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Emergency Care -- 13th Edition -- Chapter 17 Flashcards

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4004876838What is the muscular structure that separates the chest cavity from the abdominal cavity?diaphragm0
4005251550What type of process is inspiration?active1
4005251902What type of process is expiration?passive2
4005259323What is another name for inspiration?inhalation3
4005260332What is another name for expiration?exhalation4
4005262791What 3 things do you observe to determine normal breathing?1. rate 2. rhythm 3. quality5
4104722451What is inspiration?the active process that uses several muscles to increase the size of the chest cavity -- the diaphram to contract and the negative pressure causes air to flow into the lungs.6
4104731386What is is expiration?the passive process in which the muscles relax and the diaphram relaxes creating a positive pressure that forces air out of the lungs7
4104768683What are the normal respiratory rates for an adult?12-20 minute8
4104770412What are the normal respiratory rates for a child?15-30 minute9
4104771939What are the normal respiratory rates for an infant?25-50 minute10
4104797308What is the artificial ventilation rate for an adult?12 minute11
4104799448What is the artificial ventilation rate for an infant or child?20 minute12
4104805497What is inadequate breathing?breathing that is not sufficient to support life13
4105113950How does a pediatric airway differ from an adult?airway structures are smaller in an infant14
4105698767What are four signs of inadequate breathing in infants and children?1. nasal flaring 2. grunting 3. seesaw breathing 4. retractions between ribs, above the clavicles, and above the sternum15
4105789942Define wheezeshigh-pitched sounds created by air moving through narrowed air passages in the lungs -- on expiration16
4105794638With what diseases is wheezing common?asthma, emphysema, and chronic bronchitis17
4105801161Define cracklesfine cracking or bubbling sound caused by fluid in the alveoli - on inspiration18
4105809497Define rhonchilower-pitched sounds resembling snoring or rattling -- caused by secretions in the larger airways19
4105821378With what diseases is rhonchi common?pneumonia or bronchitis20
4105824481Define stridorhigh-pitched sound in the upper-airway indicating partial obstruction of the trachea or larynx -- on inspiration21
4105879100What is croup?is respiratory infection in infants and children that results in the swelling of the airway passages.22
4105928483What causes the majority of COPD cases?cigarette smoking23
4106073759What is the benefit of a nebulizer?provides a continuous flow of medication that can be taken at a small volume for a longer amount of time24
4106177181What is CPAP?(continuous positive airway pressure) -- a form of noninvasive positive pressure ventilation -- a means of continuously blowing oxygen or air into the airway to prevent airway collapse or to help alleviate difficulty breathing25
4106220239What is a contraindicator to CPAP?cystic fibrosis26
4106224302Why is cystic fibrosis a contraindicator to CPAP?the lungs are weak enough and the CPAP puts to much pressure on the lungs27
4106240483What are several causes of COPD?--cigarette smoking --chemicals --air pollutants --repeated infections28
4106310941What are the five rights?1. right patient 2. right time 3. right medication 4. right dose 5. right route29
4106323433For what medication do you ask medical control?for any medication other than oxygen30
4106345452What types of respiratory characteristics will occur before respiratory arrest?very slow and shallow respirations31
4106494871What is kussmauls?rapid up and down breathing, deep, and labored32
4106509817What is cheyne-stokes?deep and fast breathing followed by a period of apnea (temporary stop in breathing)33
4106566589How does the infant/child tongue differ from an adult?proportionally larger so that take up more space in the mouth34
4106572044How does the infant/child trachea differ from an adult?it is smaller, softer, and more flexible in infants and children. Easier to lead to obstruction from swelling or trauma. The cricoid cartilage is less developed and less rigid.35
4106582121How does the infant/child diaphragm differ from an adult?depend more heavily on the diaphragm for respiration since the chest wall is softer.36
4106602846When you artificially ventilate a pediatric, what is to be expected?an increase in heartrate37
4106610748What breathing device would be used in a patient with an altered mental status and a decrease in respiratory rate?BVM38
4106627664What is the maximum number of artificial ventilations for a child?20 per minute39
4106650727What are the 2 best ways to determine is a patient is getting adequate breathing using a BVM?--you should see the chest rise and fall --the pulse should return to normal40
4106666345What will a patient get if they are having difficulty breathing?oxygen41
4106697249In asthma, does the patient have trouble breathing in or out?out42
4106701994What is rails?a wet respiratory sound43
4106716252What are the 5 steps to assisting with a prescribe inhaler?1. make sure patient has the indications for use of an inhaler / prescription for the inhaler 2. contact medical direction for permission 3. ensure the 5 rights 4. check the expiration date / shave the inhaler / make sure patient is alert / coach the patient to take the inhaler properly 5. after use -- reassess the patient taking vitals44
4106760618What are the three inhalers that prevent an asthma attack?1. proventil 2. ventolin 3. albuterol45
4106765293What are the 3 side effects of an inhaler?1. increase pulse rate 2. tremors 3. nervousness46
4106805659What is the role of an EMT in helping with an inhaler?it will involve more coaching than administering the medication47
4106834353How long can patients survive with cystic fibrosis?to adulthood -- the median age today is 4148
4106891327What is the primary effort in helping with an inhaler?dilates bronchioles -- reducing airway resistance49
4106899023What is aspiration?--the accidental sucking of food particles or fluid into the lungs --the removal or suction of fluid and cells through a needle50

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