NREMT: Airway, respiration, and ventilation Flashcards
(18 cards)
A 47-year-old male complains of a sore throat and drooling. He tells you that it is too painful to swallow. He has a history of cancer and is receiving chemotherapy. You auscultate stridor in his upper airway. When transporting him to the hospital, you should:
place him in his position of comfort.
A 32-year-old male complains of difficulty breathing. He admits to smoking crack cocaine an hour before the problem started. You hear inspiratory stridor and observe drooling. His vital signs are P 108, R 18, BP 142/88, and SpO2 is 95% on room air. You should suspect:
epiglottitis.
You are assisting the ventilation of a 57-year-old female who is in respiratory failure. Her initial vital signs were P 102, R32, BP 142/84, and SpO2 was 88% on room air. After five minutes of assisted ventilation, her vital signs are P 96, R 18 assisted with slight chest rise, BP 108/80, and SpO2 is 95% on oxygen 15 L/minute by BVM. You should:
decrease your ventilation rate.
A confused 60-year-old female is having an asthma attack. She is unable to sit upright and keeps leaning to the side. Her chest is silent on auscultation. She is tachypneic and tachycardic. You should:
assist her ventilation.
An unresponsive 76-year-old female is lying in bed, and you hear snoring respirations. What should you suspect is partially occluding her airway?
Her tongue
Which of the following prevents the over-inflation of the lungs during normal respiration?
Stretch receptors
A febrile 69-year-old male complains of body aches and decreased appetite. He tells you he has had the flu for a week. His skin is cyanotic and diaphoretic. You auscultate rhonchi and decreased lung sounds over his left lower lung. His vital signs are P 102, R 26, BP 116/90, and SpO2 is 91% on room air. You should suspect:
Pneumonia
A 3-year-old male is in respiratory distress. His mother tells you that he has a fever of 102 degrees F. She tells you he cannot swallow and is drooling. He is sitting up, leaning forward and you hear inspiratory stridor. You should:
administer oxygen.
A 23-year-old female was rescued from a house fire. She is coughing up black phlegm and complains of difficulty breathing. You should suspect she inhaled which of the following gases that is difficult for the body to compensate for and can be toxic?
cyanid
An unresponsive 94-year-old female was found by her husband in bed. He tells you that she has a history of diabetes. You do not observe chest rise or air movement, but she has a pulse. You should first:
ventilate her with a BVM.
An unresponsive 88-year-old male was found by nursing home staff having difficulty breathing. His skin is pale and febrile. You auscultate diminished lung sounds throughout his chest and faint rhonchi in his upper chest. His vital signs are P 104, R 26 and shallow, BP 112/86, and SpO2 is 89 % on room air. You should:
assist his ventilation.
A 57-year-old male complains of difficulty breathing after a non-stop flight from Asia. He has a history of asthma. He tells you that he started to cough up bloody sputum after his flight landed. His skin is pale and diaphoretic. You auscultate rales on the left side of his chest. His vital signs are P 108, R 26, BP 112/60, and SpO2 is 90% on room air. You should:
administer oxygen.
A 77-year-old female complains of difficulty breathing. She tells you she has had a productive cough for several years. You auscultate coarse rhonchi in the bases of her lungs. You observe her mucous membranes are cyanotic. Her vital signs are P 96, R 26 and labored, BP 148/92, and SpO2 is 88% on home oxygen 3 L/minute by nasal cannula. You should:
administer oxygen by non-rebreather mask.
A 17-year-old female complains of difficulty swallowing after smoking crack earlier today. Her voice is quiet, and she is leaning forward and drooling. Her lungs are clear to auscultation. Her vital signs are P 16, R 14, BP 116/ 76, and SpO2 is 94% on room air. You should suspect:
epiglottitis.
A 67-year-old female who has a history of emphysema has difficulty breathing. She is sitting leaning forward and exhaling with her lips pursed. You auscultate wheezes and rhonchi in all fields. Her vital signs are P 102, R 22, BP 134/86, and SpO2 is 95 % on home oxygen 3 L/minute by nasal cannula. You should:
assist with the administration of her albuterol.
A 20-year-old male is coughing after inhaling chlorine gas. He was moved outside to fresh air by coworkers. His only complaints are that his throat is burning, and it is hard to catch his breath because of the coughing. You should first:
administer oxygen.
