Respiratory Distress

Question 1

Every patient in respiratory distress from asthma/bronchospasm should receive what 4 immediate interventions?

Answer 1

1. ABC’s Oxygen 100%
2. Assisted Ventilations
3. Monitor ETCO2
4. 15 lead

Question 2

What type of respiratory distress is described by mild wheezes and non-labored work of breathing?

Answer 2

Mild Distress

Question 3

In mild respiratory distress, what is the dosage of albuterol and Atrovent that should be nebulized?

Answer 3

2.5 albuterol with 500 mcg atrovent

Question 4

How often can an updraft be performed?

Answer 4

Every 5 minutes

Question 5

In mild respiratory distress, what is the pediatric dosages for albuterol and Atrovent?

Answer 5

2.5 mg albuterol and 250 mcg atrovent

Question 6

In the mild respiratory distress protocol, what drug is given after your updraft?

Answer 6

Terbutaline 0.25 mg SQ

Question 7

In the respiratory distress protocol, what phase would be described by moderate audible wheezes, heavy work of breathing, and 2 to 3 word dyspnea?

Answer 7

Moderate distress

Question 8

What dose of albuterol and Atrovent should be given to a patient in moderate distress?

Answer 8

5 mg albuterol and 500 mcg atrovent

Question 9

What is the pediatric dose of albuterol and Atrovent given to a patient in moderate distress?

Answer 9

2.5 mg albuterol with 250 mcg atrovent

Question 10

In the adults moderate respiratory distress protocol what treatment follows the administration of an updraft?

Answer 10

Possible Cpap followed by Terbutaline 0.25 mg SQ

Question 11

In the adults moderate respiratory distress protocol, what treatment follows an updraft and terbutaline?

Answer 11

Mag Sulfate at 2 grams

Question 12

Can pediatric patients ever be administered terbutaline?

Answer 12

No

Question 13

In the pediatric moderate respiratory distress protocol, what treatment follows the administration of an updraft?

Answer 13

Mag Sulfate at 50 mg/kg

Question 14

In both the adult and pedi moderate respiratory distress protocol, what drug and dosage of epinephrine 1 to 1000 should be used?

Answer 14

Adult- 0.3 mg IM

Pedi-.01 mg IM

Question 15

What classification of respiratory distress is characterized by altered mental status, tripod position, accessory muscle use, and Peripheral cyanosis?

Answer 15

Major respiratory distress

Question 16

What is the frontline medication used in both adult and pediatric major respiratory distress?

Answer 16

Epinephrine

Adult- 0.3 mg IM
Pedi- .01 mg IM

Question 17

In major respiratory distress what other treatment should be used rapidly in coordination with epinephrine?

Answer 17

CPAP

Question 18

In major respiratory distress if epinephrine and CPAP fail, what is the next step taken?

Answer 18

Intubate

Question 19

Which respiratory infection is viral and presents with a barking seal cough?

Answer 19

Croup

Question 20

If a patient has croup and strider at rest what medication should they be given?

Answer 20

Epinephrine 1:1000 1mg/2ml updraft

Question 21

What respiratory infection is bacterial and presents with the drastic drooling?

Answer 21

Epiglottitis

Question 22

What is the treatment plan for a patient with epiglottitis?

Answer 22

Calm the patient, blow by 02, and other supportive measures

Question 23

If a patient with epiglottitis requires intubation, how many attempts will be allowed?

Answer 23

1 attempt