Respiratory emergencies Flashcards
1
Q
Anaphylaxis- Sx
A
- Acute onset
- Reduced BP
- Respiratory compromise, angioedema
- Hypotonia, syncope
- Involvement of skin and mucosal tissue
- Ingestion of a known allergen
- Persistent GI sx
2
Q
Anaphylaxis- Tx
A
- Epi
- H1 or H2 blocker
- Systemic steroids
- Oxygen
3
Q
Flail chest- Sx
A
- 2 fractures per rib in at least two ribs
- Paradoxical breathing, flail chest moves inward on inspiration
- Indicates underlying pulmonary constusion
4
Q
Flail chest- Tx
A
- Supplemental O2
- Pain control with morphine
- CPAP
- Intubation
5
Q
Pulmonary contusion- Sx
A
- Significant blunt trauma to chest
- Hypoxia correlated with size of contusion
- Dyspnea, hemoptysis,
- Tachycardia
- Chest wall brusing
- Patchy interstitial infiltrates on CXR
6
Q
Pulmonary contusion - Tx
A
- CPAP
- Intubate if severe resp distress
- Supportive care
7
Q
Simple pneumothorax- Sx
A
- No communication with atmosphere and no mediastinal shift
- Acute onset dyspnea
- Pleuritic chest pain
- Evidence of lung collapse
- Decreased breath sounds on affected side
8
Q
Simple pneumothorax- Tx
A
- Needle decompression
- 2nd rib, midclavicular line
- Tube thoracostomy
9
Q
Tension pneumothorax- Sx
A
- Displaced PMI
- JVD
- Trachea shift
- Severe resp compromise
10
Q
Tension pneumothorax- Tx
A
- Tube thoracostomy
11
Q
Status asthmaticus- Sx
A
- Dyspnea at rest
- Severe resp distress- accessory muscle use, wheezing
- Tachypenic
12
Q
Status asthmaticus- Tx
A
- Albuterol
- SubQ epi
- Systemic corticosteroids
- Magnesium sulfate
13
Q
Smoke inhalation- Sx
A
- Bronchorrhea and spasm
- Labored breathing and cyanosis
- Pneumonia following exposure
14
Q
Smoke inhalation- Tx
A
- O2
- Brochodilators
- Airway intubation
15
Q
Carbon monoxide- Sx
A
- Flu like sx
- Headache
- Confusion and irritability
- Concurrent sx with fam and hx of open gas use
