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36 Cards in this Set
- Front
- Back
What are the 9 elements looked at in a respiritry system review |
Cough Sputum Haemoptysis Dyspnoea Wheeze Stridor Chest pain Sleep apnoea Voice change |
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Explain what a cough is and what qualities/types we look for |
Coughs is deep inspiration followed by explosive expiration used for dislodgement of foreign body's Acute coughs under 3 weeks Chronic coughs over 3 weeks Descriptors- dry, moist, barking, scratchy |
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What is COPD |
Chronic Obstructive Pulmonary Disease Umbrella term for long term conditions such as emphysema, chronic asthma, and bronchitis. The main cause of COPD is smoking Causes narrowing of the airways making it difficult to breathe, worsens over time. Symptoms are feeling breathless, new or persistent cough or producing alot of phlem |
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What is Dyspnoea |
shortness of breath |
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What is Haemoptysis |
Coughing up blood |
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What is Stridor |
Rasping sound loudest on inspiration Typically in the larynx or larger airways Caused by a foreign body or anaphylaxis - |
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Name the missing areas |
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What is cystic fibrosis |
Cystic fibrosis (CF) is a genetic (inherited) disease that causes sticky, thick mucus to build up in organs, including the lungs and the pancreas. In people who have CF, thick mucus clogs the airways and makes it difficult to breathe. Management includes ways of clearing lungs and eating correctly. |
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What is capnography and what is healthy ranges |
The monitoring of exhaled co2 (ETCO2) 35-45mmhg is healthy |
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What are the 4 phases of capnography waveform |
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What are the 4 waveform trends in a capnography |
Normal waveform between 35-45mmhg Upward trending - co2 exhalation increasing Downward trending - co2 exhalation decreasing ROSC - Return of spontaneous circulation |
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What does ROSC stand for |
Return of spontaneous circulation |
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What's the flow rate of nasal cannula |
1-4lpm |
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What's the flow rate of a SFM peadiatric or adult |
Simple face or Hudson mask 6-10LPM |
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What's the flow rate of a adult or paediatric NRBM |
Non Rebreather Mask 12-15LPM |
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What's the flow rate of adult or paediatric Neb |
Nebuliser mask 6-8LPM |
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What's the term used for inspired oxygen |
FiO2 |
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What is a Pleth wave |
Graphical representation of each pulse detected by a pulse Oximeter Used to confirm the accuracy of a pulse Oximeter reading. |
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How do you check the accuracy of a SPO2 reading |
By checking the Pleth wave. A poor or irregular pleth wave is indicative of a unreliable SPO2 reading |
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List 3 instances when oxygen can be used |
When a patient is Hypoxic Hypercapnic (hypoventilation) Increased metabolic demand |
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What's the flow rate on a BVM |
Bag Valve Mask 12-15LPM |
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1st to check when trouble shooting airway management |
Check equipment, starting from the bottle being full to the mask being in correct position. Check for damage, correct position, correct operation |
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2nd check when trouble shooting airways management |
Check your technique (is it me?) Have I forgotten something, positioned equipment wrong. |
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3rd check when trouble shooting airways management |
Is it them Is there something about there condition that i missed or that has changed |
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3 reasons the patient requires oxygen |
Hypoxia - the patient has low oxygen levels in the body eg.cyanosis High CO2 Hypoventilation - the patient has too much CO2 eg.heroin Metabolic demand - when the body is fighting an infection or heavy exertion |
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How much air is administered through the use of a single BVM squeeze |
500mls |
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What is tidal volume |
The amount of air moving in and out in a single respiration cycle |
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What is sniffing position |
Perfect alignment to achieve clear airways. ears inline with sturnal notch, head and shoulders ramped if nessisary |
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What ligament opens the epiglottis |
Hyoepiglottic ligament |
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What airway adjunct belongs in the oropharynx |
OPA Oropharygeal airway adjuncts |
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What airway adjunct belongs in the nasopharynx |
NPA Nasopharyngeal airway adjunct |
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What airway adjunct belongs in the Larynx |
Supraglottic airway (LMA, IGEL) |
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What airway adjunct belongs in the Trachea |
Endotracheal tube |
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What equipment would you use to remove a foreign body from the larynx |
laryngoscope and Magill forceps |
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Which hand do you use a laryngoscope in always |
Left |
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What is hypocapnea and hypercapnea |
Low CO2 levels and high CO2 levels |