PLATINUM FINAL EXAM EMTP 3.3
REVIEW QUESTIONS AND ANSWERS
What is the best airway device to use for smoke inhalation? -
correct answer ✅Endotracheal intubation is frequently needed for
supportive therapy in the management of inhalation injury.
Most pertinent piece of information in evaluating a patient's
ventilatory status? -
correct answer ✅Ventilation is the movement of air in and out of
the lungs through a patent airway. The majority of observations
regarding ventilation focus on the movements of the chest.
SIGNS OF ADEQUATE VENTILATION:
In most patients, your assessment of ventilation will be based on
observing their respiratory rate (normal 12 to 20) and listening for
clear breathing sounds in the left and right chest. Auditory
confirmation of breathing sounds is the strongest sign of adequate
ventilation. In patients on ventilators or bag-valve-mask, this does
not change.
Most pertinent piece of information in evaluating a patient's
oxygenation status? -
correct answer ✅Oxygenation is the delivery of oxygen to the
tissues of the body, poor ventilation or respiration will generally
lead to poor oxygenation. Loss of oxygenation is the ultimate result
,PLATINUM FINAL EXAM EMTP 3.3
REVIEW QUESTIONS AND ANSWERS
of ventilatory or respiratory failure. You need to observe the
patient's mental status, skin color, oral mucosa, and check a pulse
oximeter.
Mental status is either normal or abnormal, assessing mental status
is based on asking questions about who the person is, what
time/date it is, where they are, and why they are here.
Skin and mucosal color are important indicators of oxygenation.
Just as with poor respiration, cyanosis, pallor, or mottling are signs
of decreased oxygen delivery.
Pulse oximetry level is the most objective measure of oxygenation,
it reads the saturation of hemoglobin (reported as SPO2), note that
a pulse oximeter is not foolproof. A patient with poor oxygenation
in the limbs may have sufficient oxygenation to their core or vise-
versa. Pulse oximeters can also be fooled by specific toxic gases.
Always ensure that you match up your pulse oximetry readings with
physical findings and ensure they support one another. Pulse
oximeters are imperfect and are not a real-time measure of O2
saturation
,PLATINUM FINAL EXAM EMTP 3.3
REVIEW QUESTIONS AND ANSWERS
Most important assessment in evaluating a patient's oxygen
delivery to the brain? -
correct answer ✅Prior to applying supplemental oxygen, objective
data regarding patient status should quickly be obtained such as
airway patency, respiratory rate, pulse oximetry, and lung sounds.
Signs of cyanosis in the skin or nail bed assessment should also be
noted.
What is the next step to take if a patient's breathing does not
improve with an NRB? -
correct answer ✅BVM
What is the next step to take after opening the airway of an
unresponsive patient with slow, shallow respirations? -
correct answer ✅After manually opening an unconscious patient's
airway, you should: check the mouth for secretions, foreign bodies,
or dentures. If clear, then started manually ventilating!
Know your ventilation rates -
correct answer ✅Adult: 12-20/minute
Child: 15-30/minute
Infant: 25-50/minute
, PLATINUM FINAL EXAM EMTP 3.3
REVIEW QUESTIONS AND ANSWERS
Flow rates for 02 devices: -
correct answer ✅Nasal Cannula - 2-6L/min
Nebulizer - 6-8L/min
Non-ReBreather - 10-15L/min
BMV - 15L/min
EndoTracheal Tube - 15L/min
King LTS-D - 15L/min
CPAP - 25L/min (oxygen port)
When to use what airway device given a scenario / When to use
what ventilation device given a scenario: ET Tube -
correct answer ✅One intubation attempt with the definitive
airway on patients in cardiac arrest before a provider can attempt
placement of a supraglottic airway (King Airway). If the first attempt
fails, the provider may attempt at intubation again, or elect to place
the King Airway or return to the BLS airway (BVM).
When to use what airway device given a scenario / When to use
what ventilation device given a scenario: King LT -
correct answer ✅These devices are best used when the ET Tube
does not work.
