Your patient is a 35-year-old trauma victim who is not breathing. You are unable to open the airway by means of the jaw thrust and suctioning. You should:
Answer(s): B
Although the head-tilt / chin-lift is not ordinarily used on trauma patients because it interferes with spinal immobilization and alignment, opening the airway takes priority over all other considerations. Be sure to document your actions in the patient care report.
Which statement about inadequate breathing is correct?
Answer(s): A
A respiratory rate that is either too fast or too slow may be a sign of inadequate breathing. Respiratory distress occurs with many medical and trauma problems and spans the age groups. An increased work (effort) of breathing frequently accompanies inadequate breathing as the patient attempts to compensate, but it should never be considered a “normal sign”. Patients may breathe shallowly or deeply for a number of reasons, only one of which is to compensate for an abnormal rate.
What differences in a child’s airway might make airway management more difficult than in an adult?
Answer(s): D
Children have a smaller jaw and a proportionally larger tongue, which can make manual ventilation and intubation more difficult. Smaller teeth do not affect airway management.
A normal respiratory rate for an adult is _______________ while a normal respiratory rate for a newborn is _______________.
This is the best of the given answer choices. Under 12 is too low of an RR for adults and above 20 is considered high. Newborns breathe faster than adults. Under 30 would be too low for a newborn.Note: Some newer study materials are suggesting a range of 12 to 24 for adults. This may be to allow for the fact that many people you deal with are under stress and might have a slightly elevated “normal” rate. COPD patients can even be over 24. Check with your instructor and the study material your class uses to verify these figures as you prepare for the test.
What is the first thing you should do before inserting a nasopharyngeal airway?
Before the airway can be inserted, the correct size needs to be selected. If the wrong size is inserted the airway may not be effective. A nasopharyngeal airway can be used on a patient with or without a gag reflex.
Emergency care for patients who are not breathing adequately but have a pulse includes all of the following except _______________.
If the patient is not breathing adequately but still has a pulse, CPR is not needed. CPR will be required if a person loses their pulse.
You arrive on scene to find a young woman who is having trouble talking. She has hives and is starting to gasp for air. Her friend says she was just stung by a bee. Your immediate actions should include all of the following except _______________.
Epinephrine is used to treat anaphylactic shock, and should be administered. The patient’s airway may be compromised due to swelling, so airway support is essential. Supplemental oxygen should also be administered. There is no need to assess the bee sting for infection at this point as that is not immediately life-threatening.
You’re called to a home and find an unresponsive male. Family members said he “passed out.” You assess the scene to be safe. The next thing you should do is:
In an unresponsive person, you may have to initiate CPR. It’s essential to check to determine if a patient has a pulse and is breathing. Other vital signs and measurements, such as a BP, blood sugar and temperature can be obtained at a later point.
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