Respiratory Emergencies Overview
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Questions and Answers

What is the primary function of the respiratory system?

  • To transport nutrients to cells
  • To eliminate excess carbon dioxide and provide oxygen (correct)
  • To circulate blood throughout the body
  • To regulate body temperature
  • Which structure prevents food and liquid from entering the trachea during swallowing?

  • Cricoid cartilage
  • Epiglottis (correct)
  • Larynx
  • Bronchi
  • What is ventilation primarily concerned with?

  • The transport of oxygen by blood
  • The absorption of nutrients in the lungs
  • The movement of air into and out of the lungs (correct)
  • The exchange of oxygen and carbon dioxide
  • During inhalation, which muscles contract to increase the thoracic cavity size?

    <p>Diaphragm and intercostal muscles (D)</p> Signup and view all the answers

    Which of the following best describes respiration?

    <p>The exchange of gases in the lungs (D)</p> Signup and view all the answers

    What makes up the upper airway?

    <p>Mouth, nose, and pharynx (B)</p> Signup and view all the answers

    Which component is NOT part of the lower airway?

    <p>Epiglottis (B)</p> Signup and view all the answers

    What is the role of the diaphragm during breathing?

    <p>To contract and expand the thoracic cavity (D)</p> Signup and view all the answers

    What causes air to flow into the lungs?

    <p>Negative pressure (D)</p> Signup and view all the answers

    During exhalation, what happens to the diaphragm?

    <p>It moves upward (D)</p> Signup and view all the answers

    What is alveolar respiration primarily responsible for?

    <p>Oxygen-rich air entering the alveoli (C)</p> Signup and view all the answers

    Which of the following describes cellular respiration?

    <p>Gas exchange in the tissues of the body (B)</p> Signup and view all the answers

    What is a sign of respiratory distress?

    <p>Use of accessory muscles (C)</p> Signup and view all the answers

    What is the normal respiratory rate for an adult?

    <p>12-20 breaths per minute (B)</p> Signup and view all the answers

    Which of the following is NOT included in assessing breathing quality?

    <p>Overall body temperature (B)</p> Signup and view all the answers

    What happens when the intercostal muscles relax?

    <p>Size of the thoracic cavity decreases (B)</p> Signup and view all the answers

    What characterizes normal respiration?

    <p>Effortless and easy (A)</p> Signup and view all the answers

    What is the role of capillary/cellular exchange?

    <p>Transferring carbon dioxide to the capillaries (C)</p> Signup and view all the answers

    Which of the following is NOT a preferred ventilation technique?

    <p>Nasal cannula (A)</p> Signup and view all the answers

    What characterizes emphysema as a disease?

    <p>Overinflation and destructive changes in the alveoli (D)</p> Signup and view all the answers

    Which of the following is a contraindication for using an inhaler?

    <p>Patient has taken their maximum dose prior to arrival (B)</p> Signup and view all the answers

    What side effect is commonly associated with beta-agonist inhalers?

    <p>Increased heart rate (A)</p> Signup and view all the answers

    Which lung disorder is characterized by excessive mucous secretions?

    <p>Chronic bronchitis (B)</p> Signup and view all the answers

    What is hemoptysis?

    <p>Coughing out blood (D)</p> Signup and view all the answers

    What color of blood is typically associated with upper gastrointestinal bleeding?

    <p>Dark red or coffee ground (D)</p> Signup and view all the answers

    What is the primary intervention for respiratory distress?

    <p>Administer high-flow oxygen (C)</p> Signup and view all the answers

    During a focused history, what should be ensured for all patients?

    <p>A complete physical examination (B)</p> Signup and view all the answers

    In what position should patients in respiratory distress be transported?

    <p>The position they find most comfortable (B)</p> Signup and view all the answers

    Which of the following conditions may exhibit hemoptysis?

    <p>Severe pneumonia (D)</p> Signup and view all the answers

    What is the least priority action after administering oxygen?

    <p>Limit the patient's fluid intake (B)</p> Signup and view all the answers

    Which patient condition would most likely require administration of oxygen?

    <p>A patient experiencing respiratory distress (C)</p> Signup and view all the answers

    What is the characteristic appearance of blood in hemoptysis linked to severe conditions?

    <p>Bright red mixed with sputum (C)</p> Signup and view all the answers

    What is the significance of assessing body systems associated with the chief complaint?

    <p>It helps to provide a complete physical history (B)</p> Signup and view all the answers

    What is tidal volume?

    <p>The amount of air exchanged in one breath (B)</p> Signup and view all the answers

    Which statement about the respiratory anatomy of infants and children is accurate?

    <p>They have softer, more flexible tracheas that are easily obstructed (D)</p> Signup and view all the answers

    How does the size of an infant's tongue compare to that of an adult's?

    <p>Infants' tongues take up more space proportionately (B)</p> Signup and view all the answers

    What are the consequences of infants and children's respiratory anatomy?

    <p>Their structures are smaller and more easily obstructed (D)</p> Signup and view all the answers

    Which of the following is NOT part of the OPQRST assessment framework?

