Presentation is loading. Please wait.

Presentation is loading. Please wait.

Copyright ©2012 by Pearson Education, Inc. All rights reserved. Emergency Care, Twelfth Edition Daniel J. Limmer OKeefe Grant Murray Bergeron Dickinson.

Similar presentations


Presentation on theme: "Copyright ©2012 by Pearson Education, Inc. All rights reserved. Emergency Care, Twelfth Edition Daniel J. Limmer OKeefe Grant Murray Bergeron Dickinson."— Presentation transcript:

1 Copyright ©2012 by Pearson Education, Inc. All rights reserved. Emergency Care, Twelfth Edition Daniel J. Limmer OKeefe Grant Murray Bergeron Dickinson Emergency Medical Responder: First on Scene, Ninth Edition Le Baudour Bergeron Wesley CHAPTER Caring for Respiratory Emergencies 14

2 Copyright ©2012 by Pearson Education, Inc. All rights reserved. Emergency Care, Twelfth Edition Daniel J. Limmer OKeefe Grant Murray Bergeron Dickinson Emergency Medical Responder: First on Scene, Ninth Edition Le Baudour Bergeron Wesley 1.Review respiratory anatomy and physiology in Chapter 4. 2.Define the following terms: a.Accessory muscles b.Asthma c.Bronchitis d.Chronic Obstructive Pulmonary Disease (COPD) e.Cyanosis f.Dyspnea g.Emphysema h.Hypercarbia Objectives (continued)

3 Copyright ©2012 by Pearson Education, Inc. All rights reserved. Emergency Care, Twelfth Edition Daniel J. Limmer OKeefe Grant Murray Bergeron Dickinson Emergency Medical Responder: First on Scene, Ninth Edition Le Baudour Bergeron Wesley 2.Define the following terms: i.Hyperventilation j.Hypoxia k.Respiratory compromise l.Respiratory distress m.Respiratory failure n.Tripod position o.Wheezing Objectives (continued)

4 Copyright ©2012 by Pearson Education, Inc. All rights reserved. Emergency Care, Twelfth Edition Daniel J. Limmer OKeefe Grant Murray Bergeron Dickinson Emergency Medical Responder: First on Scene, Ninth Edition Le Baudour Bergeron Wesley 3.Explain common causes of respiratory compromise. 4.Describe the signs and symptoms of a patient experiencing respiratory compromise. 5.Explain the pathophysiology of respiratory compromise. 6.Describe the appropriate assessment and care for a patient experiencing respiratory compromise. Objectives (continued)

5 Copyright ©2012 by Pearson Education, Inc. All rights reserved. Emergency Care, Twelfth Edition Daniel J. Limmer OKeefe Grant Murray Bergeron Dickinson Emergency Medical Responder: First on Scene, Ninth Edition Le Baudour Bergeron Wesley 7.Demonstrate the ability to appropriately assess and care for a patient experiencing respiratory compromise. 8.Recognize the fear that a respiratory emergency can cause. 9.Value the importance of reassurance when caring for a patient with a respiratory emergency. Objectives

6 Copyright ©2012 by Pearson Education, Inc. All rights reserved. Emergency Care, Twelfth Edition Daniel J. Limmer OKeefe Grant Murray Bergeron Dickinson Emergency Medical Responder: First on Scene, Ninth Edition Le Baudour Bergeron Wesley Media Slide 19Asthma Video Slide 20Angina Video Slide 21Chronic Obstructive Pulmonary Disease Video

7 Copyright ©2012 by Pearson Education, Inc. All rights reserved. Emergency Care, Twelfth Edition Daniel J. Limmer OKeefe Grant Murray Bergeron Dickinson Emergency Medical Responder: First on Scene, Ninth Edition Le Baudour Bergeron Wesley Topics Overview of Respiratory Anatomy Respiratory Compromise

8 Copyright ©2012 by Pearson Education, Inc. All rights reserved. Emergency Care, Twelfth Edition Daniel J. Limmer OKeefe Grant Murray Bergeron Dickinson Emergency Medical Responder: First on Scene, Ninth Edition Le Baudour Bergeron Wesley OVERVIEW OF RESPIRATORY ANATOMY

