Respiratory Management :) Flashcards
How do we determine someones degree of distress?
WORK of breathing!
What are some examples of work of breathing in patients?
Muscles used in danger of tiring
Chest wall and soft tissue retractions
Nasal flaring
Tracheal tugging
Pradoxial respiratory movement
Pulsus paradoxus
How do we report breathing?
RATE
RYHYTHM
VOLUME
Biot respirations?
irregular pattern, rate and depth with intermittent patterns of apnea
indicative of severe brain injury or brain stem herination
Cheyne-stokes respirations?
cresendo and decresendo breathing
period of apnea in between
Agonal respirations?
Irregular gasps few and far in between
Pulseless
Kussmaul respirations?
body’s response to metabolic acidosis
seen in pts with diabetic ketoacidosis
- fruit acetone breath odour
- cracked and dry lips/mouth
What are symptoms of HYPOXIA?
restlessness
confusion
combative
sedated
How do we treat hypoxia?
VENTILATE and increase O2
What is cyanosis?
blue discolouration
Why is history gathering important for chronic respiratory pts?
because chronic respiratory pts are knowledgable about their condition and past treatments
they know best about their condition!!!!
What are some questions for repeating conditions?
Has this happened before?
When? What did they do for you?
Were you hospitalized?
Does this feel the same as last time?
Upon physical examination what are we checking for in the neck, chest, abdo, and extremities?
Neck examination
- JVD
- Trachea
Chest and abdominal examination
- Accessory muscle use
- In drawing
- Auscultation
Examination of the extremities
- Edema of the ankles or lower back
- Skin temp
What do we need to keep the SPO2 at?
92-96%
What should our ETCO2 be for COPD patients?
50-60mmHg
What does SPO2 monitor?
% of oxygenated hemoglobin
What is a normal ETCO2 range?
35-45mmHg
How do you manage dyspnea?
Supportive prehospital care
Airway
O2
Monitor and transport
What are the 3 meds we give for bronchoconstriction?
Ventolin
Epinephrine
Dex
What are ventilation devices we need to use for patients in respiratory failure?
OPA/NPA
BVM
KING LT
Which pt’s can we CPAP?
Bronchitis
Emphysema
NOT asthma
What body type is a chronic bronchitis patient present as?
obsese, seated
What body type is an emphysema pt present as?
barrel chest
muscle wasting and
pursed lip breathing
What do end stage disease patients present as?
sickly appearance, rigors, and chills
