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Respiratory Emergencies (Week 2) Flashcards | StudBud
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Respiratory Emergencies (Week 2)
Respiratory Emergencies (Week 2)
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Patient Care Theory III
Flashcards
44 cards
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Practice quiz
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Questions
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Answers
1
Which is not a contraindication for SGA placement?
Choking on a piece of steak
Smoke inhalation following exposure to house fire
Baseball bat to the mouth resulting in several teeth being knocked out
2 year old who swallowed bleach
2
What rate is MDI salbutamol administered?
all puffs delivered one after the other
one spray followed by 4 breaths
one spray a minute
one spray followed by 6 breaths
3
What is the dose for NEB salbutamol for a patient 25 kg or over?
5 mg
5.5 mg
0.5 mg
2.5 mg
4
What is the maximum number of SGA insertion attempts?
1
4
3
2
5
Which is the preferred route of dexamethasone administration?
IM
SC
PO
IV
6
Nebulization is contraindicated if the patient has known or suspected fever
False
True
7
18 y/o asthma pt with diffuse wheezing in apices and absent air entry in bases and already took 6 puffs of blue puffer
Priority treatment is BVM ventilations with salbutamol through MDI port
Since MDI salbutamol did not help, priority treatment is NEB salbutamol
Priority treatment is giving her 800mcg salbutamol MDI
Priority treatment is BVM ventilations and a dose of IM epi
8
What is the max setting for CPAP?
2 cm H2O
5cm H2O
2.5 cm H2O
15 cm H2O
9
How can you confirm bronchoconstriction?
Patient expresses chest tightness
Clear auscultation
Wheezing or decreased air entry on auscultation
Patient has increased WOB and is tripoding
10
Nebulized salbutamol is preferred over MDI
True
False
11
What is the dose of dexamethasone for bronchoconstriction?
0.01 mg/kg
0.5 mg/kg
0.05 mg/kg
0.1 mg/kg
12
What is the max number of doses for salbutamol?
4
2
1
3
13
What is the initial setting for CPAP?
15 cm H2O
2 cm H2O
2.5 cm H2O
5cm H2O
14
What is the max single dose of dexamethasone for bronchoconstriction?
4mg
8mg
2mg
6mg
15
What levels should ETCO2 be maintained?
40-45mmHg
35-45mmHg
45-55mmHg
30-40mmHg
16
You enter a patient's home who has increased WOB, wheezing, and on home O2. On this alone, what is your differential Dx
Pneumonia
Athsma
COPD
CHF
17
What is the dosing interval for salbutamol?
5-10 mins PRN
30 mins PRN
5-15 mins PRN
15-20 mins PRN
18
Which medication should be administered first when a patient is apneic?
Epinephrine
Dexamethasone
Salbutamol
19
What is the dose for MDI salbutamol for a patient 25 kg or over?
up to 800 mcg
up to 500 mcg
up to 600 mcg
up to 700 mcg
20
ETCO2 (non-waveform device), auscultation, chest rise
Secondary method of confirming SGA placement
Primary method of confirming SGA placement
21
With COPD patients with an initial ETCO2 of >50mmHg, where should you aim to maintain ETCO2?
35-45mmHg
60-70mmHg
40-50mmHg
50-60mmHg
22
What is the dose for NEB salbutamol for a patient <25kg?
5 mg
0.5 mg
5.5 mg
2.5 mg
23
Where should SpO2 be maintained for a COPD patient?
85-95%
88-92%
84-88%
88-99%
24
To give epinephrine for bronchoconstriction, the patient must require BVM ventilation and have NO history of asthma
True
False
25
What is the dose for MDI salbutamol for a patient <25 kg?
up to 500 mcg
up to 600 mcg
up to 800 mcg
up to 700 mcg
26
What is the contraindication to give salbutamol?
Athsmatic with no prior use
Currently on PO or parenteral steroids
Allergy/sensitivity to NSAIDs
Allergy/sensitivity to salbutamol
27
IV/IM dexamethasone can be given PO
True
False
28
An adult male has athsma. He says his puffer isn't helping after taking 3 puffs. How much salbutamol will you give him?
800 mcg
2400 mcg
600 mcg
500 mcg
29
When might an SGA be withheld?
Patient is actively vomiting
Other airway management is ineffective
Patient has an absent gag reflex
Patient's airway is clear
30
Which EtCO2 is appropriate for a patient SOB due to anxiety?
30-40 mmHg
50-60 mmHg
35-45 mmHg
45-55 mmHg
31
Which is not a route dexamethasone is administered?
SC
IM
IV
PO
32
What is the max number of doses of epinephrine for bronchoconstriction?
4
1
3
2
33
What are the indications to use CPAP?
Need for ventilatory assistance or airway control
Signs and/or symptoms of acute pulmonary edema or COPD
Airway management is ineffective
Respiratory distress and suspected bronchoconstriction
34
What percentage should SpO2 be maintained at?
90-96%
92-99%
90-94%
92-96%
35
How does CPAP work for bronchoconstriction?
Helps to push fluid back through into systemic circulation
The pressure from the CPAP stimulates the lungs to naturally bronchodilate
CPAP is not used for bronchoconstriction
Splints the airways open by splinting the bronchioles and sometimes alveoli
36
What is the titration increment for CPAP?
2 cm H2O
15 cm H2O
2.5 cm H2O
5cm H2O
37
ETCO2 (waveform capnography)
Secondary method of confirming SGA placement
Primary method of confirming SGA placement
38
Dexamethasone cannot be given if the patient is on any form of steroid, including topical and inhaled
True
False
39
What are the indications to use the bronchoconstriction medical directive?
Airway management is ineffective
Signs and/or symptoms of acute pulmonary edema or COPD
Respiratory distress and suspected bronchoconstriction
Need for ventilatory assistance or airway control
40
Dexamethasone administration should be a priority treatment over salbutamol
True
False
41
What is the dose for epinephrine for bronchoconstriction?
1 mg/kg
0.1 mg/kg
0.01 mg/kg
0.001 mg/kg
42
Which is not a contraindication to use an SGA?
Absent gag reflex
Airway obstructed by foreign object
Known esophageal disease
Caustic ingestion
43
Which excludes a patient from CPAP use?
SpO2 <90%
Nausea
GCS 13 (lethargic)
History of CVA
44
What is the max dose for IM epinephrine?
0.1 mg
0.05 mg
0.01 mg
0.5 mg
