Respiratory

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  • Created by: evepoag
  • Created on: 20-05-22 01:24
What is the initial asthma attack treatment?
High-dose inhaled β2 agonists
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What does OSHIT mean when dealing with acute asthma attacks?
O - Oxygen
S - Salbutamol
H - Hydrocortisone
I - Ipratropium
T - Theophylline
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How much oxygen does the Venturi 24% mask give?
2-3L/min
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How much oxygen does the Venturi 28% mask give?
4-6L/min
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How much oxygen does the Venturi 35% mask give?
8-12L/min
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How much oxygen does the Venturi 40% mask give?
10-15L/min
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How much does the Venturi 60% mask give?
15L/min
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If saturation targets are not being met at 15L/min 60% Venturi mask OR simple face mask 7-10L/min, what should you do?
Use a reservoir mask at 15L

Seek medical help immediately
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If a nasal cannula is flowing at 5-6L/min, what other mask could be used?
simple face mask
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What is the difference between Type 1 and Type 2 respiratory failure and what do they present with?
Type 1 - LUNG FAILURE
profound hypoxia, spo2 below 90%

Type 2 - VENTILATORY FAILURE
hypercapnia, hypoxaemia, spo2 below 90%
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What are the symptoms of pneumonia?
Fever above 38 degrees
Feel hot to touch
Clammy, flushed skin
Cough with sputum
wheeze
shortness of breath
low BP
tachycardia
fatigue
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What are signs of SEVERE pneumonia?
Spo2 below 90% on oxygen
exhaustion
drowsiness
loss of consciousness
tachycardia
low BP
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What are the 3 types of pneumonia?
Lobar - affects whole of one lobe
Bronchial - affects lobules and bronchi
Interstitial - areas between alveoli
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What is pleural effusion and what is it also known as?
build up of fluid in pleural cavity

lung collapse
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What is pneumothorax?
collection of air in the pleural cavity
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What is haemothorax?
collection of blood in the pleural cavity
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What are the 4 steps to for community acquired pneumonia?
1. chest x-ray
2. oxygen therapy
3. assess CURB-65
4. antibiotics
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What does the CURB-64 assessment look at?
C - confusion
U - urea
R - respiratory rate
B - blood pressure
65 - are they over 65?
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What is sputum samples important in pneumonia?
identifies bacteria/infections in airways or lungs
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What are the signs and symptoms of pleural effusion?
increased effort of breathing

hypoxaemia
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What is a haemopnuemothorax?
air and blood in the pleural cavity
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Which is worse - open or tension pneumothorax?
tension pneumothorax is a medical emergency
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If a patient has targets 94-98%, and is critically unwell, what mask and flow should be given?
high flow oxygen in a reservoir mask 60-80% at a rate of 15L/min
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If a patient has targets 94-98%, and Is seriously unwell, what mask and flow should be given?
medium flow oxygen, in a simple face mask at 5-10L/min
or
nasal specs 2-6L/min
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If a patient has COPD and needs a low dose of oxygen, what mask and flow should be given?
Venturi 24% at 2-3L/min or Venturi 28% at 4L/min
OR
Nasal specs 2L/min alongside nebulisers when stable
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Other cards in this set

Card 2

Front

What does OSHIT mean when dealing with acute asthma attacks?

Back

O - Oxygen
S - Salbutamol
H - Hydrocortisone
I - Ipratropium
T - Theophylline

Card 3

Front

How much oxygen does the Venturi 24% mask give?

Back

Preview of the front of card 3

Card 4

Front

How much oxygen does the Venturi 28% mask give?

Back

Preview of the front of card 4

Card 5

Front

How much oxygen does the Venturi 35% mask give?

Back

Preview of the front of card 5
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