1. Administration of 1) inhaler is administrated only if gestured by the patient
a bronchodilator
*indication (gesture) is crucial
2) contact medical control if needed
2. Assessment and Talking/crying patients have an open airway
treatment of pa-
tient with foreign If ^ is absent, you may hear stridor or snoring
body object
Foreign body objects may need to be removed through abdominal thrusts or chest
compressions
3. Determining the Nasal Cannula:
appropriate oxy- -patient needs just enough to saturate more than 94% O2
gen delivery de- -patient is claustrophobic or cannot tolerate a NRB
vice based on pa- -patients who require long term oxygen such as COPD
tient signs, symp- NRB:
toms and history -patients in shock, or with hypoxia from any cause
-in need of high flow oxygen but breathing on own
BVM:
-patients unable to breathe on their own
-in need of high flow oxygen
-advanced airway will be required for ettective delivery
CPAP:
-patient must be alert/able to follow commands
-pulse ox <90%
->26 breaths a minute
4. Identification of early identification:
hypoxia *restlessness/anxiety
*irritability
, FISDAP Readiness 2 remediation
*apprehension
*tachycardia
late identification:
*AMS
*LOC
*weak, thready pulse
5. Indications and used in
techniques for 1) adult patients who are unconscious and have gag reflex
using a nasal air- 2) adult patients with AMS (ie stroke)
way 3) responsive peds
contradications:
1) severe head injury
2) history of fractured nasal bone
techniques:
1) size airway from tip of nose to patient's earlobe
2) insert lubricated into nose
3) continue to insert until flange hits nostrils
6. SAS of emphyse- EMPHYSEMA:
ma barrel chest
pursed lip breathing
SAS of bronchittis dyspnea on exertion
cyanosis
wheezing
BRONCHITIS:
chronic cough
cyanosis
tachypnea