EMS Caring for Respiratory Emergencies

Which are not considered adventitious breath sounds

• Clear bilaterally

• rhonchi

• wheezing

• crackles

The nurse is assessing the client diagnosed with COPD which data is required for immediate intervention

• Large amounts of thick white sputum

• Oxygen flowmeter is set up on 8L

• Usse the acessory muscles during inspiration

• Presence of a barrel chest and dyspnea

Trouble breathing, swelling of the face or tongue and fainting are signs of ...

• Heart attack
• Stroke
• Severe allergic reaction
• Nosebleed

When arriving on scene of a person being stuck by lightning you find they are unresponsive, not breathing, and does not have a pulse. You should:

• assess them for skin burns

• immediately attach the AED

• begin one-rescuer CPR

You are assessing a man who complains of dizziness, lightheadedness, and nausea after working many hours in the sun. The ambient temp is 100 F. You move him to a cooler spot and assess him.

• give him a bunch of cool water

• monitor his ABC's and arrange for transport to the hospital

• rapidly cool him down by applying ice packs to his groin region

• tell him to go home and rest

3-­year-­old girl swallowed a piece of hard candy and it lodged in her throat.  She is having difficultly breathing.  You hear abnormal sounds when listening with your stethoscope. What sound might you expect to hear?

• Rales
•  Stridor
• Snoring
• Wheezes

Your patient used a metered-­‐dose inhaler prior to your arrival.  It provided relief from his asthma symptoms.  This is because the medication inhaled came in contact with the:

• oral mucosa
• trachea and main bronchi
• bronchioles
• alveoli

You are treating a patient who complains of respiratory distress. He is breathing rapidly but shallowly and can speak only one-­‐ to two-­‐word sentences. His skin color is poor and he appears tired.  His family states he has "bad" chronic bronchitis and congestive heart failure. You should:

• administer oxygen via nasal cannula 
• administer oxygen via venturi mask
•  administer oxygen via non-­rebreather mask 
• administer ventilations via bag-­valve mask

A syncopal episode can best be described as

• The patient became dizzy as he sat up in the chair
• A transient lack of blood to the brain
• A postictal state
• .  Difficulty in breathing

A patient suddenly has difficulty breathing and has audible inspirations that sound like wheezes.  She is suffering from:

• Chronic bronchitis
• Emphysema
• Asthma
• Left-sided heart failure