Respiratory Emergencies

Question 1

Is an umbrella label for any type of inhalation injury that occurs secondary to exposure to toxic substances that can cause airway occlusion and/or pulmonary dysfunction by inhibiting the normal exchange of gases at the cellular level.

Answer 1

Poisonous inhalation injury

Question 2

Common viral respiratory infections are located in the upper airway and include:

Answer 2

Flu, colds, bronchiolitis

Question 3

Symptoms for upper airway infections are found in the:

Answer 3

Nose and throat

Question 4

This is commonly prescribed for the patient with a chronic history of breathing problems is a:

Answer 4

Beta 2 specific bronchodilator

Question 5

A device which the medication is already contained in the device, ready to be dispensed in aerosol form. Also known as a “inhaler” or “puffer” consists of a metal canister and plastic container with mouth piece and cap.

Answer 5

Metered dose inhaler

Question 6

Device in which the liquid medication must be placed into the device where compressed air or oxygen converts it into an aerosol mist

Answer 6

Small volume nebulizer

Question 7

A chamber that holds the medication until it is inhaled, thus preventing any loss of medication to the outside and allowing a greater amount of medication to be delivered to the patient.

Answer 7

Spacer

Question 8

A drug that is commonly prescribed to patients with uncontrolled asthma that is a long acting beta 2 that contains a steroid that comes in a rotodisk or discus delivery device.

Answer 8

Advair Diskus

Question 9

T/F Advair is used to treat asthma, it is not to be used as a rescue inhaler for the patient experiencing an acute asthma attack.

Answer 9

True

Question 10

Inadequate oxygenation of the blood and an inadequate elimination of carbon dioxide from the body.

Answer 10

Respiratory failure

Question 11

The root cause of respiratory failure is either:

Answer 11

Upper airway blockage or lower airway disease

Question 12

A child heavily relies on what to breath?

Answer 12

Diaphragm and abdominal muscles.

Question 13

This is a condition with no respirations or respiratory effort; however a pulse is still present.

Answer 13

Respiratory arrest

Question 14

Indication of cells not receiving an adequate amount of oxygen supply.

Answer 14

Respiratory failure

Question 15

FBAO stands for:

Answer 15

Foreign body airway obstruction

Question 16

This is commonly seen in children, involves swelling of the larynx, trachea, and bronchi, causing difficulty breathing. Typically sounds like a barking seal.

Answer 16

Croup (laryngotracheobronchitis)

Question 17

Patient sits upright and leans slightly forward, supporting themselves with their arms, elbows locked in place in front of them between their legs, holding onto the seat.

Answer 17

Tripod position

Question 18

(bluish gray skin color) is a clear indication of hypoxia but also a sign that may occur late.

Answer 18

Cyanosis

Question 19

A patient with respiratory distress (sweaty and moist skin) commonly referred to as

Answer 19

Diaphoretic

Question 20

Pale skin color is a sign of hypoxia and severe respiratory distress. Will be seen earlier and more oftern than cyanosis.

Answer 20

Pallor

Question 21

If the chest is not rising adequately with each breath or you do not hear or feel an adequate volume of air escaping on exhalation you should begin:

Answer 21

Positive pressure ventilation with supplemental oxygen

Question 22

In order to have adequate breathing you must have both:

Answer 22

Adequate rate and adequate tidal volume

Question 23

How would you treat a patient with inadequate breathing?

Answer 23

Provide positive pressure ventilation with bag-valve mask or pocket mask with oxygen connected device.

Question 24

How would you treat a patient with adequate breathing?

Answer 24

Administer oxygen to maintain an SpO2 of >94%

Question 25

Is a musical whistling sound heard during exhalation is caused by narrowing of the lower airways primarily the bronchioles, from bronchospasm and edema.

Answer 25

Wheezing

Question 26

When taking the blood pressure by auscultation if the needle suddenly drops more than 10 mmHg when patient inhales, it is a significant finding of severe respiratory condition such as an obstructed lung disease. This is referred to as

Answer 26

Pulsus paradoxus

Question 27

A pulse oximeter reading (SpO2) of less than (WHAT%) in a patient with difficulty breathing is a concern and indicates hypoxemia.

Answer 27

94%

Question 28

Shortness of breath

Answer 28

Dyspnea

Question 29

How to treat patient with inadequate breathing (3).

Answer 29

1. Establish an open airway
2. Begin positive pressure ventilation with supplemental oxygen
3. Expeditiously transport

Question 30

How to treat a patient with adequate breathing (respiratory distress) (5)

Answer 30

1. Continue admin of supplemental oxygen
2. Assess baseline vital signs
3. Determine if the patient has prescribed beta2 metered dose inhaler
4. Place patient in position of comfort
5. Complete 2nd assessment

Question 31

Moist skin (diaphoresis) is a result of the (WHAT) nervous system?

Answer 31

Sympathetic