Respiratory Emergencies

Question 1

If air exchange is adequate w/ FBAO what is done

Answer 1

Encourage patient to cough up obstruction

Question 2

ALS level 1 for Asthma

Answer 2

Albuterol - 2.5mg/2.5mL NS repeat x2
Atrovent - 0.5mg/0.5mL (first neb tx. only)
Epi (1:1000) - 0.3 mg IM repeat x1
Mag. Sulfate - 2g in 50mL D5W over 5-10 mins
CPAP - 2.5-5 PEEP

Question 3

ALS level 2 for Asthma

Answer 3

Third dose of Epi (1:1000) 0.3 mg IM

Question 4

When should caution be used when admin. EPI (1:1000) for asthma

Answer 4

Pts. older than 40 y/o

Pts. w/ hypertension or heart disease

Question 5

ALS level 1 for Emphysema/bronchitis

Answer 5

Albuterol - 2.5mg/2.5mL NS repeat x2
Atrovent - 0.5mg/0.5mL (first neb tx. only)
CPAP - 2.5-5 PEEP

Question 6

ALS level 1 for CHF/PE

Answer 6

Nitroglycerin - (BP: 100-160) - 0.4 mg SL (max. x2 add. if pt. is symptomatic and BP above 120
(BP: above 160) - 0.8 mg SL (repeat @ 0.4 mg every 3-5 mins if BP is above 160)
CPAP: 10 PEEP (5-7.5 if not tolerated)

Question 7

ALS level 2 for CHF/PE

Answer 7

Albuterol - 2.5mg/2.5mL

Atrovent - 0.5mg/0.5mL

Question 8

When should nitroglycerin not be given

Answer 8

BP: less than 100

Pt. took erectile dysfunction medications

Question 9

What is the time line for ED medication

Answer 9

Stendra (Avanafil) - last 12 hrs
Viagra (Sildenafil) - last 24 hrs
Levitra (Vardenafil) & Cialis (Tadenafil) - last 48 hrs

Question 10

CPAP should not be used if BP drops below

Answer 10

systolic: 100 mmHg

Question 11

ALS level 1 for Pneumonia

Answer 11

Fluid challenge - 250-500cc NS
Albuterol - 2.5mg/2.5mL NS repeat x2
Atrovent - 0.5mg/0.5mL (first neb tx. only)

Question 12

What should be avoided with Pneumonia

Answer 12

Diuretics