A+ Solution
What is the rate in which you should be providing positive pressure ventilations with
BVM? - Answer-10-12 breaths per min
/.Best way to ventilate with single recuer? - Answer-pocket mask
/.best way to ventilate with 2 rescuers? - Answer-BVM hooked up to O2
/.If PT is slow to respond, little chest rise and fall and retraction? - Answer-Need to use
BVM
/.If ventilating, and chest doesn't rise, what's the next step? - Answer-Reposition head
/.Where does stridor sounds come from? - Answer-High pitch, blockage in
larynx/trachea (tongue/item)
/.Where does wheezing sounds come from? - Answer-high pitch, constriction in smaller
air passages (asthma)
/.Where does Rhonchi sounds come from? - Answer-low pitch, raddling in the lungs
(COPD, emphysema, pneumonia)
/.Where do rales sounds come from? - Answer-crackles/popping (fluid in lungs,
pulmonary edema secondary to left-sided CHF)
/.O2 levels for NC - Answer-2-6
/.O2 levels for NRB - Answer-10-15
/.O2 levels for BVM - Answer-15-25
/.O2 levels for NEB - Answer-6-8
/.Proper suctioning technique and what to do if they keep vomiting? - Answer-10-15 sec,
suction on no more than 200mLHg, roll to side if need be
/.What to do if choking victim - Answer-are you choking, nonresponsive/apneic start
chest compressions, responsive ab thrust, pregnant woman
/.Seizure PTs - Answer-Keep safe, open airway, suction airway, use NPA of needed
POST Seizure
, /.s/s of pulmonary embolism - Answer-recent travel/surgery, skin discoloration, leg
pain/swelling
/.S/S of CHF - Answer-Edema, rales/crackles, feeling of drowning, can't lay flat
/.s/s of asthma exacerbation - Answer-Sudden onset SOB, wheezing
/.S/S of spontaneous pneumothorax - Answer-Sudden onset SOB, diminished or absent
lung sounds
/.s/s of pneumonia - Answer-ronchi, fever, coughing up blood, night sweats, put on N95
mask (self), surgical mask (PT)
/.S/S of chronic bronchitis - Answer-SOB, diminished lung sounds, thick mucus, barrel
chested
/.S/S of TB - Answer-SOB, coughing up blood, night sweats, put on N95 mask (self),
surgical mask (pt)
/.S/S of internal bleeding - Answer-weak/rapid pulse, distended abdomen, s/s shock
/.S/S of bowel obstruction - Answer-severe abdominal pain, lower abdominal rigidity
/.S/S of GI bleed - Answer-Ab pain, distention, black tarry stool and coffee grind emesis
/.S/S of pancreatitis - Answer-n/v, abdominal pain, alcoholic
/.s/s of pulmonary contusion - Answer-trauma to chest, SOB, coughing up blood
/.S/S of AAA - Answer-Tearing pain in back, SOB, pale, diaphoretic, left radial pulse
stronger than right
/.S/S of flail chest - Answer-SOB, paradoxical movement
/.S/S of a Tension pneumothorax - Answer-Chest trauma, +JVD and tracheal deviation
/.S/S of subcutaneous emphysema - Answer-popping sensation with palpation to chest
and neck region
/.S/S of opioid/narcotic usage - Answer-track marks, pinpoint pupils, hypotension,
respiratory distress
/.CPR - Answer-1) Always check pulse first
2) No pulse, start compressions
3) As soon as AED arrives, apply pads and NEVER remove them afterwards
4) AED will likely prompt to shock if PT is in V-Tack