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問題一覧
1
You arrive on scene and find an unresponsive female breathing at 16 times per min and she has a gurgling sound coming from her mouth, what do you do?
Suction the airway
2
What disease does someone typically have if they purse lip breath?
Emphysema
3
What is cystic Fibrosis
Inherited disorder causing excess secretions to become wet and sticky
4
What is +4 Edema
8mm
5
What is a major difference between CHF and Pneumonia
Fever and Productive Cough (green, yellow, brown)
6
A patient is experiencing an Asthma Attack, hyperventilating, how will the patient present
Respiratory Alkalosis
7
What state would an opioid overdose be in?
Respiratory Acidosis
8
A patient has been experiencing vomiting and diahrea for days, how will the patient present?
Metabolic Alkalosis
9
A patient is breathing at a rate of 35 and is experiencing numbness in their fingers and toes along with cramping, what are they experiencing?
Carpel-Pedal Spasm
10
What are the ETT Confirmation Techniques? (8 in total)
Capnography, Color Metric, Direct Visualization, Breath Sounds, Chest Rise and Fall, X-Ray, Condensation in the Tube, Esophageal Intubation Detector
11
What upper respiratory infection affects the nose and includes a runny nose and congestion?
Rhinitis
12
You arrive on scene and find a 4 year old drooling, with a sore throat and a general overall ill apprearance, what do you believe the patient is suffering from?
Epiglottis
13
What causes swelling of the larynx, trachea and bronchi and presents with a seal like bark?
Laryngotracheitis, Croup
14
A patient was just sitting on the couch watching tv and then experienced a sudden onset of severe dyspnea, what is the patient having?
Pulmonary Embolism
15
Why would we remove a ET Tube that is correctly placed?
The patient wakes up and is intolerant of the ETT
16
Which laryngoscope handle is designed to fit into the vallecula and inadvertently lift the epiglottis?
Mac Blade
17
Which laryngoscope blade directly lifts the epiglottis?
Miller Blade
18
What happens to blood gasses during respiratory failure
Increase of CO2, Respiratory Acidosis
19
Which lung sound is due to a narrowing of the airways by edema, bronchoconstriction or foreign material and it is a whistling sound?
Wheezing
20
Which lung sound is a rattling sound associated with excessive mucus or other material in the larger airways?
Rhonci
21
Which lung sound is a fine, moist crackling sound associated with fluids in the smaller airways?
Crackles
22
Which airway sound is associated with a harsh high pitch on inspiration
Stridor
23
Why is an emphysema patient known as a pink puffer?
Polycythemia
24
Where does a Superglottic Airway SIt?
Above the vocal cords
25
Where does a retroglottic airway sit?
In the esophagus
26
Your patient overdose on Valium, what reversal agent would you give them?
Romazicon
27
Your patient overdosed on Tri-Cyclic Antidepressants, what reversal agent would you give them?
Sodium Bicarb
28
What is an infection with symptoms including sore throat, pain on swallowing, with signs such as tonsil enlargement, pus on tonsils and cervical lymph node enlargement?
Pharyngitis
29
What upper respiratory infection presents with a red pharynx, hoarse quality to voice and includes a sore throat and pain on speaking?
Laryngitis
30
What will a Shark Fin ETCO2 wave show you the severity of?
Bronchoconstriction
31
A patient who is very tall and thin presents with dyspnea, he stated that this all started with a sudden onset of sharp chest and shoulder pain. What is the patient experiencing?
Spontaneous Pneumothorax
32
Your patient has Subcutaneous Emphysema, what is this a sign of?
Tension Pneumothorax
33
Your patient is cherry red from the shoulder up, what could this be a sign of?
Traumaitc Asphyxia
34
What does +1 Edema mean?
2mm
35
Your patient complains of respiratory difficulty while lying down and it subsides when they sit up. What are they most likely experiencing?
Pulmonary Edema
36
What is the adult dose for Solu-Medrol (methylprednisolone)
125 mg
37
What are the side effects of endotracheal intubation?
Vagal Stimulation, Bradycardia, Hypoxia
38
What action does Magnesium Sulfate have on the respiratory system?
Bronchodilation
39
What is the adult does of Magnesium Sulfate for an adult in respiratory distress.
2 Grams IV / IO over 20-60 mins
40
What does nitroglycerin do to vessels?
Vasodilates
41
What is the sublingual dose for Nitro?
0.4mg
42
What does Orthopnea mean?
Difficulty Breathing While Lying Flat
43
Racemic Epi works on lower airway swelling and edema?
False
44
What is a DuoNeb?
2.5mg Albuterol 0.5 mg Ipratropium
45
What is the adult dose for Albuterol?
2.5mg in 3ml
46
What is racemic epi used for?
Stridor (not FBAO), Croup
47
Your patient is having an extremely severe anaphylactic reaction, what is the first medication you would give?
Epi 1:1,000 0.3-0.5 mg IM
48
What is the normal range for Capnography?
35-40 mm hg
49
If a stoma becomes dislodged what can be inserted in its place?
ET Tube sized to the stoma
50
What part of the Tracheostomy is the base that secures it in the tracheal stoma?
Outer Cannula
51
What part of the Tracheostomy can be removed for cleaning and a replacement?
Inner Cannula
52
If a tracheostomy patient cannot be bagged effectively what should you expect?
Mucous Plug
53
If a trach patient presents with increased work of breathing what should you do?
Remove and inspect the inner cannula for mucous plug
54
What does exacerbation mean?
increase in severity of a problem or illness
55
What are the four stages of cellular respiration
Glycolysis, Pyruvate Oxidation, Citric Acid / Kreb Cycle, Oxidatriver Phosphorylation
56
Your patient is experiencing respiratory distress, JVD, absent breath sounds on one side, increased heart rate and a decrease in blood pressure. How would you treat this patient?
Needle Decompression
57
You arrive on scene and find a patient being aggressively ventilated with a BVM by other first responders, you notice a distended abdomen, What would you do to relieve the pressure
Nasogastric Tube
58
What is a COPD patient’s trigger to breath?
Hypoxemia
59
What triggers a healthy person to breathe?
Hypercarbia