9 Copyright ©2012 by Pearson Education, Inc. All rights reserved. Emergency Care, Twelfth Edition Daniel J. Limmer OKeefe Grant Murray Bergeron Dickinson Emergency Medical Responder: First on Scene, Ninth Edition Le Baudour Bergeron Wesley Overview of Respiratory Anatomy Pathways where air enters body (nose and mouth); areas at back of throat (nasopharynx and oropharynx). Oropharynx leads down throat into top of trachea (larynx), where vocal chords are positioned. (continued)

10 Copyright ©2012 by Pearson Education, Inc. All rights reserved. Emergency Care, Twelfth Edition Daniel J. Limmer OKeefe Grant Murray Bergeron Dickinson Emergency Medical Responder: First on Scene, Ninth Edition Le Baudour Bergeron Wesley Overview of the respiratory system.

11 Copyright ©2012 by Pearson Education, Inc. All rights reserved. Emergency Care, Twelfth Edition Daniel J. Limmer OKeefe Grant Murray Bergeron Dickinson Emergency Medical Responder: First on Scene, Ninth Edition Le Baudour Bergeron Wesley Overview of Respiratory Anatomy Upper airway – All spaces and structures above vocal chords. Lower airway – All structures and spaces below vocal chords. Carina – Where trachea splits into right and left main stem bronchi. (continued)

12 Copyright ©2012 by Pearson Education, Inc. All rights reserved. Emergency Care, Twelfth Edition Daniel J. Limmer OKeefe Grant Murray Bergeron Dickinson Emergency Medical Responder: First on Scene, Ninth Edition Le Baudour Bergeron Wesley Overview of Respiratory Anatomy Bronchioles – Smaller airways. Alveoli – Where exchange of oxygen and carbon dioxide takes place. Control center for respiratory is within the brain. (continued)

13 Copyright ©2012 by Pearson Education, Inc. All rights reserved. Emergency Care, Twelfth Edition Daniel J. Limmer OKeefe Grant Murray Bergeron Dickinson Emergency Medical Responder: First on Scene, Ninth Edition Le Baudour Bergeron Wesley Think About It What two functions does respiration accomplish? What mechanical problems might impede the movement of air?

14 Copyright ©2012 by Pearson Education, Inc. All rights reserved. Emergency Care, Twelfth Edition Daniel J. Limmer OKeefe Grant Murray Bergeron Dickinson Emergency Medical Responder: First on Scene, Ninth Edition Le Baudour Bergeron Wesley RESPIRATORY COMPROMISE

15 Copyright ©2012 by Pearson Education, Inc. All rights reserved. Emergency Care, Twelfth Edition Daniel J. Limmer OKeefe Grant Murray Bergeron Dickinson Emergency Medical Responder: First on Scene, Ninth Edition Le Baudour Bergeron Wesley Respiratory Compromise Inability of person to breath adequately. Hypoxia: when the body's cells do not receive adequate supply of oxygen. – Signs: altered mental status, pale skin, cyanosis of nail beds/mucous membranes. Hypercarbia: condition of having too much carbon dioxide in blood.

16 Copyright ©2012 by Pearson Education, Inc. All rights reserved. Emergency Care, Twelfth Edition Daniel J. Limmer OKeefe Grant Murray Bergeron Dickinson Emergency Medical Responder: First on Scene, Ninth Edition Le Baudour Bergeron Wesley Respiratory Compromise Respiratory Distress (Dyspnea) – Result of not getting adequate supply of oxygen; increased in levels of carbon dioxide in blood – Increased work of breathing – Increased respiratory rate – Use of accessory muscles

17 Copyright ©2012 by Pearson Education, Inc. All rights reserved. Emergency Care, Twelfth Edition Daniel J. Limmer OKeefe Grant Murray Bergeron Dickinson Emergency Medical Responder: First on Scene, Ninth Edition Le Baudour Bergeron Wesley Respiratory Compromise Respiratory Failure – When body's normal compensatory mechanisms fail. – Breathing rate begins to slow. – Tidal volume begins to get shallower.

