of using a nasopharyngeal airway on a patient experiencing anaphylaxis with a swollen tongue?

A

a

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10
Q

How do you determine whether to posture a patient semi-sitting or supine if they are both hypotensive and short of breath from anaphylaxis?

A

a

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11
Q

What signs and symptoms are you looking for to indicate that a severe anaphylatic patient’s condition is deteriorating?

A

LOC decreasing, blood pressure decreasing

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12
Q

When a patient uses their accessory muscles to breathe, what does this indicate about the patient’s current respiratory function?

A

In a bad way, work of breathing is very high, they will tire soon.

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13
Q

What is a paramedic’s priority when managing a case involving a paediatric patient with severe croup?

A

Oxygenation and transport

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14
Q

How would a paramedic treat a patient with severe croup?

A

Nebulised Adrenaline and urgent transport

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15
Q

What are the main signs associated with croup and explain why they occur?

A

Barking cough, stridor at rest, tracheal tug and chest wall recession, may be cyanosed, and apathetic?

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16
Q

Explain how Adrenaline acts to relieve the signs and symptoms of severe croup.

A

a

17
Q

What are the signs and symptoms of a tension pneumothorax?

A

a

18
Q

List the signs of hypoxia in an infant

A

a

19
Q

Describe how a tension pneumothorax can result in cardiac arrest

A

a

20
Q

List 6 signs and symptoms of a tension pneumothorax

A

a

21
Q

Differentiate the signs and symptoms of croup and epiglottitis

A

a

22
Q

Describe the pathogenesis of anaphylaxis

A

a

23
Q

Describe how LVF can lead to pulmonary oedema

A

a

24
Q

List 2 conditions that lead to COPD and describe each

A

a

25
Q

List all of the assessment points in a respiratory status assessment

A

a

26
Q

List 3 circumstances in which the SpO2 reading might be unreadable

A

a

27
Q

List 4 S/S that could help differentiate a chest infection from pulmonary oedema

A

a

28
Q

Explain why self-administered ventolin may not be successful for a patient to relieve symptoms of asthma

A

a

29
Q

List the signs and symptoms of severe asthma

A

a

30
Q

provide a paramedic management plan for a conscious patient with severe asthma

A

a

31
Q

Describe the Phamacodynamics of salbutamol

A

a

32
Q

What are the signs and symptoms of severe anaphylaxis?

A

a

PARAMEDIC DAILY STUDY (11 decks)

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