Airway
Oropharynx, nasopharynx, laryngopharynx
The stage of inadequate breathing that is characterized by a patient who has a respiratory problem but the body's compensatory mechanisms are meeting the increased demands. So far, the person simply has increased work of breathing and probably a sensation of "shortness of breath."
Respiratory distress
What changes with respiratory failure?
Respiratory arrest?
Basic airway maneuver
Pulling of the skin and soft tissue between the ribs when breathing. This is typically a sign of respiratory distress.
Retractions
What are some other signs of distress?
This is when a lung collapses without injury or any other obvious cause. Often the patient has sharp pleuritic chest pain and shortness of breath....they may tire easily, be tachycardic, breath fast, and have low oxygen saturation. They may also be cyanotic.
Spontaneous pneumothorax
The patient is awake and alert but is unable to breathe on his own SpO2 is 92% and he has COPD. Does he meet criteria for CPAP?
A toddler falls from two story window. You want to maintain a patent airway what method would you use to position the head.
What is jaw thrust maneuver
A disease caused by a bacterial infection that often presents with a high fever, respiratory distress, and stridor. It causes swelling.
Epiglottitis
Wheezing is often caused by a constriction of the upper or lower airway?
A patient gets in a bar fight with his wife's lover. The lover is thrown into a table and has noticeable facial fractures. He is unconscious and you need to place an airway adjunct which one would you choose and why?
What is the oropharyngeal airway/because the facial fractures prohibit the use of a nasopharyngeal airway.
A viral illness that results in inflammation of the larynx, trachea, and bronchi. It often occurs at night and can follow a cold or other respiratory infection. Tissues in the upper airway become swollen and restrict the passage of air.
Croup
What biological component transports oxygen through the blood?
Hemoglobin
Why is this important?
____________ is caused by an obstruction of the upper airway and commonly found in patient with Epiglottitis.
You have been suctioning a toddler for 20 seconds and now they are cyanotic. Is it your fault? if so why?
Yes! You only suction for 10 second increments on infants and children
This is the normal rate of breathing for an infant.
What is 25-50 breaths/minute?
What does gas exchange refer to?
The intake of oxygen and the release of carbon dioxide
Hypoxia vs Hypercarbia?
Fluid around the alveoli restricting gas exchange will often cause this sound.
Safely lower the patient to the floor and begin CPR.
What should you do when giving your breaths in an unconscious choking patient?