Respiratory Distress/Asthma/COPD
Traumatic Breathing
Respiratory Procedures 1
Respiratory Procedures 2
Respiratory Medications
200
This breathing procedure should be used as a last resort for asthmatic or COPD patients who are hypoxemic and unresponsive to other treatments.
CPAP (Continuous Positive Airway Pressure)
200
This type of dressing is used for a sucking chest wound and must be secured on three sides to allow air to escape.
an occlusive dressing/chest seal
200
This device is used for continuous positive airway pressure and begins at a setting of 5 cm H2O, titrating up to a maximum of 10 cm H2O.
CPAP (Continuous Positive Airway Pressure)
200
This procedure involves applying a vertical midline incision over the cricothyroid membrane to secure an airway in emergencies.
surgical cricothyrotomy
200
This anticholinergic medication, often combined with Albuterol, helps reduce bronchial secretions and relieve bronchospasm in COPD and asthma patients.
Ipratropium Bromide
400
This medication, administered via aerosol, is commonly used in combination with Ipratropium to relieve bronchoconstriction in patients with respiratory distress.
Albuterol
400
This life-threatening condition, characterized by hypotension, unequal breath sounds, and JVD, requires immediate needle decompression.
tension pneumothorax
400
This procedure requires locating the cricothyroid membrane and inserting a catheter at a 45–60 degree angle for airway management when other methods fail.
needle cricothyrotomy
400
This supraglottic airway device requires no cuff inflation, is secured using the integral bite block, and provides a reliable airway seal in emergencies.
iGel
400
This corticosteroid reduces airway inflammation and is commonly administered in asthma, COPD, or anaphylaxis with a dosage of 125 mg IV, IO, or IM for adults.
methylprednisolone
600
For severe asthma or status asthmaticus unresponsive to aerosol treatments, this intramuscular medication is administered in doses of 0.3 to 0.5 mg and requires caution in older patients or those with cardiac conditions.
Epinephrine 1 mg/ml
600
This term describes a condition involving multiple rib fractures, causing a section of the chest wall to move paradoxically during breathing
flail chest
600
This device measures CO2 during ventilation and is required for all intubated patients to ensure proper airway placement.
capnography
600
This technique involves remove obstructions from a tracheostomy tube and must not exceed 15 seconds per attempt.
tracheal suctioning
600
This vasodilator is used to relieve ischemic chest pain and pulmonary edema but is contraindicated in hypotension or recent use of erectile dysfunction medications.
Nitroglycerin
800
This corticosteroid, often used for patients with a history of steroid use, is administered intravenously, intraosseously, or intramuscularly, and must be used cautiously in diabetics or febrile patients.
Methylprednisolone (Solu-Medrol)
800
When performing needle chest decompression, the preferred site is between these two ribs at the midclavicular line.
the 2nd and 3rd ribs, inserting on the top of the 3rd rib
800
In cases of endotracheal intubation, this range of CO2 values indicates proper ventilation during capnography.
35–45 mmHg
800
This emergency procedure for tension pneumothorax requires insertion of a 12–14 gauge needle at the second intercostal space along this landmark.
the midclavicular line
800
This medication is administered nebulized to treat stridor and croup by reducing subglottic edema through vasoconstriction.
Racemic Epinephrine
1000
In respiratory distress cases, withholding this treatment is strongly discouraged for hypoxic patients, even if the patient has a history of COPD.
oxygen therapy
1000
This alternate site for needle decompression is located at the 5th intercostal space along either of these two anatomical landmarks.
the midaxillary or anterior axillary line
1000
This procedure uses a device to confirm airway placement by detecting exhaled CO2, with the color change indicating successful ventilation.
colorimetric CO2 monitoring
1000
This procedure requires a 3cm vertical skin incision, followed by a horizontal incision in the cricothyroid membrane, to establish an airway when all other methods fail.
surgical cricothyrotomy
1000
This medication is administered intravenously to manage severe asthma and COPD when sympathomimetic treatments fail, with an adult dose of 2 grams over 20 minutes.
Magnesium Sulfate
1200
This medication is prepared by diluting 1 mg in 100 ml of D5 or normal saline to create a 10 mcg/ml concentration. It is administered via slow push to treat shock states like cardiogenic or septic shock by titrating to maintain a MAP >65.
Push-Dose Epinephrine