Respiratory Emergencies
What disease process often affects pediatric patients, and is characterized by a "barking" type cough?
Croup
Chest pain that resolves with rest
Stable Angina
How much aspirin can you give for ACS?
Up to 325mg
Name 2 symptoms of acute coronary symptom
Chest pain, shortness of breath, nausea, diaphoresis, weakness, syncope
Spontaneous breathing uses ______ pressure ventilation, while assisted ventilation uses ______ pressure ventilation
Negative, Positive
Disease process that is commonly associated with smoking, and involves reduced elasticity of the alveoli
Chronic obstructive pulmonary disease (COPD)
Current term for a heart attack
Myocardial Infarction
Dose and route of administration for nitroglycerin
0.4mg, sublingual, every 5 minutes
Bonus: How many doses can you give?
Name 2 symptoms of congestive heart failure
Difficulty breathing, chest pain, low oxygen saturation, rales, fluid buildup, swelling
Name 2 of 5 methods of applying oxygen to a patient
Nasal cannula, non-rebreather, nebulizer, bag-valve mask, blow-by oxygen, CPAP mask
What two respiratory disorders can benefit from EMS application of CPAP?
Congestive heart failure (CHF) and COPD
A blood clot that forms in the lungs is called a
Pulmonary Embolism
What medication is commonly given for asthma? Name 2 ways the medication is administered.
Albuterol (given via nebulizer or metered dose inhaler)
What breath sound is most commonly associated with Asthma?
Wheezing
Name all the different lung sounds
Normal movement, Rhonchi, Rales, Wheezing, Stridor, Diminished, and Absent
Name the lung sounds often associated with COPD, CHF, and pneumonia
COPD - Wheezing or diminished
CHF - Rales
Pneumonia - Rhonchi
What two treatments are often given for CHF?
Nitroglycerin and CPAP
Name 2 contraindications for giving nitroglycerin
Systolic BP below 90, use of erectile dysfunction medications within last 24-48 hours, age under 18
What is a "silent chest"
Minimal to no movement of air in and out of lungs
Name 2 ways of distinguishing CHF from COPD
Lung sounds, body positioning, blood pressure, edema, medications
What respiratory disease process is often genetically acquired, and is characterized by excessive mucus production?
Term for a weakened and swollen area of a large blood vessel, which can eventually rupture and cause life threatening bleeding
Aneurysm
Name 3 contraindications for giving aspirin
Active GI bleed, medication allergy, age under 19, already taken the maximum dose
Name 3 symptoms of a pneumothorax
Absent breath sounds on one side, jugular vein distention, low oxygen saturation, respiratory distress, tracheal deviation (late sign)
Name the normal respiratory rate for infants, children, and adults
30-60 (infants)
18-30 (children)
12-20 (adults)