Airway Flashcards
(46 cards)
OPA Measure
Bottom of Earlobe to the corner of the mouth. Along the curvature of the jaw.
NPA Measure
Bottom of the Airway to the corner of the mouth along the curvature of the jaw.
When do you assist ventilations with a BVM
Less than 10 or greater than 30 you would use a BVM to force air in. Unless it’s hyperventilation. Pt needs to calm down in that situation.
When do you not tube a patient?
When the underlying cause can be quickly reversed. Such as Heroin OD (Narcan/Nalaxone .4-2.0 mg) or Hypoglycemia (D50 25g adult, Peds .5mg kg Glucagon 1mg Peds .03mg). Or a patient has a gag reflex.
Contraindications of nasal intubation
Pt has facial injury or is apnea. Color wont’t change on color metric device via nasal tube.
Ways to confirm tube placement
Condensation, equal rise and fall, color metric, auscultation and CAPNOGRAPHY (definitive)
Capnography Measures & Values
CO2 Expulsion. Value should be 35-40
What does a 10 mean on Capnography?
What does a 70 Mean on Capnography?
10 Means they are not exhaling as much
70 means they are exhaling a lot.
Wheezes Loacation, cause & noise?
lower airway, bronchoconstriction, musical sound (test description)
What is the difference between the Upper & Lower Airway?
The glottic opening
Rhales/Crackles
Lower Airway, fluid in lungs(aveoli) Popping/ Rubbing noise/sensation. (Test description)
Stridor
Upper Airway Narrowing of the glottic opening (edema). High pitched whistling (test description)
Best treatment/My Treatment
Best treatment possible available to me as the paramedic.
Definitive Treatment
Best treatment to a patient via the hospital or specialist. Usually out of my scope of practice as a medic
Respiratory Cycle
Inhalation is active
Expiration is passive
What does Asthma do to the respiratory cycle?
It prolongs expiration
Respiratory patients in distress require what treatment other than medicine?
Positioning is a treatment! HIGH FOWLERS
ASHTMA & COPD S/S TREATMENT?
Wheezing(lower airway bronchoconstriction)
Give albuterol or atrovent (ipatropium bromide) if still not working give Epi Sub Q 1:1000 .3-.5 mg then corticosteroids are the next option(medics don’t give) prednisone or solumetrol.
CHF S/S
SOB, wet lung sounds (rhales/crackles fluid in lungs, popping/rubbing sensation/noise)
CHF Treatment with Good Presentation (good BP/Skin Signs etc.)
CPAp is best O2 treatment.
Meds- Nitro (.4mg with good BP) then lasiks (20-40mg for patients not taking lasiks. 40-80 for patients taking lasiks Peds 1mg/kg).
CHF Treatment Poor Presentaion (cool, pale, diaphoretic poor BP etc)
CPAP
Best Med is Dopamine (5-10mcg to increase cardiac output, 10-20mcg to increase vasocontriction)
What is the difference between Allergic Reaction and Anaphylaxis Shock?
The patient in Anaphylaxis is in SHOCK. Has a poor BP! INADEQUATE TISSUE PERFUSION
Person is having an allergic reaction what do you give?
1000% of the time you give Benadryl (25-50mg Peds 1mg/kg).
Epi for Allergic Reaction
vs.
Anaphylaxis Shock
Allergic-Give SuB Q for Beta Properties (.3mg-.5mg Peds .01mg)
Anaphylaxis Shock- Give IV (.1-.3mg Peds .01mg)