    <p>Treatment (D)</p> Signup and view all the answers

    What does the 'S' in SAMPLE stand for?

    <p>Signs and Symptoms (D)</p> Signup and view all the answers

    What is a characteristic of the cricoid cartilage in infants and children?

    <p>It is less developed and less rigid (A)</p> Signup and view all the answers

    Which of the following is a major consideration for infants and children concerning their respiratory systems?

    <p>Their chest walls are softer than adults' (D)</p> Signup and view all the answers

    What does the 'A' in SAMPLE represent?

    <p>Allergies (A)</p> Signup and view all the answers

    Which of the following best describes the physical examination step in the focused history?

    <p>It assesses current symptoms and overall health (B)</p> Signup and view all the answers

    Flashcards

    Respiratory System

    Takes oxygen from the air, and makes it available to the blood to transport to the body cells, and removes excess carbon dioxide from the body.

    Upper Airway

    The part of the respiratory system extending from the nose and mouth to the trachea.

    Lower Airway

    The part of the respiratory system extending from the trachea to the alveoli.

    Epiglottis

    A leaf-shaped structure that prevents food and liquid from entering the trachea during swallowing.

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    Ventilation

    The movement of air into and out of the lungs.

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    Inhalation

    The process of taking air into the lungs.

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    Trachea

    The windpipe; the tube connecting the larynx to the lungs.

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    Respiration

    The process of exchanging gases (oxygen and carbon dioxide) between the air and the blood.

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    Negative Pressure Breathing

    Air flows into the lungs because the pressure inside the lungs is lower than the pressure in the atmosphere.

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    Diaphragm Relaxation

    During exhalation, the diaphragm relaxes, moving upward, reducing the size of the chest cavity, pushing air out.

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    Intercostal Muscle Relaxation

    During exhalation, the intercostal muscles relax, causing the ribs to move downward and inward, decreasing the size of the chest cavity and pushing air out.

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    Alveolar Respiration

    Gas exchange between the alveoli (tiny air sacs in the lungs) and the capillaries, where oxygen enters the blood and carbon dioxide exits.

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    Cellular Respiration

    Gas exchange between the capillaries and the cells in the body, where oxygen is delivered and carbon dioxide is picked up.

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    Normal Breathing Effort

    Breathing that is effortless and does not require extra effort or muscle use.

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    Respiratory Rate

    The number of breaths a person takes per minute.

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    Accessory Muscle Use

    The use of additional muscles in the neck, abdomen, and chest to help with breathing.

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    Assessing Breathing

    Evaluating the rate, rhythm, depth, and quality of someone's breathing.

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    Hemoptysis

    Coughing up blood, often indicating an issue in the lungs or upper respiratory tract.

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    Bright red blood in sputum

    Indicates fresh bleeding, often in the upper gastrointestinal tract.

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    Coffee ground appearance in sputum

    Indicates older blood that has been in contact with stomach acid.

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    Physical Examination

    A comprehensive assessment of a patient's body systems to identify signs and symptoms of illness.

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    Focused History

    Gathering information about a patient's specific symptoms and relevant medical history.

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    Emergency Medical Care

    Immediate actions taken to address life-threatening conditions.

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    High-flow oxygen

    Providing a large amount of oxygen to a patient, often used in respiratory emergencies.

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    Oxygen priority

    Oxygen is the most vital medication in respiratory distress.

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    Patient Positioning

    Adjusting a patient's position to improve comfort and breathing.

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    Transport Position

    Transporting a patient in a position that is most comfortable and safe.

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    Tidal Volume

    The amount of air inhaled or exhaled in a single breath.

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    Infant Respiratory Anatomy

    Infants have smaller, more easily obstructed respiratory structures compared to adults.

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    Child's Tongue Size

    Children have a larger tongue proportionally to their mouth size compared to adults.

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    Infant Trachea

    Children have narrower, softer, and more flexible tracheas that are easily obstructed.

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    Cricoid Cartilage in Children

    Children's cricoid cartilage is less developed and less rigid compared to adults.

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    Chest Wall in Children

    Children rely heavily on their diaphragm for breathing because of their softer chest walls.

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    Focused Respiratory History

    A comprehensive approach to understanding respiratory problems using specific questions and observations.

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    OPQRST

    A mnemonic for gathering information about symptoms: Onset, Provocation, Quality, Radiation, Severity, Time.

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    SAMPLE

    A mnemonic for gathering patient information: Signs and Symptoms, Allergies, Medications, Past medical history, Last Oral Intake, Events leading to injury or illness.

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    Hematemesis

    Vomiting blood.

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    COPD

    A broad category encompassing various lung diseases including emphysema, chronic bronchitis, and asthma, causing airflow obstruction and breathing difficulties.

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    Emphysema

    A lung condition characterized by damaged alveoli, leading to decreased lung elasticity and impaired gas exchange.

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    Chronic Bronchitis

    A persistent lung condition marked by excessive mucus production and inflammation in the bronchial tubes, leading to a chronic cough.

