Scenario
You have a patient who is unconscious with an oral airway in place. They start to gag. What should you do?
Remove the airway.
If someone is bleeding profusely from their mouth (think a gash on their tongue) how are we going to position them?
Sitting upright and leaning forward
You have someone breathing in the tripod position. What do you do?
Apply O2 10-15L/min
What is a normal respiratory rate for an adult
12-20 breaths per minute
What drives our breathing process (what tells us to breathe)
Brainstem.
You are not getting proper chest rise when ventilating a patient. What do you do?
Repostition the airway.
When we are suctioning what can happen if we touch the back of the throat?
We can stimulate the gag reflex and vomiting can happen.
You have a pediatric patient who is presents with retraction breathing, shunting, and when his belly pushes out during a breath his chest folds in. He is in respiratory ______________
Respiratory Failure
Before we start CPR what needs to be absent and what do we need to check for?
A pulse must be absent (as long as their not choking) and we must check for a pulse. An apneic adult patient with a pulse does not qualify for CPR.
If you have a patient who has snoring respirations with no trauma what are you going to do?
Open their airway via head tilt chin lift.
You have a 16 year old patient who is coughing and pointing at their throat. What should you do?
Encourage them to keep coughing.
What is the valve the that prevents food from entering the trachea upon swallowing?
Epiglottis
Your patient is having difficulty breathing after exercising. They have a history of asthma and on examination you hear inspiratory and expiratory wheezing. The patient has a MDI. His resp. rate is 22. Pulse 110. BP 140/88. What should you do?
Assist with the MDI.
On avg. how many mL of air does an adult inhale each breath?
500mL
You have a patient who starts vomiting while strapped to a backboard. What should you do?
Tilt the backboard to the side.
You have a patient complaining of sudden sharp chest pain and severe dyspnea. Upon auscultation of their lungs you don't hear anything over the left side. What do you suspect?
Spontaneous Pneumothorax.
What is the main cause of airway obstructions?
The Tongue.
You have a patient who is unresponsive, bradycardic, and apneic. You attempt to ventilate them but you aren't able to do so despite doing the head-tilt chin-lift maneuver. What should you do?
Reposition and reattempt ventilation.
If someone has a respiration rate of 32 what is that called?
Bonus how do we help them?
Tachypneic
Assist their ventilations.
You have a patient who is slumped over in a chair. Pulse is at 34. Respiration is 0. What should you do?
Ventilate the patient.
You have an unresponsive apneic patient who appears to have a Stoma with an intact airway. What should you do?
Ventilate with a pediatric BVM mask over the stoma. Have suction prepared.
How long do you suction the airway maximum (in testing world)
How long in the real world?
15 seconds in testing
10 seconds in real world
What is the condition when our Alveoli air spaces collapse?
Atelectasis
What is the breathing pattern called that is unorganized and typically seen in our stroke and head injury patients?
Cheyne-Stokes
You have someone with a suspected spinal injury and they have blood pooling in their mouth. What should we do?
Stabilize that spine and then suction the airway.