18 Copyright ©2012 by Pearson Education, Inc. All rights reserved. Emergency Care, Twelfth Edition Daniel J. Limmer OKeefe Grant Murray Bergeron Dickinson Emergency Medical Responder: First on Scene, Ninth Edition Le Baudour Bergeron Wesley Respiratory Compromise Common causes: – Hyperventilation – Asthma – Chronic bronchitis – Emphysema – Exposure to poison – Allergic reaction

19 Copyright ©2012 by Pearson Education, Inc. All rights reserved. Emergency Care, Twelfth Edition Daniel J. Limmer OKeefe Grant Murray Bergeron Dickinson Emergency Medical Responder: First on Scene, Ninth Edition Le Baudour Bergeron Wesley Click here to view a video on the topic of asthma.here BACK TO DIRECTORY

20 Copyright ©2012 by Pearson Education, Inc. All rights reserved. Emergency Care, Twelfth Edition Daniel J. Limmer OKeefe Grant Murray Bergeron Dickinson Emergency Medical Responder: First on Scene, Ninth Edition Le Baudour Bergeron Wesley Click here to view a video on the topic of angina.here BACK TO DIRECTORY

21 Copyright ©2012 by Pearson Education, Inc. All rights reserved. Emergency Care, Twelfth Edition Daniel J. Limmer OKeefe Grant Murray Bergeron Dickinson Emergency Medical Responder: First on Scene, Ninth Edition Le Baudour Bergeron Wesley Click here to view a video on the topic of chronic obstructive pulmonary disease.here BACK TO DIRECTORY

22 Copyright ©2012 by Pearson Education, Inc. All rights reserved. Emergency Care, Twelfth Edition Daniel J. Limmer OKeefe Grant Murray Bergeron Dickinson Emergency Medical Responder: First on Scene, Ninth Edition Le Baudour Bergeron Wesley Respiratory Compromise Normal Breathing – Sufficient to support life. – Easy and effortless (adequate). – Do not work hard to breathe. – Able to speak full sentences without having to catch breath. – Normal respiratory rate, depth, and very little effort or work of breathing.

23 Copyright ©2012 by Pearson Education, Inc. All rights reserved. Emergency Care, Twelfth Edition Daniel J. Limmer OKeefe Grant Murray Bergeron Dickinson Emergency Medical Responder: First on Scene, Ninth Edition Le Baudour Bergeron Wesley Respiratory Compromise Characteristics of Normal Breathing – Normal rate (number breaths per minute): 12 to 24 for adult; 16 to 32 for child; 24 to 48 for infant. – Normal depth (size of each breath): tidal volume; normal breaths not too shallow and not too deep. (continued)

24 Copyright ©2012 by Pearson Education, Inc. All rights reserved. Emergency Care, Twelfth Edition Daniel J. Limmer OKeefe Grant Murray Bergeron Dickinson Emergency Medical Responder: First on Scene, Ninth Edition Le Baudour Bergeron Wesley Respiratory Compromise Characteristics of Normal Breathing – Work of breathing: effort it takes for patient to move each breath in and out. – Respiratory rhythm regular.

25 Copyright ©2012 by Pearson Education, Inc. All rights reserved. Emergency Care, Twelfth Edition Daniel J. Limmer OKeefe Grant Murray Bergeron Dickinson Emergency Medical Responder: First on Scene, Ninth Edition Le Baudour Bergeron Wesley Respiratory Compromise Abnormal Breathing – Inadequate; not sufficient to support life. – Left untreated, will result in death. – Common signs: Increased work of breathing Increased respiratory rate (continued)

26 Copyright ©2012 by Pearson Education, Inc. All rights reserved. Emergency Care, Twelfth Edition Daniel J. Limmer OKeefe Grant Murray Bergeron Dickinson Emergency Medical Responder: First on Scene, Ninth Edition Le Baudour Bergeron Wesley Respiratory Compromise Abnormal Breathing – Common signs: Decreased respiratory rate Respirations that are too deep or too shallow Irregular breathing rhythm Audible breath sounds (gurgling, snoring or wheezing) (continued)

27 Copyright ©2012 by Pearson Education, Inc. All rights reserved. Emergency Care, Twelfth Edition Daniel J. Limmer OKeefe Grant Murray Bergeron Dickinson Emergency Medical Responder: First on Scene, Ninth Edition Le Baudour Bergeron Wesley Respiratory Compromise Abnormal Breathing – Tripod position: seated or standing with hands on knees, shoulders arched upward, head forward. – Accessory muscles: muscles of neck, chest, abdomen that assist during respiratory difficulty.

