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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

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

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

What is Dyspnoea

shortness of breath

What is Haemoptysis

Coughing up blood

What is Stridor

Rasping sound loudest on inspiration


Typically in the larynx or larger airways


Caused by a foreign body or anaphylaxis -

Name the missing areas

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.

What is capnography and what is healthy ranges

The monitoring of exhaled co2 (ETCO2)


35-45mmhg is healthy

What are the 4 phases of capnography waveform

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

What does ROSC stand for

Return of spontaneous circulation

What's the flow rate of nasal cannula

1-4lpm

What's the flow rate of a SFM peadiatric or adult

Simple face or Hudson mask 6-10LPM

What's the flow rate of a adult or paediatric NRBM

Non Rebreather Mask 12-15LPM

What's the flow rate of adult or paediatric Neb

Nebuliser mask 6-8LPM

What's the term used for inspired oxygen

FiO2

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.

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

List 3 instances when oxygen can be used

When a patient is


Hypoxic


Hypercapnic (hypoventilation)


Increased metabolic demand

What's the flow rate on a BVM

Bag Valve Mask 12-15LPM

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

2nd check when trouble shooting airways management

Check your technique (is it me?)


Have I forgotten something, positioned equipment wrong.

3rd check when trouble shooting airways management

Is it them


Is there something about there condition that i missed or that has changed


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

How much air is administered through the use of a single BVM squeeze

500mls

What is tidal volume

The amount of air moving in and out in a single respiration cycle

What is sniffing position

Perfect alignment to achieve clear airways. ears inline with sturnal notch, head and shoulders ramped if nessisary

What ligament opens the epiglottis

Hyoepiglottic ligament

What airway adjunct belongs in the oropharynx

OPA Oropharygeal airway adjuncts

What airway adjunct belongs in the nasopharynx

NPA Nasopharyngeal airway adjunct

What airway adjunct belongs in the Larynx

Supraglottic airway (LMA, IGEL)

What airway adjunct belongs in the Trachea

Endotracheal tube

What equipment would you use to remove a foreign body from the larynx

laryngoscope and Magill forceps

Which hand do you use a laryngoscope in always

Left

What is hypocapnea and hypercapnea

Low CO2 levels and high CO2 levels