an obese man complains of severe difficulty breathing. His skin is cool and mois

Question

an obese man complains of severe difficulty breathing. His skin is cool and moist and he is breathing 22 times per minute. He indicates he never goes to the doctor and that he often feels dizzy after walking

assist ventilations with BVM

insert NPA

place a nasal cannula at 4lpm

apply a nonbreather mask at 10 lmp

in seconds what is the time limit for suctioning an adult’s airway

20

5

30

10

Which condition could be considered an upper air obstruction

Pneumothorax

Epiglottitis

Emphysema

Asthma

A year old male with a complete laryngectomy is in respiratory arrest

Suction the stoma completely

Begin mask to stoma ventilation

Begin BVM

Initiate mouth to mask ventilatioin

A 26 year old bride at her wedding reception is sitting in a tripod position and drooling. Lung sounds are diminished obvious stridor is noted

Spontaneous pneumothorax

Acute onset asthma attack

Upper airway obstruction

Severe anxiety attack

A patient fell asleep on the couch, and his wife is unable to awaken him. How should you open his airway

Crossed finger technique

NPA

Tongue-jaw lift

Head tilt chin lift maneuver

A 73 year old male is dyspneic. You note jugular vein distension and dependent edema. Vital signs are bp 158/93 P 130

Cardiac tamponade

CHF

Respiratory syncytial virus

COPD

When ventilating a patient with a bag valve mask you should

Use two rescuers whenpossible

Squeeze out as much air as possible

Ensure proper spinal immobilization

Ensure that the patient is apneic

You have inserted an OPA for a 21 year old apneic male. How many times per minute should you ventilate with BVM

5-8

10-12

30-40

20-26

An 89 year old patient complains of difficulty breathing and productive cough that has gotten worse over the past 12 hours

COPD

Pneumonia

Pulmonary embolism

Emphysema

Explanation / Answer

1) The obese man is alert and oriented. His skin is moist and cool. His respiratory rate is 22 times per minute. This shows that the person can breathe unassisted. So, a non breather mask which supplies higher concentrations of oxygen is sufficient. So, the correct answer for this question is option (d) apply a non breather mask at 10 lmp.

Assisted ventilation using BVM and nasal cannula is not necessary. NPA insertion is also not needed.

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