Respiratory Flashcards
S/S 87 y.o. male with difficulty breathing supine in bed with agonal respirations after PPE and scene safe, What is your first intervention?
Ventilate
What is a tension pneumothorax?
An accumulation of air in the pleural space under pressure, compressing the lungs and decreasing venous return to the heart. As intrathoracic pressure increases, the patient develops hypotension, tracheal deviation and neck vein distension.
An infant or child who exhibits wheezing, increased breathing effort on exhalation, or rapid breathing without stridor probably has?
A lower airway disease ( bronchitis or asthma )
What is the required amount of suctioning that a suction unit must provide?
30 L/min, 300 mmhg
Which of the following patients has regular respirations?A. 6 month old breathing at 22 breaths per minuteB. A 26 y.o. with Cheyne-stokes breathing at 10 breaths per minuteC. 10 y.o. breathing at 28 times per minute with intercostal retractionsD. a 30 y.o. breathing at 20 times per minute slightly irregular.
D. a 30 y.o. breathing at 20 times per minute is breathing slightly irregular, they are within range and considered adequate.Rationale Normal infant is 30 to 60 breaths per minuteCheyne stokes breathing is normally seen in head injury and normally not an adequate breathing patternA 10 y.o. is using intercostal muscles to breath this is normally a sign of trouble breathing
In neonate resuscitation when do you initiate Bag valve resuscitation?
When the pulse rate is below 100 beats per minute.
If meconium is seen in the amniotic fluid what do you suction first?
Mouth then nose.
What is the compression to ventilation rate for neonatal resuscitation?
3:1- Why, the compromise of gas exchange is nearly always the primary cause
The signs of bradycardia, hypertension, and irregular breathing in a head injury is called?
Cushing’s Reflex
What is a Tension pneumothorax?
An accumulation of air in the pleural space under pressure, compressing the lungs and decreasing venous return to the heart. As intrathoracic pressure increases, the patient develops hypotension, tracheal deviation and neck vein distension.
An infant or child who exhibits wheezing, increased breathing effort on exhalation, or rapid breathing without stridor probably has?
A lower airway disease ( bronchitis or asthma )
What is the required amount of suctioning that a suction unit must provide?
30 L/Min, 300/mmhg
S/S 64 y.o. c/o trouble breathing, chest pain and congestion. lung sounds crackles bilateral. What is a probable cause?
Left ventricular failure-Rationale these are signs of possible failure of the left ventricle. The pump portion of the heart is unable to pump efficiently and fluid begins to back up into the lungs.
What is the most common cause of cardiac arrest in children?
Respiratory Arrest
You and your partner Greg are called to a hockey arena where a fan was struck in the side of the chest with a hockey puck that was hit over the protective glass and into the crowd. The man is having a painful time breathing at about 16 a minute. He says his ribs really hurt. What should your treatment include?A. A chest compression wrap while having the patient maintain his exhaled stateB. Bag valve mask with oxygen attachedC. Sweeping the tongue out of the way to look for airway obstructionsD. High flow O2 with NRM and rapid transport
High flow O2 with NRM and rapid transportRationale: As long as the patient is able to talk and keep their respirations within range, then high flow O2 and transport would be your best choice.
