Correct Answers.
Respiratory failure signs - ANS Fatigue, labored, shallow breathing, rapid breathing, weak
pulse
Treatment of respiratory failure - ANS Assist ventilations with bag-mask device and
supplemental oxygen
What would cause impairment of oxygenation despite inhalation and exhalation - ANS
Entrapment in mine
19 y/o m severe airway obstruction and patient becomes unresponsive, lowered to supine
position - ANS Perform 30 chest compressions and open airway
Acute respiratory distress, the patient is 60 y/o f conscious and alert but restless, r is 26,
adequate chest expansion, breath sounds are clear to auscultation bilaterally, SpO2 84%,
treatment - ANS Supplement oxygen with nonbreathing mask
Passive ventilation results from - ANS Chest recoil during chest compressions
Negative intrathoracic pressure causes vacuum in chest
Adult patient with rr of 26 breaths/min, what is the initial action - ANS Evaluate mental
status and depth of respiration
Scenario: conscious alert adult with adequate tidal volume and rr of 26 - ANS
Supplemental oxygen depending on chief complaint
Scenario: Decreased mental status, tidal volume reduced (shallow breathing), rr of 26 -
ANS positive pressure ventilation (Bag mask ventilation)
Aspects of breathing - ANS Respiratory rate, regularity, depth
Ventilation - ANS Movement of air into and out of the lungs
,Waste product of aerobic metabolism - ANS CO2
Indication of wrong endotracheal (ET) tube - ANS Absent breath sounds over left chest
Slow, shallow breathing - ANS Assisted ventilation treatment as long as there is no blood,
vomitus, or other secretions in airway
If there is blockage, remove blockage through suction in oropharynx
Does not tell anything of gag reflex
Scenario: 42 y/o m sudden onset of difficulty breathing, cyanotic, high-pitched sound on
inhalations - ANS Swelling near larynx
Stridor - ANS high-pitched sound and indicates narrowing or swelling near the larynx in
the upper airway
Laryngeal swelling
Stridor Caused By - ANS foreign body obstruction, epiglottis, anaphylaxis
Upper airway
Rhonchi Caused By - ANS Fluid in lungs
Harsh sounds over lungs
Pulmonary embolism - ANS Acute dyspnea (with or without chest pain), tachycardia, low
O2 saturation
No stridor sound
Blood clot in lungs
Sudden onset of dyspnea, labored breathing, tachycardia, refractory hypoxemia (O2 stat
is low even with supplemental O2)
, SHARP CHEST PAIN
Acute asthma attack - ANS have a trigger, such as stress, exercise or temperature
changes
wheezing, acute dyspnea
Patient with asthma experiencing acute respiratory distress and SpO2 of 88% - ANS Can
take up to 3 doses of albuterol, administer supplemental O2 and transport
Spontaneous pnemothorax - ANS Acute dyspnea, chest pain, young, tall, thin females,
with recent history of air travel
Pneumonia - ANS Flu-like symptoms, progressive respiratory difficult
Many do not develop respiratory distress
Infection of lower airway
Fever, productive cold, diminished breath sounds over isolated lung field
RALES
Diffuse bronchiolar inflammation - ANS Occurs with asthma
Lower airway problem
Causes wheezing in the lungs
Fowler's - ANS Preferred position of comfort for patients with respiratory position
Sitting up
Lateral recumbent - ANS Recovery position