Snoring respirations - ✔✔This indicates that the patient's tongue has partially fallen back into his throat
and is partially blocking his airway. (head tilt/jaw thrust)
gurgling - ✔✔indicates presence of fluid in the upper airway, need for suctioning
stridor - ✔✔Harsh or high-pitched respiratory sound, caused by an obstruction of the air passages
Child choking - ✔✔1 hand abdominal thrust and 1 hand cpr
infant choking - ✔✔5 back slaps, 5 compressions
burn victims - ✔✔swelling-ventilate
croup - ✔✔seal bark cough (use epi its vasoconstrictor) take them outside for cold air
Epiglottis - ✔✔A flap of tissue that seals off the windpipe and prevents food from entering.
-drooling, fever
-keep calm
Rhales - ✔✔-pulmonary edema
-pink frothy sputum
-acute respiratory (sepsis / high alt)
Wheezing - ✔✔bronchoconstriction
-asthma
-albuterol treatment
,-copd
heart blood flow - ✔✔1. blood enters right atrium from superior and inferior venae cavae
2. blood in right atrium flows through right AV vale into right ventricle
3. contraction of right ventricle forces pulmonary valve open
4. blood flows through pulmonary valve into pulmonary trunk
5. blood is distributed by right and left pulmonary arteries to the lungs where it unloads CO2 and loads
O2
6. blood returns from lungs via pulmonary veins into left atria
7. blood in left atrium flows through left AV valve into left ventricle
8. contraction of left ventricle (simultaneous with step 3) forces aortic valve open
9. blood flows through aortic valve into ascending aorta
10. blood in aorta is distributed to every organ in the body where it unloads O2 and loads CO2
11. blood returns to right atrium via venae cavae
steps 4-6 is the pulmonary circuit
steps 9-11 is the systemic circuit
Oxygenation - ✔✔less than 95% - cyanosis
*non rebreather- 10-15 lpm
*nasal canula- 2-6 lpm
--- clausterphobic
--- cant coach them
*CPAP ( 15-25 lpm)
--- pulmonary edema
Ventilation - ✔✔Respirations less than 10 and greater than 28
AVPU - ✔✔Alert
, Verbal
Pain (npa)
Unresponsive (opa)
NPA - ✔✔nasopharyngeal airway
-Size tip to nose and insert bevel to septum
OPA - ✔✔oropharyngeal airway
- The OPA is sized by measuring from the center of the mouth to the angle of the jaw, or from the corner
of the mouth to the earlobe.
new born heart rate - ✔✔60-100
- less than 60 (compressions)
- greater than 100 (blow by oxygen)
flail chest - ✔✔- ventilate or do nothing
*fracture of two or more adjacent ribs in two or more places that allows for free movement of the
fractured segment
most effective airway management - ✔✔1) mouth to mask with o2
2) 2 person bvm with o2 (10-15 lpm )
3) flow restricted o2 power device
4) 1 person bvm with o2 (10-15 lpm)
Right sided heart failure - ✔✔causes swelling in extremities
left sided heart failure - ✔✔lungs drown
pneumothorax - ✔✔---air in the pleural cavity caused by a puncture of the lung or chest wall
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