Which of the following listings of techniques and devices represents the correct order of preference for providing artificial ventilation?
A. Pocket mask, one-person BVM, two-person BVM, flow-restricted oxygen-powered ventilation device.
B. Pocket mask, two-person BVM, flow-restricted oxygen-powered ventilation device, one-person BVM
C. One-person BVM, pocket mask, two=person BVM, flow-restricted oxygen-powered ventilation device
D. Two-person BVM, one-person BVM, flow-restricted oxygen-powered ventilation device, pocket mask
Care for an alert 4-year old child with a mild airway obstruction, who has respiratory distress, a strong cough, and normal skin color includes
A. back blows, abdominal thrusts, transport
B. oxygen, avoiding agitation, transport
C. assisting ventilations, back blows, transport
D. chest thrusts, finger sweeps, transport
increased respiratory eefort with retractions, breathing less than 10 per minute, head bobbing, grunting, accessory muscle use, absent or shallow chest wall movement, limp muscle tone, altered mental status, slow or absent heart rate, poor skin perfusion, and altered mental status. Transmitted through the bite of an infected mosquito. Severe signs and symptoms; high fever, headache and stiff neck, confusion and disorientation to coma, seizures, muscle weakness, numbness, paralysis, vision loss. Mild signs and symptoms: fever, headache and body ache, nausea and vomiting, skin rash to chest, stomach, and back, soreness to neck from swollen lymph gland anxiety, wheezing, tachypnea, tachycardia, dyspnea, possible chest tightness(usually no pain), accessory muscle use, prolonged expiratory phase -forcing each breath out, "pursed lip breathing", coughing, does not respond to usual treatment anxiety, wheezing, tachypnea, tachycardia, dyspnea, possible chest tightness(usually no pain), accessory muscle use, prolonged expiratory phase -forcing each breath out, "pursed lip breathing", coughing, anxiety, may "tripod, dsypena, has trouble getting air in, accessory muscle use, pursed lip breathing, prolonged expiratory phase, abnormal breath sounds (wheezes, or rhonci), cyanosis or ruddiness, barrel chest typically starts as mild or pronounced agitation, tachycardia, pale, cool, clammy skin, persistent cough usually non productive, crackles (in the lung base), severe dyspnea especially when lying down, eventually develop cyanosis, productive cough and possibly foam appearing at the mouth (pink, frothy) sudden onset of dramatic agitation, Aphrension, sudden dramatic hyperventilation, sudden and dramatic dyspnea with congestion and shortness of breath, pleuretic chest pain (stabbing) especially on inhalation, tachypnea, tachycardia, hemoptysis, cyanosis, possibly abnormal breath sounds, calf or leg pain usually severe agitiation, anxiety or fright, hyperventilation, progressive signs and symptoms of alkalosis, (light headedness dizziness, numbness, feeling of tightness, muscle twitching, carpal-pedal spasms, tetany, seizures, loss of consciousness brought on by exercise, activity or stress (but sometimes nothing), feels like pressure or chest tightness , a weight on the chest, usually feels substernal or epigastric (usually on the left), usually lasts 30 minutes or longer, nausea, diaphoresis, dyspnea or orthopnea, irregular pulse, sudeen onset of weakness or lightheadedness, Denial Constricted Pupils, Diarrhea, urination, Muscle weakness, Bradycardia, Bronchospasm, Bronchorrhea, Emesis, Lacrimation, Sweating, Salivation, Seizures, GI cramping Fatigue, malaise, drowsiness, headache, confusion, weakness,dizziness, syncope, rapid thread pulse, hypotension, pale,soaked skin, usually cool, thirst, muscle cramps, abdominal cramps, nausea/vomiting/possibly diarrhea Join pain- May be "bent" over, "Diver's itch" Paresthesias, Headache, general fatigue, malaise, dyspnea, dysarthria, ataxia, nausea, Vomiting, vertigo (dizziness) Usually no reaction, little or no redness or pain, symptoms delayed 1/2 to 2 hours, systemic muscle pain, extreme abdominal pain, muscle cramping, chest tightness, dyspnea, abdominal rigidity, may develop hypertensive crisis, seizures Respiratory arrest, cardiac arrest, heart attack, stroke, shock, blood loss, lung diseases, broken bones, head injuries, drug overdose, severe chest injuries, and more. Hypovolemia- trauma, hemorrhage, burns, dehydration, diarrhea
Cardiogenic- myocardial infarction, dysrhythmia
Obstructive- tension pneumothorax, cardiac tamponade,
pulmonary embolus, dissecting aortic aneurysm
Distributive- spinal cord trauma, sepsis = widespread infection,
anaphylaxis, drugs/overdose (especially barbiturates)
(Congestive Heart Failure/Pulmonary Edema)-
(left-sided heart failure) from chronic heart disease or M.!.
SOB, Pale, cool, diaphoretic, Hypertension, Neck vein distention, Jugular Vein Distention, Pedal edema,Productive sputum (foaming from mouth)
Transport in Fowler's with legs down, over edge of gurney,
dependent and high oxygen
Hvpothermia - general lowering of body temperature. Apathv, shivering, delayed capillary refill, altered LOC, Bradycardia, Hypotension, dilated pupils. Remove wet clothing, cover patient with blankets, Warm ambulance, Handle patient gently, oxygen. in child, drooling, fever, stridor, tripod position, inability to swallow, history of recent illness, (put nothing in mouth, transport immediately and quietly, 02 it tolerated, do not intervene if not necessary- crying may cause further obstruction of airway)