GUARANTEED PASS |ACCURATE
ANSWERS
First steps for SOB - ACCURATE ANSWERS✔✔ 1. Vitals
2. O2 via NC or NRB, BVM if not breathing adequately on their own
3. IV access
4. Cardiac and pulse Ox monitoring
5. EKG
6. CXR
7. US
8. Ddimer
9. BNP
10. trops
When do you use Non-Invasive PPV? - ACCURATE ANSWERS✔✔ -
moderate to severe dyspnea
-accessory muscle use
-paradoxical abdominal movement
-fatigue
-RR > 25 bpm
-pH < 7.35
-pCO2 > 45
, When do you not use NIPPV? - ACCURATE ANSWERS✔✔ -
respiratory arrest
-hemodynamic instability
-aspiration risk
-airway obstruction
-unable to tolerate mask
-AMS
DDx for SOB? - ACCURATE ANSWERS✔✔ - CHF exacerbation
- ACS
- Anaphylaxis
- Asthma/COPD
- Tamponade
- PE
- PNA
- airway obstruction
Causes of systolic heart failure - ACCURATE ANSWERS✔✔ Heart
cannot "squeeze" due to:
- ischemic heart disease
- CAD
- Hypertension
- fluid overload