Chapter 13: Respiratory Emergencies Flashcards Preview

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Flashcards in Chapter 13: Respiratory Emergencies Deck (55):
1

Shortness of breath or difficulty breathing is known as:

dyspnea

2

Remember, the sensation of not getting enough air can be terrifying, regardless of its cause. As an EMT, you should be prepared to treat not just the symptoms and the underlying problem, but also:

the anxiety it produces

3

Patients with congestive heart failure (CHF) often take several medications. In addition to obtaining a list of those medications, be sure to pay special attention to:

the events that lead up to the present problem

4

t is important to establish your patient's baseline status; in other words, his or her usual condition and:

what is different

5

Which of the following would not be a proper intervention for a respiratory problem?
a. positive pressure ventilations
b. positioning the patient in a high Fowler's position
c. positioning the patient in a position of comfort
d. oxygen via non-breathing mask at 24 L/min or higher

d. oxygen via non-breathing mask at 24 L/min or higher

6

If the patient's condition is stable and no life threats exist, vital signs should be obtained at least every:

15 minutes

7

What is the first step listed to help a patient self-administer medication from an inhaler?

obtain an order from medical control or local protocol

8

Like most dyspnea patients, those with spontaneous pneumothorax are usually more comfortable

sitting up

9

Because a considerable amount of lung tissue may not be functioning, what is the mandatory care for a patient with pulmonary embolism?

giving supplemental oxygen

10

Which of the following may indicate difficulty breathing?
a. a respiratory rate between 12 and 20 breaths/min
b. regular and equal chest rise and fall
c. the patient sitting in a tripod position
d. a pulse oximetry reading of 96%

c. the patient sitting in a tripod position

11

Which of the following respiratory conditions is seen primarily in pediatric patients?
a. asthma
b. croup
c. emphysema
d. bronchitis

b. croup

12

When wheezing is heard on auscultation of breath sounds, which of the following conditions may be present?
a. asthma
b. pneumonia
c. bronchitis
d. all of the above

d. all of the above

13

principal function of the lungs is

respiration

14

2 processes of respiration

inspiration and expiration

15

____ monitors the level of CO2 in arterial blood

brain stem

16

proper _____ can be hindered by:
1. abnormalities in the anatomy of the airway
2. disease - COPD
3. trauma
4. pulmonary vessel abnormalities

exchange of oxygen and CO2

17

____ is alveolar sac collapse

atelectasis

18

how can you differentiate pleuritic chest pain from cardiac ischemic chest pain

pleuritic chest pain can be reproduced by taking a breath

19

_______ is the buildup of fluid within the alveoli and in the lung tissue

acute pulmonary edema

20

acute pulmonary edema often results from

CHF

21

in severe cases of acute pulmonary edema there is

pink frothy sputum

22

acute pulmonary edema is accompanied by ___/____ respirations

rapid shallow

23

wet lungs are associated with

acute pulmonary edema

24

dry lugs are associated with

COPD

25

_____ is a slow process of dilation and disruption of airways and alveoli

COPD

26

COPD is caused by chronic ______

bronchial obstruction

27

___ is a type of COPD in which lungs lose elastic material

emphysema

28

most patients with COPD have elements of ____ and ____

chronic bronchitis and emphysema

29

asthma is a _____ disease

reactive airway disease

30

asthma is the acute spasm of the

bronchioles

31

asthma produces excessive

mucus

32

wheezing associated with asthma is caused by

partially obstructed airways

33

with ______ there is airway swelling, dilation of BV, and BP can DEC

anaphylactic reactions

34

spontaneous pneumothorax is the partial or total accumulation of ____ in the pleural space

air

35

spontaneous pneumothorax is usually caused by

trauma

36

____ are at an INC risk of a spontaneous pneumothorax

tall, thin, males

37

with a spontaneous pneumothorax the patient becomes dyspneic and might have ____ they can point to

pleuritic chest pain

38

____ is the buildup of fluid OUTSIDE the lung

pleural effusion

39

with a pleural effusion the ____ is compressed which causes dyspnea

lung

40

with pleural effusion patients feel better when

sitting up

41

____ are a disruption in the electrical activity of the brain

seizures

42

______ is the sudden loss of consciousness

tonic-clonic seizure

43

____ is continuous seizures

epilipticus

44

prolonged seizures are a threat to the airway because the _____ interfere with the chests ability to expand

constant muscle contractions

45

a pulmonary embolism is the passage of ____ through the venous system

blood clots

46

signs and symptoms of a pulmonary embolism include: dyspnea, ______, ______ (coughing up blood)

dyspnea, acute/sudden chest pain, hemoptysis (coughing up blood)

47

hyperventilation is over-breathing, CO2 ____

DEC CO2

48

_____ is the buildup of excess acid

acidosis

49

____ is the buildup of excess base

alkalosis

50

with hyperventilation instruct the patient to ____ and give ____

slow breathing and give oxygen

51

these are all ____ for the use of an MDI:
- patient unable to coordinate inhalation
- you did not obtain permission from medical control
- patient already met max prescribed dose
- medication is expired

contraindications

52

with partial airway obstruction ____ and ____

give supplemental oxygen and transport

53

with complete airway obstruction _____ and _____

clear obstruction and administer oxygen

54

risks for CHF include: _____ and a history of ____

hypertension and a history of coronary artery disease

55

____ are low pitched breath sounds from mucus in the airway

ronchi