Respiratory Emergencies Chapter 16
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Questions and Answers

A 29-year-old woman is experiencing a severe asthma attack. What should you do?

  • Apply a CPAP unit, transport immediately, and attempt to establish vascular access en route to the hospital. (correct)
  • Start an IV of normal saline, administer methylprednisolone via IV push, and transport as soon as possible.
  • Attempt to slow her breathing with respiratory coaching, administer a nebulized bronchodilator, and transport.
  • Begin assisting her ventilations with a bag-mask device and 100% oxygen and prepare to intubate her trachea.
  • Which of the following clinical findings is MOST suggestive of pneumonia in a patient with COPD?

  • Fever and localized crackles (correct)
  • Nonproductive cough
  • White sputum and rales
  • Dyspnea and diffuse wheezing
  • Based on the patient's presentation, what should you be MOST suspicious for?

  • Spontaneous pneumothorax
  • A pleural effusion
  • Hyperventilation syndrome
  • Acute pulmonary embolism (correct)
  • Patients with COPD typically experience exacerbations because of what?

    <p>A secondary condition such as congestive heart failure or a pneumothorax.</p> Signup and view all the answers

    What causes emphysema?

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

    Bedridden patients with excessive pulmonary secretions are MOST prone to developing which condition?

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

    A patient with status asthmaticus commonly presents with which symptoms?

    <p>Physical exhaustion and inaudible breath sounds</p> Signup and view all the answers

    What is the classic presentation of chronic bronchitis?

    <p>Excessive mucus production and a chronic or recurrent productive cough</p> Signup and view all the answers

    What is the MOST appropriate treatment for a patient with dyspnea and diminished breath sounds?

    <p>Administering high-flow supplemental oxygen and transporting at once</p> Signup and view all the answers

    Patients with decompensated asthma or COPD who require positive-pressure ventilation:

    <p>May develop a pneumothorax or experience a decrease in venous return to the heart if they are ventilated too rapidly</p> Signup and view all the answers

    Study Notes

    Asthma Attack Management

    • Severe asthma attack often requires immediate intervention, especially if previous treatments fail.
    • In cases where patients are tachypneic and wheezing, CPAP application may be beneficial.
    • Establishing vascular access during transport can be critical in acute scenarios.

    Clinical Indicators of Pneumonia in COPD

    • Fever accompanied by localized crackles is a significant indicator of pneumonia in patients with COPD.

    Presentation of Acute Pulmonary Issues

    • Tripod position, sharp chest pain, and sudden dyspnea raise suspicion for acute pulmonary embolism.
    • Patients experiencing sudden dyspnea with pleuritic chest pain may have significant pulmonary conditions.

    COPD Exacerbations

    • Acute exacerbations in COPD patients can be triggered by secondary conditions such as heart failure or pneumothorax.

    Emphysema Etiology

    • Chronic destruction of alveolar walls characterizes emphysema, differentiating it from conditions with excessive mucus production.

    Infection Risks in Bedridden Patients

    • Bedridden patients with pulmonary secretions are highly susceptible to developing pneumonia.

    Status Asthmaticus Symptoms

    • Patients often exhibit physical exhaustion and may have inaudible breath sounds due to severe respiratory distress.

    Chronic Bronchitis Characteristics

    • Chronic bronchitis typically manifests as excessive mucus production and a persistent productive cough.

    Treatment for Acute Chest Pain and Dyspnea

    • In cases with pleuritic chest pain and hypoxia, administering high-flow supplemental oxygen and transporting the patient promptly is ideal.

    Ventilation Concerns in Pulmonary Diseases

    • Positive-pressure ventilation in patients with asthma or COPD must be cautious, as rapid ventilation can lead to complications like pneumothorax or decreased venous return.

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    Description

    Test your knowledge on respiratory emergencies with a focus on severe asthma attacks. This quiz covers critical assessments and appropriate interventions for patients in distressing situations. Enhance your understanding of emergency care protocols and improve your response skills.

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