Respiratory emergencies

Question 1

Physical Signs of respiratory distress

Answer 1

Anxiety
acessary muscles
cyanosis
flail chest
trachea deviation

Question 2

What would you think if only one leg or arm had cyanosis

Answer 2

Suspect and arterial blockage, also if there is hair loss on lower extreamity

Question 3

What would venous blockage look like on leg?

Answer 3

edema

Question 4

how does flail chest: chest wall moving asynchronus fasion

Answer 4

2-3 broken ribs broken in 2 places

Question 5

what would you not want to give to someone with difficulty breathing/flai chest

Answer 5

don’t give morphine because it can supress respiratory distress

Question 6

what stimulates respiratroy drives

Answer 6

Rising CO2 levels

Question 7

what would cause sever shrotness of breath

Answer 7

arrhythmias
pericardial tamponade
Pulm Embolism
asthma
anaphylaxis
poisoning

Question 8

what is beck triad

Answer 8

Sign of pericardial embolism:

• Low BP
• Muffled heart sounds
• JVD

Question 9

signs of epiglottitis

Answer 9

-drooling
-Leaning forward won’t swallow,
Distress
- Dysphagia hot potato voice

Question 10

signs of peritonsilar abscess

Answer 10

• high temp
• redness into palate
• assymetrical dysplaced uvula
• signifigant pain with swallowing

Question 11

Treatment for peritonsil abscess

Answer 11

Low does prednisome 30 mg with and antibiotic

Question 12

what may save trip to ER if someon has asthma

Answer 12

• stiff coffee

Question 13

what should you suspect first if infant suddenly stops breathing

Answer 13

Foregin body

Question 14

cardiovascular cause of SOB

Answer 14

• septal defects
• myocarditis
• pericarditis
• shock
• cardiac tamponade

Question 15

who often gets pericarditis

Answer 15

Often 1-2 months after and MI

Question 16

dresslers syndrome

Answer 16

many months after MI,

autoimmune chest pain unrelated to exchemia

Question 17

HEENT cause of SOB

Answer 17

Angioedema

Question 18

Hematologic cause of SOB

Answer 18

Sever anemia from trauma or bloodloss

sickel cell

Question 19

neurological cause of SOB

Answer 19

Head trauma
subarachnoid hemorrage
C4 or higher neck
gulin garee
botulinsm

Question 20

what dugs can cause SOB

Answer 20

Drug overdose of Benzos
alcohol
salicylate poisoning
diabetic ketoacidosis

Question 21

sx of salicylate poisoning

Answer 21

Hyper ventilation

tinnitis

Question 22

What do you always start with with breathing problems

Answer 22

ask how the yfeel

Question 23

what would to think if there were absent or diminished breath sounds

Answer 23

decreased air movement

• COPD, Asthma
• pneumothorax
• CHF

Question 24

what would you think if deminished breath sounds but dull to percussion

Answer 24

• CHF
• Pneumonia
• tumor

Question 25

what blood test are used to differentiate between CHF and Pneumonia

Answer 25

Naturetic peptide

Question 26

What if wheezing, high pitched general apices

Answer 26

asthma | inspiratory or expiratory

Question 27

What if you hear crackles or interalveoar fluids

Answer 27

- pneumonia - acute decompensated HF - Acute respiratory distress syndrome

Question 28

what if you see JVD

Answer 28

- Right heart failure cardiac tamponade - pulmonary embolism

Question 29

pitting edema

Answer 29

Acute decompensated heart failure

Question 30

what would you always ask about if someone had and upper extremity DBT

Answer 30

Rule out cancer | - Ask about indwelling catheter recently

Question 31

Inital outpatient treatment of patient with worsening CHF

Answer 31

- O2, high flow - elevate head and shoulders - Keep calm - 911 transport

Question 32

What are the sx of a severe asthma attack?

Answer 32

wheezes or absent breath sounds - pulses paradoxus, - drop of systolic BP you are going to want to give EPI

Question 33

When do steroids or antihistamines have no place in asthma

Answer 33

during acute event you are going to need epi

Question 34

what is the drug of choice for acute anaphylaxis or asthma

Answer 34

epinephrine

Question 35

what causes anaphylaxis

Answer 35

IgE mediated respones*** | degranulation of mast cess

Question 36

what is the difference between anaphylactoic response and anaphalxis

Answer 36

Anaphylactoid: Not IgE mediated degranulation of mast cells Anaphylaxis: IgE mediated degranulation of mast cells

Question 37

what do people with anaphylactoid often have?

Answer 37

- aprin allergy - food dye allergy - asthma - iodine respone

Question 38

who should you not give aspirin to?

Answer 38

those with Sanfords triad - Asthma - Hay fever - Nasal polyps

Question 39

What can be given for panic attacks

Answer 39

Herbs | Beta blockers

Question 40

Which mask gives the greater amount of oxygen

Answer 40

Non Rebreather mask.

Question 41

what mask allows you to measure delivered oxygen

Answer 41

venturi mask. It leads to most accurate measurment

Question 42

How many Liters/minutes in nasal canula

Answer 42

4-6 l/minute. | 5 liters/minute is a bit uncomfortable.