Respiratory.txt

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Author:
Goody
ID:
107485
Filename:
Respiratory.txt
Updated:
2011-10-09 13:33:06
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Respiratory system
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Description:
Respiratory system
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  1. What are the 4 major Parts of the Upper Airway?
    • -nasopharynx
    • -Glottis
    • -OroPharynx
    • -Larynx
  2. What are the 4 major parts of the lower Airway?
    • -Trachea wich is infront of the Esophigus
    • -Epiglottis
    • -Bronchials
    • -Aveoliear sacs
  3. What is the sac surrounding the lungs called?
    -Pleura
  4. How many sections are there in the right lung? Left lung?
    • - Right lung: RUL, RML, RLL
    • - Left Lung: LUL, LLL
  5. What maneuver might we do in the Cricoid cartilage?
    - Sellick maneuver
  6. What is the Sellick maneuver?
    Also called cricoid pressure, push on trachea to close off the esophogis
  7. What is a burp?
    backwards upwards right pressure
  8. Noisy breathing means:
    Obstructed breathing
  9. If the patient has chest pain, what should be your next question?
    • SOB?
    • If yes, NRB 12-15LPM
    • If no, Nasal Cannula 2-6LPM
  10. What is the difference between oxygenation and ventilation?
    • Oxygenationation = put o2 in blood for body = SpO2 measurement
    • Ventilation = us breathing for someone = EtCO2 measurement
  11. Exam question: What percentage of O2 do you recieve from a BVM, NRB and nasal cannula and how many LPM?
    • BVM 90-100% 10-15LPM
    • NRB 60-90 % 10-15LPM
    • NC 25-30 % 2-6 LPM
  12. If you have altered breath sounds, what do you do next?
    Percussion test
  13. Sellick maneuver
    Also called cricoid pressure, in order to close off esophogus
  14. BURP
    • Backwards upper right pressure while medic intubates
    • - similar to sellick maneuver
  15. Airway adjuncts
    • In order to ensure an open airway
    • - oropharyngeal airway
    • - nasopharyngeal airway
  16. Thoracic Trauma
    • - tracheal deviation
    • - Asymmetrical movement
    • - Neck veins distended
    • - Abnormal breath sounds
    • - Shock
    • - Subcutaneous emphysema
    • - chest wall contusion / open wounds
    • - Cyanosis, chest pain, SOB
  17. Open pheumothorax
    • - open chest wound, air enteres into plural space, squishes lung to collapse, then possible tension pneumothorax
    • - Hypoxia
    • - shallow breathing
    • - guarging wound
    • initial=hand on wound
    • secondary=3 sided occlusive dressing
  18. Flail Chest
    • - 3+ ribs broken in 2+ places in succession
    • - paridoxical motion
    • - SOB
    • - guarding
    • - pulse up
    • - BP up
    • Watch out for pulinary contusion / Hemothorax / pneumothorax
  19. Tension Pneumothorax
    • - Lungs popped, air fills plural space and begins to push on other chest cavity organs
    • - SOB, fast and shallow
    • - Breath sounds diminished
    • - JVD
    • - tracheal deviation
    • - Tacypnea
    • - Anxiety
    • - Dyspnea
  20. Massive Hemothorax
    • - Blood fills the plural space
    • - anxiety and confusion
    • - neck veins flat = hypovolemia
    • - breath sounds decreased
    • - Shock
  21. Cardiac Tamponalde
    • - blood fills the sac around the heart
    • -Becks Triad (hypotension, neck veins distended, heart sounds muffled)
    • - peridoxical pulse
    • - breath sounds equal
    • Watch out for hemothorax and pneumothorax
  22. Myocardial Contusion
    • - blunt chest injury
    • - similar to MI and Angina
    • Watch for cardiac tamponalde, hemothorax and pneumothorax
  23. AAA and Tramatic Aortic Rupture
    • - MVC's and falls from height (90% immidiate death)
    • - scene size up and history is extremely important
    • (no obvious sign of chest trauma, hypertension in upper extremities

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