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    Asthma

    A lung disorder characterized by recurring episodes of wheezing, coughing, and shortness of breath due to airway inflammation and constriction.

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    Beta-agonist Inhalers

    Commonly used inhalers for respiratory distress, these medications help open up the airways by relaxing the muscles around them.

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    Study Notes

    Respiratory Emergencies Overview

    • Basic life support (BLS) is a fundamental component of respiratory care.
    • Cardiopulmonary resuscitation (CPR) is crucial for restoring breathing and heartbeat.
    • Automated external defibrillators (AEDs) are vital tools in treating cardiac emergencies.
    • Advanced life support (ALS) involves more advanced interventions.

    Respiratory System Review

    • Anatomy and physiology of the respiratory system are essential.
    • Assessing breathing involves evaluating adequate breathing, breathing difficulty, and conducting a focused history and physical exam.

    Emergency Medical Care

    • Oxygen administration is a critical component of respiratory emergencies.
    • Proper patient positioning is crucial during transport.
    • Artificial ventilation may be necessary in severe respiratory distress.
    • Inhalers are frequently used to treat respiratory conditions.

    Respiratory Terminology

    • Ventilation refers to the movement of air.
    • Respiration is the exchange of gases in the body.

    Ventilation

    • Inhalation (breathing in): The diaphragm and intercostal muscles contract, expanding the thoracic cavity and creating negative pressure. Ribs move upward and outward. Air flows into the lungs.
    • Exhalation (breathing out): Diaphragm and intercostal muscles relax, decreasing the thoracic cavity size and restoring positive pressure. Ribs move downward and inward. Air is expelled from the lungs.

    Respiration

    • Alveolar respiration is the gas exchange within the lungs.
    • Cellular respiration is gas exchange within the tissues of the body.

    Alveolar Respiration

    • Oxygen-rich air is inhaled into the alveoli.
    • Oxygen diffuses into the capillaries.
    • Oxygen-poor blood releases carbon dioxide into the alveoli.
    • Carbon dioxide is exhaled.

    Cellular Respiration

    • Cells release carbon dioxide to the capillaries.
    • Capillaries deliver oxygen to the cells.

    Normal Breathing

    • Normal respiratory rates are different for adults, children, and infants.

    Assessing Breathing

    • Factors to assess breathing include rate, rhythm, quality, chest expansion, effort of breathing, depth of breathing, and breath sounds.
    • Use of accessory muscles signals respiratory distress.

    Focused History and Physical Examination

    • OPQRST (Onset, Provocation, Quality, Radiation, Severity, Time) method is employed for gathering patient information during assessment.
    • SAMPLE (Signs and Symptoms, Allergies, Medications, Past medical history, Last oral intake, Events) method is for collecting patient data in a comprehensive manner.
    • Hematemesis (vomiting blood): Indicates upper gastrointestinal bleeding.
    • Hemoptysis (coughing up blood): Usually signifies a respiratory issue. Physical exams are vital.

    Emergency Medical Care

    • Oxygen administration is a critical procedure in respiratory emergencies.
    • Oxygen is the most important medication in respiratory distress situations.
    • Patient transport position should be most comfortable.
    • Artificial ventilations techniques include mouth-to-mask, two-person bag-valve-mask, and flow-restricted oxygen-powered devices.

    Chronic Obstructive Pulmonary Disease (COPD)

    • COPD encompasses conditions like emphysema, chronic bronchitis, and asthma.

    Emphysema

    • An abnormal lung condition causing overinflation of the lungs.
    • Alveolar walls are damaged, reducing lung elasticity and gas exchange.

    Chronic Bronchitis

    • Characterized by mucus secretions and inflammation in the bronchial tubes.

    Asthma

    • A recurring lung condition causing breathing difficulties, wheezing, coughing, and lung secretions.

    Inhalers

    • Devices used to deliver medications to the lungs for treating respiratory distress.

    • Common types include beta-agonist inhalers and others.

    • Indications for inhaler use includes exhibiting symptoms of respiratory distress.

    • Physician-prescribed inhalers must be used with authorization from medical personnel.

    • Inability to use the inhaler, absence of a prescribed inhaler, no permission from medical direction, and maximum dose use prior to professional arrival are contraindications for inhaler use.

    • Procedure to assist someone with an inhaler includes, checking expiration dates, confirming that the device is at room temperature, shaking and preparation of the medication, removal of other respiratory assisting devices, and nasal cannula may remain in place.

    • Patient inhalations should be slow, deep breaths, while actively depressing the inhalant.

    • The patient should inhale deeply and hold their breath to allow the medication to properly absorb.

    • Re-administration of the medication should only occur in the event of specific orders from appropriate medical professionals.

    • Maintaining comprehensive records of the medication, time, vital signs and other observed changes of the patient condition must be done.

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    Related Documents

    Respiratory Emergencies PDF

    Description

    This quiz covers essential concepts related to respiratory emergencies, including basic life support and advanced interventions. Understand the anatomy of the respiratory system and the assessment techniques used in emergency situations. Test your knowledge on oxygen administration, ventilation, and CPR.

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