Respiratory Distress (Adult >15y/o)

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Author:
readyreg29
ID:
262489
Filename:
Respiratory Distress (Adult >15y/o)
Updated:
2014-02-24 09:16:53
Tags:
Respiratory Distress Adult 15y
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Respiratory Distress (Adult >15y/o)
Description:
East Valley Offlines
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  1. Respiratory Distress
    Wheezes are caused by:
    Bronchospasms
  2. Wheezes are caused by:
    Treatment
    • Bronchospasm's
    • Establish Vascular access
    • Albuterol/Proventil
    • (2.5 mg in 3 mL) SVN, BVM 

    • Ipratropium Bromide/Atrovent
    • (500 mcg added to Albuterol) Max. of 3

    • Solu-Medrol
    • 125 mg IV/IM

    • Magnesium Sulfate
    • 2gms in 50cc (60gtts over 5 mins)
  3. Patients complaining of dyspnea should be suspected of having pneumonia when they present with:
    • Fever
    • Productive cough
    • Pleuritic chest pain (sharp)
    • Bedridden
    • Known immunocompromise
    • Diabetes
    • Elderly
  4. IMMUNOCOMPROMISED
    Having the immune system impaired or weakened (as by drugs or illness)
  5. If a patient is suspected of having pneumonia avoid use of what kind of drugs
    Diuretics
  6. Respiratory distress
    Rales are caused by:
    • Pulmonary edema
    • Congestive heart failure (CHF)
  7. Rattling, bubbling, or crackling lung sounds indicative of fluid in the small airways
    Rales
  8. Congestion of the pulmonary air spaces with exudate (matter) and foam, often secondary to left heart failure
    Pulmonary edema
  9. A condition that occurs when the heart is unable to pump powerfully enough or fast enough to empty its chambers; as a result, blood backs up into the systemic circuit, the pulmonary circuit, or both
    Congestive heart failure (CHF)
  10. Rales is caused by:
    Treatment
    • Pulmonary edema/CHF
    • Establish Vascular access
    • Nitro (systolic BP >90)
    • 0.4mg tablet or spray (x3 max.)

    • Lasix
    • 0.5 -1.0mg/kg
    • or
    • Twice daily dose
  11. NITROGLYCERIN 
    MOA: Respiratory
    • Smooth muscle relaxant acting on vascular, uterine, bronchial, and intestinal smooth
    • muscle
    • Reduces workload on the heart by causing blood pooling (decreased preload)
    • Arteriolar vasodilation (decreased afterload)
    • Coronary artery vasodilation
    • Increases blood flow to myocardium
    • Decreases myocardial O2 demand
  12. Lasix
    MOA
    • Diuretic 
    • Excretion of sodium, potassium, chloride (electrolytes)  
    • Decreases afterload
  13. Albuterol
    MOA
    • ß agonist
    • Relaxes bronchial smooth muscle (bronchodilation)
    • Vascular and uterine smooth muscle decreases airway resistance
  14. Ipratropium Bromide / Atrovent
    MOA
    Anticholinergic (parasympatholytic) agent that inhibits the action of acetylcholine (the transmitter of the vagal nerve)
  15. Solu-Medrol
    MOA
    • Anti-inflammatory and immunosuppressive effects
    • Stabilizes cellular and intracellular membranes
  16. MAGNESIUM SULFATE 
    MOA
    • Decreases myocardial irritability and neuromuscular irritability
    • Cardiac-reduces ventricular irritability

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