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Paramedic Science- Year one > Respiratory assessment (done) > Flashcards

Respiratory assessment (done) Flashcards

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1
Q

what is pleuritic chest pain

A

sudden, intense sharp pain

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2
Q

what is haemoptysis

A

coughing up blood

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3
Q

what is syncope

A

fainting eposiodes

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4
Q

what are the symptoms of a pulmonary embolism

A 
pleuritic chest pain 
haemoptysis 
leg oedema 
hypotension 
syncope
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5
Q

what are the risk factors to a pulmonary embolism

A 
surgery 
pregnacey
recent MI 
limb problems 
above 60 years
previous PE or DVT 
immobablity
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6
Q

what is a pulmonary embolism

A

blockage of artery in lungs by an embolism

occulsion due to a thrombosis or clot that breaks of and gets stuck in lungs

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7
Q

what is hydrocorisone

A

glucocorticoid that restores blood pressure and suppresses inflammation and immune repsonse

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8
Q

what is chlorphenamine

A

an antihistamine that blocks the effects of histamine

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9
Q

what is the treatment for serve anaphylaxis

A

after you secured ABC

administer oxygen (high flow) to target sats
administer IM adrenaline (1:1000)
consider chlorphenamine
consider hydrocortisone

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10
Q

what are the signs and symptoms of anaphylaxis

A 
dyspnoea
hoarsness
stridor 
wheeze
throat 
chest tightness
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11
Q

what is dysphagia

A

diffiuclt in swallowing

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12
Q

what is anaphylaxis

A

serious allergic reaction with a rapid onset
inflammatory response to an allergion
leads to an airway obstruction

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13
Q

when giving salbutamol or ibratropium bromide what must we ensure in COPD patients

A

limit nebulisation ot six minutes

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14
Q

what to give to patients with an exubation of the copd if their is an expiratory wheeze

A

give bronchodilators

salbutamol
ibratopirm

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15
Q

what are the symptoms of asthma

A 
dyspnoea 
cough 
speaking in short sentences 
wheeze
tachypnoea 
tachycardia 
accessory muscle use
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16
Q

what is asthma

A

long term inflammation disease of the airways in the lungs

it easily triggers bronchospasms

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17
Q

how often can you give adrenaline 1 milligram in 1 ml

A

every 5 minutes

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18
Q

what is the initial dose of adrenaline 1 milligram in 1 ml

A

500 micrograms

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19
Q

what is the route of adrenaline 1 milligram in 1 ml

A

IM

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20
Q

how does adrenaline 1 milligram in 1 ml work

A

opens up the airways and increases blood volume

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21
Q

what are the indications of adrenaline 1 milligram in 1 ml

A

anaphylaxis

life threatening asthma

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22
Q

what are the indicators of ipratropium bromide

A

salbutamol not worked

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23
Q

what is the initial dose of ipratropium bromide

A

500microgrames

Their is no repate does

24
Q

what is the role of salbutamol

A

opens up the bronchioles (dilates)

25
Q

what is a wheeze

A

narrowing of airways due to constriction

26
Q

what are the indicators of salbutamol

A

acute asthma attack
expiratory wheeze
excabation of COPD

27
Q

what is the initial dose of salbutamol

A

5 milligrams

28
Q

when an individuals has a exabuation of copd a need oxygen what is the initial dose

A

below 88% intial does 4 liters in 28% venturi mask

29
Q

what are the normal levels of oxygen sats for a copd patient

A

88-92%

30
Q

what are the four types of oxgyen masks

A

non-rebreath
Nebiliser mask
28% venturi
nasal cannulae

31
Q

what can haemoptysis a sign off (coughing up blood)

A

PE, chest infection or lung disease due to damage of respiratory system

32
Q

what is yellow and green sputum a sign of

A

chest infection

33
Q

why can frothy white/ pink sputum be a sign of heart failure

A

due to damge be caused to the alveoli leading to bleeding

34
Q

what can frothy white/ pink sputum be a sign off

A

acute heart failure

35
Q

why can sputum be a sign of heart failure

A

because of fluid staying in alveoli

36
Q

what does bubbling sputum a sign of

A

infection or heart failure

37
Q

explain what a wet productive cough is

A

often brings up mucus

expels mucus out of respiratory system

38
Q

Explain what a dry (non-productive) cough could be

A

inflammation of the airways
no sputum
often caused upper respiratory infection

39
Q

what does hyporesonant sound like

A

low pitched- fluid

40
Q

what does hyper resonant sound like

A

high pitched- air

41
Q

what is stridor

A

blockage of the upper airway
snoring nose
may be a sign of a life threatening condition
common in children with croup

42
Q

what do crackles sound like

A

low pitched, high amplitude, long duration

43
Q

what is bradypnea

A

slow breathing

44
Q

what is tachypnea

A

rapid breathing

45
Q

What is dyspnoea

A

Difficulty in breathing

Shortness of breath

46
Q

What’s the pneumonic to asses breathing

A 
F-feel 
L-look 
A- Auscultâtes 
P- Percuss 
S-search
47
Q

What to consider when doing ‘feel’ as an assessment

A

Any instability of the chest wall
Symmetry of the chest
Depth and equality of chest movement
Areas of tenderness

48
Q

What to consider when doing ‘look’ as an assessment

A 
Resp rate 
Depth of chest movement 
Symmetry of chest movement 
Effectiveness of ventilation 
Cyanosis 
Position of patient 
Dyspnoea scale (a way of categorising how short of breath someone is)
49
Q

What to consider when doing ‘auscultate’ as an assessment

A

Altered breathing patterns
Assess air entry and compare sides
Additional sounds
Absence sounds

50
Q

What does a high pitched percuss show

A

Air/ pneumothorax

51
Q

What does a low pitch identify when per cussing

A

Fluid in the lungs

52
Q

What are we looking for when we search a pt chest

A 
Deformities 
Contusions 
Abrasions 
Penetrations 
Burns 
Tenderness 
Lacerations 
Swelling
53
Q

When do you give Salbutamol

A

Acute asthma attacks where normal inhaler doesn’t work

Expiratory wheezing

COPD pt

54
Q

When to give ipratropium bromide

A

Acute, serve or life threatening asthma

Tend to be given after salbutamol

55
Q

When do we give adrenaline 1 milligram in 1ml

A

Anaphylaxis

Life threatening asthma after salbutamol and ibtropium bromide don’t work

Paramedic Science- Year one (17 decks)

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