Respiratory Distress & Failure

Question 1

Hypercabia

Answer 1

HIGH CO2

Question 2

Early vs Late signs of tissue hypoxia

Answer 2

EARLY
- Tachypnea (incr RR)
- Nasal flaring, Retractions
- Tachycardia
- Agitation, Anxiety

LATE
- Bradypnea (Decr RR)
- Head bobbing, Seesaw, Grunting
- Bradycardia
- Decr level of consciousness

BOTH = Pallor, Mottling (purple skin), Cyanosis

Question 3

Resp Distress vs Failure

Answer 3

DISTRESS
- Airway: Open and maintable
- Tachypnea
- Nasal flaring, retractions
- Good air movement
- Pallor, Tachycardia
- Anxiety, Agitation

FAILURE
- Airway NOT maintable
- Bradypnea -> Apnea
- Incr resp effort -> decr resp effort -> Apnea
- Poor airmovement
- Cyanosis, Bradycardia
- Lethargy -> unresponsive

Question 4

Rescue breaths = 1 breath q ___ - ___ sec

Answer 4

2-3

Question 5

MILD Croup Tx

Answer 5

Dexamethasone

0.6mg/kg PO/IV/IM (MAX: 16mg)

Question 6

MOD/SEVERE Croup Tx

Answer 6

• Humidified O2
• NPO
• Racemic Epi Neb -> Monitor 24Hr
• Dexamethasone (0.6mg/kg PO/IV/IM)
• +/- Heliox if severe and neeed no higher than 40% inspired O2 sat

Question 7

Respiratory failure or impending resp failure Croup Tx

Answer 7

• Nonrebreathing mask High O2
• Dexamethasone IV/IM
• Bag-mask if O2 <90%
• ET tube (1/2 size)
• Prep for Sx airway