FISDAP Readiness 2 remediation questions 100%correct answers

Administration of a bronchodilator - correct answers 1) inhaler is administrated only if gestured by the patient *indication (gesture) is crucial 2) contact medical control if needed Assessment and treatment of patient with foreign body object - correct answers Talking/crying patients have an open airway If ^ is absent, you may hear stridor or snoring Foreign body objects may need to be removed through abdominal thrusts or chest compressions Determining the appropriate oxygen delivery device based on patient signs, symptoms and history - correct answers Nasal Cannula: -patient needs just enough to saturate more than 94% O2 -patient is claustrophobic or cannot tolerate a NRB -patients who require long term oxygen such as COPD NRB: -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 effective delivery CPAP: -patient must be alert/able to follow commands -pulse ox 90% -26 breaths a minute Identification of hypoxia - correct answers early identification: *restlessness/anxiety *irritability *apprehension *tachycardia late identification: *AMS *LOC *weak, thready pulse Indications and techniques for using a nasal airway - correct answers used in 1) adult patients who are unconscious and have gag reflex 2) adult patients with AMS (ie stroke) 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 SAS of emphysema SAS of bronchittis - correct answers EMPHYSEMA: barrel chest pursed lip breathing dyspnea on exertion cyanosis wheezing BRONCHITIS: chronic cough cyanosis tachypnea Techniques for opening the airway of an infant - correct answers -place folded towel under infants shoulders to open airway -use tongue depressor to lift infants chin and tongue out of the way Treating a patient in respiratory arrest - correct answers 1) assess responsiveness 2) after determining respiratory arrest, open airway 3) insert OPA 4) BVM and ventillate once every 5-6 seconds Treatment for a patient in respiratory failure - correct answers patients with respiratory failure exhibit decrease in LOC, slowing respirations and falling O2 saturation they need ventilation assistance ASAP 1) explain procedure 2) place mask over patient 3) squeeze the bag for every breath 4) after initial 5-10 breaths, adjust rate and tidal volume accordingly Assessment and treatment for a patient with chest pain - correct answers physical examination of patient includes 1) looking, feeling, listening for abnormalities in thoracic region 2) look for trauma, breath sounds 3) consider pulse, respiratory rate 4) assess distal pulse treatment: 1) go through primary assessment 2) only give oxygen if there's shortness of breath 3) go through physical examination of chest 4) obtain vitals 5) OPQRST Causes of chest pain - correct answers 1) lack of oxygen flow to the heart 2) trauma 3) arrhytmia Complications associated with AED use - correct answers -remove medical patches if blocking pad placement -if wet, needs to be dried -otherwise, no complications? Contraindications of nitroglycerin administration - correct answers -sed use in past 48 hours -systolic BP lower than 100 -more than 3 doses, 5 minutes apart prior to arrival Effects of nitroglycerin - correct answers -lowers BP -increases O2 flow and decreases strain of heart through vasodilation -nausea, headache, dizziness/weakness Proper use of an AED - correct answers 1) establish unresponsiveness 2) begin CPR 3) start AED 4) expose chest and prepare for pad placement (shave hair in chest, remove medical patch, dry) 5) listen to prompts 6) continue until ALS arrives or patient resuscitates *most common mistakes are use of AED on moving patient (including on ambulance transport), not keeping an extra battery, using on tachycardic patients SAS of stroke - correct answers -ischemic vs hemorraghic: blood flow blocked vs blood flow rupture in brain -facial drooping -sudden loss in function of one side of body -decreased LOC -aphasia/speech disorders -combativeness -coma -sever headache -confusion/weakness SAS of CHF - correct answers -edema -crackles in lungs -difficulty of breathing with exertion -tachycardia -coughing SAS of myocardial infarction - correct answers -chest discomfort -pain that radiates outwards -prolonged pain -pain doesn't go away Treating a cardiac patient who suddenly becomes unresponsive - correct answers -reassess primary -if in ambulance already, just apply CPR and tell driver to hurry up Treating a pediatric patient in cardiac arrest - correct answers -same procedure as adult cardiac arrest -adult aed can be used, so long as there aren't any alternatives -compressions of chest should be to 2 inches or 5 cm -30:2 for 1 rescuer; 15:2 for 2 rescuers - Assessing and treating special populations - correct answers no idea what this is Complications of oral glucose admin - correct answers -vomiting -aspiration -obstructed airway Initial assessment of a medical patient - correct answers essentially primary assessment? -keep in mind signs for later