4010

Question 1

RESPIRATORY DISTRESS 4010

In the patient with severe respiratory compromise, treatment should be aggressive in order to prevent respiratory ___. Lung ____ and degree of distress should guide treatment.
TREATMENT
• Airway/breathing management
- Monitor ___. However, ____ is not a reliable indicator of the patient’s level of ___
- Administer O2 via proper adjunct to maintain oxygen saturation of 95% or greater
- Determine respiratory ___, depth and ___
- Assess ___ sounds
- Refer to Advanced Airway Guideline 9010 as indicated

• If unable to intubate patient after two attempts, insert ____ airway (Appendix D)
• Consider ____ treatment situations and refer to appropriate guideline

• ___ lung sounds with difficulty breathing
- Administer O2 via proper adjunct to maintain oxygen saturation of 95% or greater

• Assess ____
• Determine Blood Glucose Level

Answer 1

ARREST
SOUNDS
 SPO2    SPO2
DISTRESS
RATE .   QUALITY

LUNG

SUPRAGLOTTIC

POSSIBLE

CLEAR

TEMPERATURE

Question 2

RESPIRATORY ARREST
4020

TREATMENT
• Provide ____% oxygen via ____ with an airway adjunct(s) (Oropharyngeal airway and/or nasopharyngeal airway)

• Provide ___ as needed

• Airway/breathing management
- Refer to Advanced Airway Guideline 9010 as indicated
- If unable to intubate patient after ___ attempts, insert supraglottic airway (Appendix D)
• Initiate cardiac monitoring

• Assess Blood Glucose Level

Answer 2

100% . BVM

SUCTION

TWO

Question 3

FOREIGN BODY AIRWAY
OBSTRUCTION 4040

TREATMENT
• Foreign Body Airway Obstruction (FBAO) maneuvers as indicated below:
Conscious
- Mild Obstruction (with good air exchange)
- Encourage patient’s own ____ coughing and breathing efforts
• Severe Obstruction
- ___ Thrusts (Heimlich maneuver)
- If patient is pregnant or obese, perform ___ thrusts instead of abdominal thrusts
• Unconscious
- ___ airway and remove object by direct laryngoscopy with ___ forceps
- Begin __ as indicated
- ___ as indicated
- Assist ventilations with appropriate BVM with a ____ airway
- If foreign body cannot be removed, attempt to bypass by pushing the obstruction into one ___ with the __ tube and then intubating the other bronchus
- Supraglottic airway is contraindicated in this situation

• Airway/breathing management

• Administer O2 via proper adjunct to maintain oxygen saturation of 95% or greater
• Assess lung ___
• Determine respiratory rate, ___ and quality

Answer 3

SPONTANEOUS

ABDOMINAL
CHEST
REPOSITON
MAGIL

CPR
SUCTION
NASOPHARYNGEAL

BRONCHUS ET

SOUNDS
DEPTH

Question 4

HYPERVENTILATION
4050
Many serious medical problems can cause hyperventilation. Consider possible underlying causes.
TREATMENT
• Airway/breathing management
- Administer O2 via proper adjunct to maintain oxygen saturation of 95% or greater
- Assess lung sounds
- Determine respiratory rate, depth and quality
- Administer O2 via ___ until hyperventilation has resolved
- Do not administer ___ __-____ techniques

• Assess ___
• Determine Blood Glucose Level

Answer 4

NRB .
CO2 RE-BREATHING

TEMPERATURE