EMT Chapter 16 Respiratory Emergencies
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Questions and Answers

After providing supplemental oxygen to a conscious and alert 29-year-old female with asthma who complains of difficulty breathing, what should you do next?

  • Determine if she has been prescribed a beta-agonist inhaler. (correct)
  • Call medical control and ask how to proceed with treatment.
  • Contact medical control and administer an antihistamine.
  • Place her in a recumbent position to facilitate breathing.
  • What is a pleural effusion MOST accurately defined as?

  • Fluid accumulation outside the lung. (correct)
  • A unilaterally collapsed lung.
  • Diffuse collapsing of the alveoli.
  • A bacterial infection of the lung tissue.
  • Albuterol is a generic name for which of the following?

  • Singular.
  • Atrovent.
  • Ventolin. (correct)
  • Alupent.
  • Alkalosis is a condition that occurs when:

    <p>Blood acidity is reduced by excessive breathing.</p> Signup and view all the answers

    An alert patient with a regular pattern of inhalation and exhalation and clear breath sounds is consistent with what?

    <p>Adequate air exchange.</p> Signup and view all the answers

    Asthma is caused by a response of the:

    <p>Immune system.</p> Signup and view all the answers

    At the onset of an acute asthma attack, patients commonly experience difficulty breathing and:

    <p>Expiratory wheezing.</p> Signup and view all the answers

    Common signs and symptoms of acute hyperventilation syndrome include:

    <p>Tachypnea and tingling in the extremities.</p> Signup and view all the answers

    Dyspnea is MOST accurately defined as:

    <p>Shortness of breath or difficulty breathing.</p> Signup and view all the answers

    Harsh, high-pitched inspiratory sounds are characteristic of:

    <p>Stridor.</p> Signup and view all the answers

    Hyperventilation could be associated with all of the following, EXCEPT:

    <p>A narcotic overdose.</p> Signup and view all the answers

    In order for efficient pulmonary gas exchange to occur, what must happen?

    <p>Oxygen and carbon dioxide must be able to freely diffuse across the alveolar-capillary membrane.</p> Signup and view all the answers

    In what area of the lungs does respiration occur?

    <p>Alveoli</p> Signup and view all the answers

    The two processes that occur during respiration are:

    <p>Inspiration and expiration.</p> Signup and view all the answers

    When assessing for fluid collection in the lungs during auscultation of lung sounds, which approach should you take?

    <p>Start at the lower lung fields and determine at which level you start hearing clear breath sounds.</p> Signup and view all the answers

    When auscultating the lungs of a patient with respiratory distress, hearing adventitious sounds indicates:

    <p>Abnormal breath sounds.</p> Signup and view all the answers

    When the level of carbon dioxide rises above normal, what typically happens?

    <p>Respirations increase in rate and depth.</p> Signup and view all the answers

    Which of the following conditions would be LEAST likely to result in hypoxia?

    <p>Severe anxiety</p> Signup and view all the answers

    Which of the following is MOST characteristic of adequate breathing?

    <p>24 breaths/min with bilaterally equal breath sounds and pink skin</p> Signup and view all the answers

    Which of the following statements regarding pulse oximetry is correct?

    <p>Pulse oximetry measures the percentage of hemoglobin that is saturated with oxygen but does not measure the actual hemoglobin content of the blood.</p> Signup and view all the answers

    A young female is unconscious after intentionally ingesting a large amount of aspirin. You will MOST likely find her respirations to be:

    <p>Deep and rapid.</p> Signup and view all the answers

    Which of the following statements regarding hypoxic drive is correct?

    <p>The hypoxic drive stimulates a person to breathe on the basis of low oxygen levels.</p> Signup and view all the answers

    When auscultating an elderly woman's breath sounds, low-pitched 'rattling' sounds at the bases of both lungs MOST likely indicate which condition?

    <p>Aspiration pneumonia</p> Signup and view all the answers

    You respond to a call for a 67-year-old female with respiratory distress. What should you suspect given her symptoms?

    <p>Acute pulmonary embolism.</p> Signup and view all the answers

    The respiratory distress that accompanies emphysema is caused by:

    <p>Chronic stretching of the alveolar walls.</p> Signup and view all the answers

    You receive a call for a 70-year-old female with respiratory distress. What should you do next?

    <p>Assist her ventilations with a bag mask device.</p> Signup and view all the answers

    When assisting an asthma patient with their prescribed metered dose inhaler, what should you instruct the patient to do after exhaling?

    <p>Instruct him to hold his breath for as long as he comfortably can.</p> Signup and view all the answers

    Study Notes

    Respiratory Emergencies Overview

    • Difficulty breathing after an activity, such as jogging, can indicate an asthma attack, assessed by bilateral expiratory wheezing.
    • Pleural effusion is classified as fluid accumulation outside the lung, leading to potential respiratory complications.

    Medication and Treatment

    • Albuterol is commonly known as Ventolin, a bronchodilator used in asthma management.
    • Antihistamines are not typically the first-line treatment for acute asthma attacks; instead, beta-agonist inhalers are checked for prior prescription.

    Respiratory Conditions

    • Alkalosis is caused by excessive breathing leading to reduced blood acidity.
    • Clear and equal breath sounds reflect adequate air exchange, indicating no respiratory distress.

    Asthma Characteristics

    • Asthma attacks often present with expiratory wheezing as a distinctive respiratory symptom.
    • The immune system plays a crucial role in triggering asthma episodes.

    Hyperventilation and Dyspnea

    • Tachypnea and peripheral tingling are common in acute hyperventilation syndrome, characterized by rapid breathing.
    • Dyspnea refers to shortness of breath, highlighting the difficulty in breathing.

    Abnormal Breath Sounds

    • Stridor is a high-pitched sound indicating an upper airway obstruction.
    • Adventitious sounds during auscultation suggest abnormal lung function.

    Gas Exchange and Respiratory Efficiency

    • Effective pulmonary gas exchange requires free diffusion of oxygen and carbon dioxide across the alveolar-capillary membrane.
    • Normal respiration comprises inspiration and expiration processes.

    Recognition of Hypoxia

    • Symptoms of hypoxia can include altered mental status, although severe anxiety is least likely among common causes.
    • Pulse oximetry is critical in assessing oxygen saturation, particularly in conditions like carbon monoxide poisoning, which may yield falsely low readings.

    Specific Cases and Emergencies

    • Unconsciousness from aspirin overdose typically results in deep, rapid respirations.
    • A patient with aspiration pneumonia may exhibit low-pitched rattling sounds during breath auscultation.

    Acute Conditions Indications

    • Symptoms of acute pulmonary embolism may include sudden shortness of breath and facial cyanosis.
    • Chronic stretching of alveolar walls in conditions like emphysema results in significant respiratory distress.

    Emergency Response Procedures

    • In cases of respiratory distress, such as with congestive heart failure, applying a pulse oximeter and assessing vital signs are critical initial steps.
    • When assisting an asthma patient with a metered dose inhaler, instructing them to hold their breath post-inhalation aids in medication absorption.

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    Test your knowledge on respiratory emergencies with this quiz based on EMT Chapter 16. Assess your understanding of asthma treatments and the management of breathing difficulties. Perfect for aspiring EMTs and medical students preparing for emergencies.

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