RRAPIDS Flashcards
how to establish that the airway is potent
the patient can talk
if the patient cannot talk, what are the signs of airway compromise
- cyanosis
- see-saw breathing
- accessory muscles use
- diminished/added breath sounds
what to do if the patient cannot talk (sign of airway obstruction)
open + inspect mouth for obstruction
6 interventions to relieve airway obstruction
- head-tilt chin-lift manoeuvre
- jaw thrust
- oropharyngeal airway
- nasopharyngeal airway
- CPR
- anaphylaxis treatment
when to perform jaw thrust instead of head-tilt chin-lift
trauma/risk of spine injury
oropharyngeal airway should be used in conjunction with a
manoeuvre
why should OPA only be used in the unconscious
avoid intolerance
NPA can be used in conscious patients, when is it contraindicated
base of skull fracture
normal RR & O2%
- 12-20
- 94-8% (88-92%)
signs to look for in general inspection of breathing
- cyanosis
- Cheyne-strokes respiration
- stridor
- kussmaul’s respiration
- SOB
- cough
what should you warn the patient before tracheal palpitations
may be uncomfortable
normal findings when examining chest expansion
symmetrical
potential findings when percussing the chest
- resonant
- dullness
- stony dullness
- hyper-resonance
potential auscultation findings of the lungs
- bronchial breathing
- wheeze
- coarse crackles
- quiet/reduced breath sounds
- stridor
- fine-end inspiratory crackles
Ix for breathing
- ABG
- chest XR
oxygen intervention in breathing
15L thru non-rebreathable
other interventions in breathing
- CRP
- O2/nebulisers/Abx etc
normal HR & BP
- 100
- 140/90
severe hptn
180/100
upon calculating fluid balance what is oliguria
<0.5ml/kg/hr
general inspection of circulation
- pallor
- oedema
what should you palpate in circulation
- hand temperature
- cap. refill time
potential findings when examining pulses
- irregular
- slow-rising
- pounding
- thready
possible causes of ++ JVP
- RHF
- tricuspid regurgitation
- constrictive pericarditis