28 Copyright ©2012 by Pearson Education, Inc. All rights reserved. Emergency Care, Twelfth Edition Daniel J. Limmer OKeefe Grant Murray Bergeron Dickinson Emergency Medical Responder: First on Scene, Ninth Edition Le Baudour Bergeron Wesley Signs and symptoms of respiratory distress.

29 Copyright ©2012 by Pearson Education, Inc. All rights reserved. Emergency Care, Twelfth Edition Daniel J. Limmer OKeefe Grant Murray Bergeron Dickinson Emergency Medical Responder: First on Scene, Ninth Edition Le Baudour Bergeron Wesley Respiratory Compromise Signs and Symptoms of Respiratory Compromise – Labored or difficulty breathing; a feeling of suffocation. – Audible breathing sounds. – Rapid or slow rate of breathing. – Abnormal pulse rate (too fast or too slow). (continued)

30 Copyright ©2012 by Pearson Education, Inc. All rights reserved. Emergency Care, Twelfth Edition Daniel J. Limmer OKeefe Grant Murray Bergeron Dickinson Emergency Medical Responder: First on Scene, Ninth Edition Le Baudour Bergeron Wesley Respiratory Compromise Signs and Symptoms of Respiratory Compromise – Changes in skin color, particularly of lips and nail beds. – Tripod position. – Altered mental status.

31 Copyright ©2012 by Pearson Education, Inc. All rights reserved. Emergency Care, Twelfth Edition Daniel J. Limmer OKeefe Grant Murray Bergeron Dickinson Emergency Medical Responder: First on Scene, Ninth Edition Le Baudour Bergeron Wesley Respiratory Compromise Chronic Obstructive Pulmonary Disease – Conditions: asthma, chronic bronchitis, emphysema – Signs and symptoms: History of heavy cigarette smoking Persistent cough Chronic shortness of breath Pursed-lip breathing (continued)

32 Copyright ©2012 by Pearson Education, Inc. All rights reserved. Emergency Care, Twelfth Edition Daniel J. Limmer OKeefe Grant Murray Bergeron Dickinson Emergency Medical Responder: First on Scene, Ninth Edition Le Baudour Bergeron Wesley Respiratory Compromise Chronic Obstructive Pulmonary Disease – Signs and symptoms: Maintaining tripod position Fatigue Tightness in chest Wheezing

33 Copyright ©2012 by Pearson Education, Inc. All rights reserved. Emergency Care, Twelfth Edition Daniel J. Limmer OKeefe Grant Murray Bergeron Dickinson Emergency Medical Responder: First on Scene, Ninth Edition Le Baudour Bergeron Wesley Respiratory Compromise Asthma – Condition affecting lungs, characterized by narrowing of air passages and wheezing. – Caused by sensitivity to irritants (pollen, pollutants, exercise). – Narrowing air passages cause wheezing. (continued)

34 Copyright ©2012 by Pearson Education, Inc. All rights reserved. Emergency Care, Twelfth Edition Daniel J. Limmer OKeefe Grant Murray Bergeron Dickinson Emergency Medical Responder: First on Scene, Ninth Edition Le Baudour Bergeron Wesley Respiratory Compromise Asthma – Signs and symptoms: Moderate to severe shortness of breath Wheezing Anxiety Nonproductive cough (continued)

35 Copyright ©2012 by Pearson Education, Inc. All rights reserved. Emergency Care, Twelfth Edition Daniel J. Limmer OKeefe Grant Murray Bergeron Dickinson Emergency Medical Responder: First on Scene, Ninth Edition Le Baudour Bergeron Wesley Asthma causes the bronchioles to become narrow and filled with mucus.

36 Copyright ©2012 by Pearson Education, Inc. All rights reserved. Emergency Care, Twelfth Edition Daniel J. Limmer OKeefe Grant Murray Bergeron Dickinson Emergency Medical Responder: First on Scene, Ninth Edition Le Baudour Bergeron Wesley Respiratory Compromise Asthma – Little/no symptoms between attacks. – Medication in metered-dose inhaler. (continued)

37 Copyright ©2012 by Pearson Education, Inc. All rights reserved. Emergency Care, Twelfth Edition Daniel J. Limmer OKeefe Grant Murray Bergeron Dickinson Emergency Medical Responder: First on Scene, Ninth Edition Le Baudour Bergeron Wesley Metered-Dose Inhaler

