Respiratory Arrest And Narcan

Question 1

What components of respiratory system are affected by respiratory arrest?

Answer 1

Respiratory centre
Respiratory mechanism
Airway

Question 2

What are the 8 signs of opioid overdose?

Answer 2

Respiratory depression.
Hypotension.
Circulatory failure.
Coma.
Fits.
Renal failure.
Pinpoint pupils.
Respiratory arrest

Question 3

What is the management of respiratory arrest? 4

Answer 3

Airway.
High o2.
Assisted ventilations 30
CPR

Question 4

When would you assist ventilations? 4

Answer 4

Resp rate values.
O2 3x normal rate.
Inadequate chest expansion.

Question 5

Describe the need to assist ventilations

Answer 5

Inadequate and absent ventilation requires rapid intervention to reduce hypoxia and co2 retention and avoid cardiac arrest

Question 6

What grip do you use in respiratory arrest with BVM

Answer 6

CE grip

Question 7

What do you do to patients face when BVMing

Answer 7

Pull face into mask and not push mask down as it may close off airway

Question 8

How would you optimise ventilations

Answer 8

JAWS
JAW THRUST PULL FACE INTO MASK
ADJUNCTS 
Work together 
Squeeze slowly. High pressure =leaks and gastric distension

Question 9

What is the optimum volume for adequate ventilation?

Answer 9

500ml???

Question 10

What are the normal respiratory rates in table?

Answer 10

Adult 12+ 15-20
5-11 years 20-25
2-5 years 25-30
12m-2years 25-35
0-12m 30-40

Question 11

Why are PTs with reduced loc in head trauma at risk of airway compromise?

Answer 11

Loss of muscle tone in oropharyngeal structures and loss of gah reflex.
Secondary brain injury occurs following primary event as result of hypoxia hypercarbia and hypoperfusion

Question 12

What are the four effects of reduced o2 to body tissues?

Answer 12

O2 doesn’t get into lungs.
O2 doesn’t move into blood.
Blood doesn’t move around body.
Tissues can’t absorb o2