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castelojl
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Components of Airway System
- Nose/Mouth
- Pharynx
- Cricoid
- Epiglottis
- Trachea
- Bronchi
- Broncioles
- Alveoli
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Components of Respiratory System
- Brain
- Spinal Cord
- Airways
- Alveoli
- Pulmonary Circulation
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Diaphram does what?
It is the major muscle of breathing that curves downward and connects to the sub xiphoid
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What are Intercostal Muscles
They are the muscles between the ribs that control expanding/compressing of the ribcage
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Ventilation is What + What
Inhalation and Exhalation
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Respiratory Failure is
The point in breathing where the O2 intake is not enough to support life
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Respiratory Arrest is?
When breathing stops completely
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Inhalation takes about _____ the time of ventilation
1/3
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Exhalation takes about ______ the time of ventilation
2/3
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How does the diaphram move during inhalation
Outward and Downward
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Intercostal Muscles move how during inhalation
Moves ribs outward and upward
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During Exhalation the diaphram moves how?
It relaxes, Moves upward and decreases in size
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During Exhalation the Intercostal muscles move how?
They relax and move inward and downward
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Normal Respiration Rate of an Adult is?
12-20 Breaths per minute
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Normal Respiration of a Child is?
15-30 Breaths per minute
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Normal Respiration of an Infant is?
25-50 Breaths per minute
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The first way to tell if you have adequate breathing is?
Look, Feel and Listen
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Name some ways you can also tell if you have adequate respiration
- Equal Rise of Chest
- Present and Clear Breath Sounds
- Feel air moving in and out of nose/mouth
- Normal Skin color
- Normal Rate/Quality/Depth
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What are some characteristics of Inadequate Breathing
- Absent
- Minimal
- Uneven Chest Rise
- Abdominal Breathing
- Diminished Breath Sounds
- Abnormal Breath Sounds (Rales/Wheezing/Rhonchi/Stridor)
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What are some signs of Inadequate Breathing?
- Rate is to fast or slow
- Shallow, Deep or Labored
- Cyanosis of Lips/Skin/Nail Beds
- Prolonged Inspirations/Exhalations
- Cannot speak in full sentences
- Nasal Flaring
- No Air Movement Felt
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What are some ways to maintain an inadequate airway?
- Opening and Maintaining Airways
- Providing artificial airways
- Providing Supplement O2
- Suctioning
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Causes of Airway Obstruction can be?
- Tongue
- Foreign Bodies
- Trauma to face and neck
- Allergic Reactions
- Burns
- Diseases
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Types of Artificial Airways
OPA and NPA
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What does OPA stand for
Oropharyngeal Airway
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What does NPA stand for?
Nasophraryngeal Airway
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Name Types of Oxygen Delivery Systems
Nasal Canula(NC), Simple Mask(SM), Non-Rebreather(NRB), Bag-Mask-Valve(BVM)
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What are the 2 ways to handle head positioning
- Head Tilt Chin Lift
- Jaw Thrust
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What are 2 types of Airway Adjuncts
BVM & FROPVD (Flow Restricted Oxygen Powered Ventilation Device)
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What O2 % does Mouth to Mask Provide with O2 attached
50%
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How much O2 can a FROPVD deliver?
100% O2 up to 40 liters, relief valve that should open at 60cm water, and should only be used on children
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What are the minimum requirements for a adequate suction device?
Should have an intake of 30 LPM at the end of the tube. Will happen if it can generate a vaccum of no less then 300mmhg when it is clamped
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Name the parts of the suction system
Tubing, Suction tips, Suction Catheters, Collection Containers and a Container of Sterile water.
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What is the maximum time you should suction for?
15 Seconds, then oxygenate.
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If more suction is needed what should you do?
Ventilate 2 minutes then again suction
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How should you suction?
Always on the way out
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What is Hypoxemia?
It is when there is not sufficient oxygen in the bodie tissues
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What are some signs of Hypoxemia?
Restlessness, Disorientated, Diaphoretic, Cool, Pale Skin, Cyanosis and Tachycardia
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What colors do Oxygen tanks come in?
Green and White
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A Full Oxygen tank holds how much?
2000-2200PSI
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A safe residual pressure for a oxygen tank is?
Above 200PSI, if it is below change it
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What tank designations do ambulances carry?
D, E and M
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a "D" tank can hold
350 Liters
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a "E" tank can hold
625 Liters
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a "M" tank can hold?
3000 Liters
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What tanks does a hospital carry?
G and H tank
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a "G" tank can hold
5300 Liters
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a "H" tank can hold?
6900 Liters
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What are some hazards of O2 Therapy?
Tank can become a missle, it is combustable, Oil and gas do not mix, Toxicity and Alveoli collapse and infant eye damage and COPD
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What does NC stand for
Nasal Canula
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What does SM stand for?
Simple Mask
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What does BVM stand for?
Bag Valve Mask
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What does FROPVD stand for?
Flow Restricted Oxygen Powered Ventilation Device
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