Summary

This document provides a recap of various respiratory conditions, including symptoms, treatments, and related information. It details conditions like emphysema, chronic bronchitis, and pulmonary embolism. It also discusses oxygen adjuncts, myocardial infarction, and angina pectoris.

Full Transcript

Test 2 Recap 1. Signs, symptoms and treatment of respiratory conditions a. Emphysema (COPD) i. Usually thin ii. Sometimes a pink color to their skin (polycythemia) iii. Pursed lip breathing (creating positive end expiratory pressure (PEEP) iv....

Test 2 Recap 1. Signs, symptoms and treatment of respiratory conditions a. Emphysema (COPD) i. Usually thin ii. Sometimes a pink color to their skin (polycythemia) iii. Pursed lip breathing (creating positive end expiratory pressure (PEEP) iv. Wheezing or diminished lung sounds v. Dry cough vi. May see home O2 vii. May have a history of smoking viii. Chronically short of breath b. Chronic Bronchitis ix. Usually heavier x. Sometimes a bluish color to their skin xi. Excessive sputum production xii. May see home O2 xiii. Chronically short of breath xiv. Rhonchi or diminished lung sounds c. Pulmonary Embolism xv. Acute onset of UNEXPLAINED shortness of breath xvi. Clear or possibly crackles for lung sounds xvii. Recent history of surgery, sedentary life style or birth control pill d. Pneumonia xviii. Fever xix. Productive cough xx. Diminished or rhonchi for lung sounds xxi. Recent history or illness xxii. Green or yellow sputum production xxiii. Painful to breath xxiv. tacypnea e. Pulmonary edema xxv. May have a history of heart disease xxvi. Acute onset of shortness of breath xxvii. Crackles for lung sounds xxviii. Pink frothy sputum in severe cases xxix. May suffer from orthopnea (inability to lay flat) xxx. May also see JVD (congestive heart failure) xxxi. May also see pedal edema (congestive heart failure) xxxii. Exertional dyspna xxxiii. Tachypnea xxxiv. tachycardia f. Asthma xxxv. acute onset of shortness of breath xxxvi. history of asthma xxxvii. wheezing lung sounds (ominous if you hear no lung sounds) xxxviii. tripoding xxxix. accessory muscle use xl. tachypnea xli. tachycardia g. Pneumothorax xlii. Shortness of breath xliii. Pinpoint pain xliv. Diminished lung sounds xlv. Usually caused by penetrating trauma but can be a result of blunt force trauma xlvi. Tacypnea xlvii. Tachycardia h. Tension Pneumothorax xlviii. JVD xlix. Tracheal deviation l. Absent lungs sounds li. Hypotension lii. Poor skin signs liii. Severe shortness of breath liv. Tacypnea lv. Tachycardia i. Hyperventilation lvi. Rapid shallow (sometimes deep) respirations lvii. Carpal Pedal spasms lviii. Numbness and tingling (especially to the face and extremities) lix. Situation causing emotional upset lx. May lead to a syncopal episode 2. Different oxygen adjuncts and when and HOW to use them j. OPA (maintains the airway) k. NPA (maintains the airway) l. Nasal cannula (2-6 lpm, considered low flow oxygen) m. Non rebreather mask (10-15 lpm, considered high flow oxygen) n. Bag Valve Mask (10-25 lpm, assisting ventilations) o. Flow Restricted Oxygen Powered Ventilation Device 3. Myocardial infarction p. Chest discomfort q. Non provoked r. Shortness of breath s. Nausea and/or vomiting t. Unrelieved with rest u. Unrelieved with NTG v. Poor skin signs w. Hypotension x. Pulmonary edema y. JVD 4. Angina Pectoris z. Chest discomfort a. Provoked by exertion b. Relieved with rest c. Relieved with NTG 5. Nitroglycerine d. indication e. contraindication f. side effects g. Dose (SD county and NR) 6. Metered Dose inhaler h. indication i. contraindication j. side effects k. dose (SD county and NR) 7. Oral glucose l. indication m. contraindication n. side effects o. dose (SD county and NR) 8. 5 patient rights p. Right patient q. Right drug r. Right dose s. Right route t. Right time 9. Signs, symptoms and treatment of ALOC u. hypoglycemia lxi. ALOC/unresponsive lxii. Pale, cool, skin lxiii. Known diabetic lxiv. Labored respirations lxv. Low blood sugar (\ c. Diabetic Ketoacidosis d. Cerebral Vascular Accident, (CVA) a. ALOC b. Slurred speech c. Unresponsive d. Severe headache e. New onset of seizures f. Hemiparesis g. Blurred vision h. Nausea vomiting i. Facial droop j. May have airway compromise k. Cincinnati Prehospital Stroke Scale l. Los Angeles Prehospital Stroke Screen e. TIA m. slurred speech n. facial droop o. hemiparesis p. blurred vision q. symptoms relieved within 24hrs but usually within minutes f. Seizures r. tonic/clonic type movement (grand mal) s. "gazing off into space" t. if a baby, may be described as becoming "stiff" and turning "blue" u. may be febrile in nature v. protect the airway w. provide oxygen x. cool down if febrile in nature y. may be cause by trauma or CVA g. Status epilepticus z. Life threatenting a. Seizure lasting 5 or more minutes or occur consecutively without regaining consciousness b. Manage their airway and breathing 11\. Signs, symptoms and treatment of common abdominal emergencies

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