Respiratory Emergencies

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Author:
jelliott
ID:
193933
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Respiratory Emergencies
Updated:
2013-01-26 11:20:31
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EMT
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Description:
AAOS AEMT Ch 14
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  1. Difficulty Breathing
    Dyspnea
  2. The exchange of gas that occurs at the pulmonary and cellular levels.
    Respiration
  3. The process of moving air into and out of the lungs.
    Ventilation
  4. What nerve controls the diaphragm?
    The phrenic nerve.
  5. What is the normal volume in an adult?
    500 mL
  6. What is the normal inspiratory reserve volume in an adult male?
    3000 mL
  7. What is the normal inspiratory reserve volume in a adult female? 
    2300 mL
  8. What is the normal expiratory reserve volume for an adult?
    1200 mL
  9. The nervous system mechanism that terminates inhalation and prevents lung overexpansion.
    Hering-Breuer Reflex
  10. The movement of gases from a area of higher concentration to a area of lower concentration.
    Diffusion
  11. Supplying an organ or tissue with required nutrients and O2.
    Perfusion
  12. S/s
    -Wheezing on inspiration/expiration
    -Bronchospasm
    Asthma
  13. S/s
    -Flushed skin or hives
    -Generalized edema
    -Decreased BP
    -Laryngeal edema with dyspnea
    Anaphylaxis
  14. S/s
    -Chronic cough
    -Wheezing
    -Cyanosis
    -Productive cough
    Bronchitis
  15. S/s
    -Dependent edema
    -Rales (Crackles)
    -Paroxysmal nocturnal dyspnea
    Congestive Heart Failure (CHF)
  16. S/s
    -Fever
    -Barking cough
    -Mostly seen in pediatric pt.
    Croup
  17. S/s
    -Barrel chest
    -Pursed-lip breathing
    -Dyspnea on exertion
    Emphysema
  18. S/s
    -Dyspnea
    -Chills, fever
    -Cough
    -Dark Sputum
    Pneumonia
  19. S/s
    -Sudden chest pain with dyspnea
    -Decreased B/S on the affected side
    Pneumothorax
  20. S/s
    -Sharp, pinpoint pain
    -Dyspnea
    -Sudden onset
    -After childbirth or surgery
    Pulmonary Embolus
  21. S/s
    -Progressive SOB
    -Increasing altered LOC
    -JVD
    -Tracheal deviation
    Tension Pneumothorax
  22. S/s
    -Coughing spells
    -"Whooping" sound
    -Fever
    -Mostly seen in pediatric pt.
    • Pertussis
    • Whooping Cough
  23. A condition characterized by a chronically high level of CO2 in blood as a result of a respiratory disease.
    Carbon Dioxide Retention
  24. Backup system to control respirations when O2 levels fall dangerously low.
    Hypoxic Drive
  25. A condition in which the body's cells and tissues do not have enough O2.
    Hypoxia
  26. Collapse of alveoli.
    Atelectasis
  27. A viral infection usually associated with swollen nasal mucous membranes and the production of fluid from the sinuses.
    Common Cold
  28. An infectious disease of the upper respiratory system that may cause partial airway obstruction and is characterized by a barking cough; usually seen in children; also referred to as laryngotracheobronchitis.
    Croup
  29. An infectious disease in which a membrane lining the pharynx is formed that can severely obstruct passage of air into the larynx.
    Diphtheria
  30. Inflammation of the epiglottis due to a bacterial infection that can produce severe swelling of the flap over the larynx.
    Epiglottitis
  31. A virus that has crossed the animal/human barrier and has infected humans, recently reaching a pandemic level with the H1N1 strain.
    Influenza Type A
  32. A acute bacterial or viral infection of the lung that damages lung tissue, usually associated with fever, cough, and the production of sputum.
    Pneumonia
  33. A buildup of fluid in the lungs, usually as a result of left-sided CHF.
    Pulmonary Edema
  34. Severe dyspnea experienced when lying down and relieved by sitting up.
    Orthopnea
  35. A slow, degenerative process that causes destructive changes in the alveoli and bronchioles in the lungs.
    Chronic Obstructive Pulmonary Disease (COPD)
  36. What is the most common cause of COPD?
    Cigarette Smoking
  37. Irritation and inflammation of the major lung passageways, from either infectious disease of irritants such as smoke.
    Chronic Bronchitis
  38. What is the clinical definition of chronic bronchitis?
    A productive cough for at least 3 months per year for 2 or more consecutive years.
  39. What is the normal Bicarbonate Level (HCO3)?
    22-26
  40. What is the normal pH level?
    7.35-7.45
  41. What is the normal PaCO2 level?
    35-45
  42. What is metabolic acidosis or alkalosis based on?
    The Bicarbonate levels
  43. What is respiratory acidosis or alkalosis based on?
    • PaCO2 Levels
    • Carbon Dioxide Levels
  44. What is the lpm for a NRB?
    12-15
  45. What is the lpm for a NC?
    2-6
  46. What is the lpm for a partial rebreather mask?
    8-12
  47. CPAP should be considered when a pt. has a resp. rate below __ or above __.
    Below 8 or above 28
  48. What is a FROPVD?
    • F - Flow
    • R - Restricted
    • O - O2
    • P - Powered
    • V - Ventilation
    • D - Device
  49. A drum-like hollow sound heard when you percuss the chest; indicates air in the thorax.
    Hyperressonance
  50. A narrowing pulse pressure where the diastolic pressure rises is a indication of what stage of shock?
    Compensated
  51. A drop in BP, usually below 90 mm Hg, is a sign of what stage of shock?
    Decompensated
  52. A present carotid pulse indicates a systolic BP of at least __ mm Hg.
    60
  53. A present femoral pulse indicates a systolic BP of at least __ mm Hg.
    70
  54. A present radial pulse indicates a systolic BP of at least __ mm Hg.
    80
  55. The point where you can feel the heart beat the strongest.
    The point of maximum impulse
  56. Nuchal Rigidity
    Stiffness of the neck
  57. Hemoptysis
    Coughing up blood
  58. Hematemisis
    Vomiting blood
  59. Blue Bloaters is another name for pt. with _____.
    Chronic Bronchitis
  60. Pink Puffers is another name for pt. with _____.
    Emphysema
  61. Parenchyma
    Lung Tissue
  62. What is Cor Pulmonale?
    Right sided heart failure caused by a respiratory disease.
  63. What is the adult dose of Albuterol?
    2.5 mg Albuterol in 2.5 mL NS every 5 to 15 min prn.
  64. What is the pediatric dose of Albuterol?
    0.15 mg Albuterol in 2.5 mL NS every 5 to 15 min prn
  65. What is the adult Epi dose?
    • 1:1000 solution
    • 0.3 - 0.5 mg
    • IM or SC every 15 min prn

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