Adequate vs. Inadequate
Peds
Lung Sounds
Field Diagnoses
Patient Care
100
Breath sounds should be these two things during adequate respiration.
What is present and equal?
100

Normal breathing rate for infants and for children.

What is 30-60 and 16-32?

100
High-pitched sound heard on inspiration.
What is stridor?
100
Category of conditions like emphysema and chronic bronchitis.
What is COPD?
100
A prescribed inhaler is indicated for respiratory problems that cause this.
What is bronchoconstriction?
200
You are the first on the scene of a respiratory emergency. You can determine that your ventilation is adequate because of this.
What is adequate chest rise?
200
Infants and children use this more to breath than adults do.
What is their diaphragm?
200
Indicated fluid in the avleoli. Sometimes called rales.
What are crackles?
200
Condition characterized by abnormal fluid build up in the alveoli.
What is pulmonary edema?
200
After patients put their lips around the opening of the inhaler and activates the spray, the patients should inhale deeply and do this.
What is hold their breath as long as possible?
300
These four signs of inadequate breathing is more common in pediatric patients.
What are the use of accessory muscles (retractions), nasal flaring, grunting, and seesaw breathing?
300
This takes up proportionally more room in kids than adults.
What is their tongue?
300
Common sound heard in asthma or COPD patients. Mostly commonly heard on expiration.
What are wheezes?
300

A collapsed lung, mainly due to a bleb rupture.

What is spontaneous pneumothorax?

300
Depressed mental status, lack of normal, spontaneous respiratory rate, inability to sit up, hypotension, nausea, vomiting, penetrating chest trauma, shock, upper GI bleed or any recent surgery.
What are contraindications for CPAP use?
400

A pulse oximeter reading below this would indicate respiratory difficulty.

What is 90%?

400
This is the rate at which BVM breaths should be administered to children and infants.
What is 20 breaths per minute?
400
These two places are where the EMT auscultates for lung sounds
What are mid-clavicular and mid-axillary?
400
Condition caused by a blood clot, air or fat trying to go through the walls of the vessels in the lungs.
What is pulmonary embolism?
400
Increased pulse rate, tremors, and nervousness.
What are side effects of administering a prescribed inhaler?
500

You are called to a care center for an unresponsive person. Upon arrival, you find the unresponsive patient having slow, shallow respirations. A caregiver placed the patient on a NRB mask at 6 lpm. You should immediately do this.

What is begin artificial ventilations with a BVM on 15 lpm at 12/minute or 1 Breath every 5-6 seconds.

500
When infants or children having respiratory difficulties, their pulse will do this.
What is drop?
500
Caused by secretion in larger airways. Low-pitched. May resemble snoring or rattling.
What are rhonchi?
500
Male patient, 45, presents with sore throat and pain in swallowing. Muffled voice, fever, drooling, and stridor. Patient recently had a cold. Field diagnosis is...
What is epiglottitis?
500
You are called to a 67-year-old patient who complains of difficulty breathing. She tells you she has a history of breathing problems. Her vital signs are pulse 122, strong and regular; respirations 28 with audible wheezes; blood pressure 104/64; skin cool and dry. The patient's daughter presents an inhaler, saying, "This is mine, but it's what I use when I'm wheezing." You should do this with the inhaler.
What is NOT give it to the patient since it is not prescribed to her. Additionally, wheezing is present in other respiratory emergencies, and you cannot be sure that the patient is having an asthma attack.
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