Let Me Breath
Chronic Air Trapping
Low oxygen levels
pursed lip breathing
dyspnea (I will never leave you)
What is the diagnosis
COPD
Absent or decreased breath sounds on the affected side. Asymmetrical chest expansion, pain, dyspnea, maybe a deviated trachea to the unaffected side.
What is a Pneumothorax
What drug class am I?
SABA
Short Acting Beta-2 Agonist
Name the 5 areas of a Primary Survey
Airway
Breathing
Circulation
Disability
Exposure, examine
Order Codeine 15mg orally QID
Have 20mg/5ml
How many milliliters will the nurse administer per dose?
How many TOTAL milliliters will they receive in 24H?
2.5ML
Total 10ml for a 24 hour period
Infection of the pulmonary tissue, including the interstitial spaces, the aveoli, and the bronchioles.
What is pneumonia
The doctor orders oxygen at 10L but doesn't tell you what O2 device to use
Non-Rebreather Mask
High Flow NC
I block the broncoconstricting effect of the parasympathic nervous system. Used as a rescue for patients unable to tolerate SABA
What is Anticholinergics
I have decreased sensation when you touch me, I appear white or black/brown and non-blanchable. I extend through the subcutaneous structures.
What degree of burn am I?
Full thickness or 3rd degree
What is SARS-CoV-2
Covid 19
Your patient was admitted with severe respiratory distress and 10L O2 NRM. You note audible wheezes in all lung fields. You recheck the patient 30 minutes later and the patient is sleeping no audible wheezes are noted. What is your next action?
Mr. Patient , Mr. Patient are you alright??
Call an RRT, CODE
You patient has been admitted to the hospital in respiratory distress dx with asthma. What lung sounds would you expect to hear?
Wheezes
I may make you drowsy but will help with your itching, scratchy throat and even your allergic reaction,
Antihistamines (Benadryl)
What is the determining factor on the amount of IV fluid needed for burn patients?
TBSA
Total Body Surface Area
You walk into your patients room they are in a supine position, restless and A&O x 1,their respiration rate is 36, pulse ox is 86%.
What is the first thing you would do?
RAISE THE HEAD OF THE BED!!!
Normal PaO2 =
Normal PaCO2 =
PaO2 80-100
PaCO2 35-45
Cyanosis
Long term Cough
Crackles and wheezes
Peripheral Edema
What Disease am I?
Chronic Bronchitis
I have a high risk of toxicity and caffeine should be avoided when taking me?
Methylxanthines (Theophylline)
For burn patients what is the Parkland fluid resuscitation formula?
% TBSA x weight in kg x 4ML
Your assigning a patient with active TB to a room, what precautions would you use and which room would you chose?
Airborne Isolation Precautions
Negative pressure room with the door closed tight
You patient has irregular respirations with pauses at the end of inspiration and expiration.
What is Cheyne-Stokes respirations
Pink skin
Pursed lips
Barrel chest
Tripod positioning
What disease am I?
Emphysema
You can use me long term but never leave me alone in an emergency.
What drug class am I?
LABA
Long acting Beta agonists
What is the most common cause of death in a patient who experiences an electrical injury?
Cardiac Arrest
V-Fib
I weigh 220 pounds. How many kilograms am I?
100 kg