REVIEW QUESTIONS AND ANSWERS
What is the best airway device to use for smoke inhalation? -
correct answer ✅Endotracheal intubation is frequently needed for
supportive therapy in the management of inhalation injury.
Most pertinent piece of information in evaluating a patient's
ventilatory status? -
correct answer ✅Ventilation is the movement of air in and out of
the lungs through a patent airway. The majority of observations
regarding ventilation focus on the movements of the chest.
SIGNS OF ADEQUATE VENTILATION:
In most patients, your assessment of ventilation will be based on
observing their respiratory rate (normal 12 to 20) and listening for
clear breathing sounds in the left and right chest. Auditory
confirmation of breathing sounds is the strongest sign of adequate
ventilation. In patients on ventilators or bag-valve-mask, this does
not change.
Most pertinent piece of information in evaluating a patient's
oxygenation status? -
correct answer ✅Oxygenation is the delivery of oxygen to the
tissues of the body, poor ventilation or respiration will generally
lead to poor oxygenation. Loss of oxygenation is the ultimate result
,PLATINUM FINAL EXAM EMTP 3.3
REVIEW QUESTIONS AND ANSWERS
of ventilatory or respiratory failure. You need to observe the
patient's mental status, skin color, oral mucosa, and check a pulse
oximeter.
Mental status is either normal or abnormal, assessing mental status
is based on asking questions about who the person is, what
time/date it is, where they are, and why they are here.
Skin and mucosal color are important indicators of oxygenation.
Just as with poor respiration, cyanosis, pallor, or mottling are signs
of decreased oxygen delivery.
Pulse oximetry level is the most objective measure of oxygenation,
it reads the saturation of hemoglobin (reported as SPO2), note that
a pulse oximeter is not foolproof. A patient with poor oxygenation
in the limbs may have sufficient oxygenation to their core or vise-
versa. Pulse oximeters can also be fooled by specific toxic gases.
Always ensure that you match up your pulse oximetry readings with
physical findings and ensure they support one another. Pulse
oximeters are imperfect and are not a real-time measure of O2
saturation
,PLATINUM FINAL EXAM EMTP 3.3
REVIEW QUESTIONS AND ANSWERS
Most important assessment in evaluating a patient's oxygen
delivery to the brain? -
correct answer ✅Prior to applying supplemental oxygen, objective
data regarding patient status should quickly be obtained such as
airway patency, respiratory rate, pulse oximetry, and lung sounds.
Signs of cyanosis in the skin or nail bed assessment should also be
noted.
What is the next step to take if a patient's breathing does not
improve with an NRB? -
correct answer ✅BVM
What is the next step to take after opening the airway of an
unresponsive patient with slow, shallow respirations? -
correct answer ✅After manually opening an unconscious patient's
airway, you should: check the mouth for secretions, foreign bodies,
or dentures. If clear, then started manually ventilating!
Know your ventilation rates -
correct answer ✅Adult: 12-20/minute
Child: 15-30/minute
Infant: 25-50/minute
, PLATINUM FINAL EXAM EMTP 3.3
REVIEW QUESTIONS AND ANSWERS
Flow rates for 02 devices: -
correct answer ✅Nasal Cannula - 2-6L/min
Nebulizer - 6-8L/min
Non-ReBreather - 10-15L/min
BMV - 15L/min
EndoTracheal Tube - 15L/min
King LTS-D - 15L/min
CPAP - 25L/min (oxygen port)
When to use what airway device given a scenario / When to use
what ventilation device given a scenario: ET Tube -
correct answer ✅One intubation attempt with the definitive
airway on patients in cardiac arrest before a provider can attempt
placement of a supraglottic airway (King Airway). If the first attempt
fails, the provider may attempt at intubation again, or elect to place
the King Airway or return to the BLS airway (BVM).
When to use what airway device given a scenario / When to use
what ventilation device given a scenario: King LT -
correct answer ✅These devices are best used when the ET Tube
does not work.