38 Copyright ©2012 by Pearson Education, Inc. All rights reserved. Emergency Care, Twelfth Edition Daniel J. Limmer OKeefe Grant Murray Bergeron Dickinson Emergency Medical Responder: First on Scene, Ninth Edition Le Baudour Bergeron Wesley Metered-Dose Inhaler with Spacer

39 Copyright ©2012 by Pearson Education, Inc. All rights reserved. Emergency Care, Twelfth Edition Daniel J. Limmer OKeefe Grant Murray Bergeron Dickinson Emergency Medical Responder: First on Scene, Ninth Edition Le Baudour Bergeron Wesley Respiratory Compromise Asthma – If left untreated, asthma attack can be severe enough to cause respiratory arrest and even death.

40 Copyright ©2012 by Pearson Education, Inc. All rights reserved. Emergency Care, Twelfth Edition Daniel J. Limmer OKeefe Grant Murray Bergeron Dickinson Emergency Medical Responder: First on Scene, Ninth Edition Le Baudour Bergeron Wesley Respiratory Compromise Bronchitis – Causes swelling and thickening of walls of bronchi and bronchioles. – Causes overproduction of mucus in air passages. – Chronic bronchitis: productive cough for three consecutive months and occurs at least two consecutive years. (continued)

41 Copyright ©2012 by Pearson Education, Inc. All rights reserved. Emergency Care, Twelfth Edition Daniel J. Limmer OKeefe Grant Murray Bergeron Dickinson Emergency Medical Responder: First on Scene, Ninth Edition Le Baudour Bergeron Wesley Emphysema affects the alveoli, and bronchitis affects the bronchioles.

42 Copyright ©2012 by Pearson Education, Inc. All rights reserved. Emergency Care, Twelfth Edition Daniel J. Limmer OKeefe Grant Murray Bergeron Dickinson Emergency Medical Responder: First on Scene, Ninth Edition Le Baudour Bergeron Wesley Emphysema affects the alveoli, and bronchitis affects the bronchioles.

43 Copyright ©2012 by Pearson Education, Inc. All rights reserved. Emergency Care, Twelfth Edition Daniel J. Limmer OKeefe Grant Murray Bergeron Dickinson Emergency Medical Responder: First on Scene, Ninth Edition Le Baudour Bergeron Wesley Emphysema affects the alveoli, and bronchitis affects the bronchioles.

44 Copyright ©2012 by Pearson Education, Inc. All rights reserved. Emergency Care, Twelfth Edition Daniel J. Limmer OKeefe Grant Murray Bergeron Dickinson Emergency Medical Responder: First on Scene, Ninth Edition Le Baudour Bergeron Wesley Respiratory Compromise Bronchitis – Signs and symptoms: Overweight Mild to moderate shortness of breath Pale complexion Productive cough Wheezes

45 Copyright ©2012 by Pearson Education, Inc. All rights reserved. Emergency Care, Twelfth Edition Daniel J. Limmer OKeefe Grant Murray Bergeron Dickinson Emergency Medical Responder: First on Scene, Ninth Edition Le Baudour Bergeron Wesley Respiratory Compromise Emphysema – Associated with cigarette smoking; disease of lungs that causes permanent damage to alveoli. – Causes destruction of alveoli, making them useless for exchange of oxygen and carbon dioxide. (continued)

46 Copyright ©2012 by Pearson Education, Inc. All rights reserved. Emergency Care, Twelfth Edition Daniel J. Limmer OKeefe Grant Murray Bergeron Dickinson Emergency Medical Responder: First on Scene, Ninth Edition Le Baudour Bergeron Wesley Respiratory Compromise Emphysema – Loss of lung elasticity and accumulation of air cause chest wall to become extended over time; barrel chest. (continued)

47 Copyright ©2012 by Pearson Education, Inc. All rights reserved. Emergency Care, Twelfth Edition Daniel J. Limmer OKeefe Grant Murray Bergeron Dickinson Emergency Medical Responder: First on Scene, Ninth Edition Le Baudour Bergeron Wesley Respiratory Compromise Emphysema – Signs and symptoms: Moderate to severe shortness of breath Very thin in appearance Large chest (barrel chest) Nonproductive cough Extended exhalations

48 Copyright ©2012 by Pearson Education, Inc. All rights reserved. Emergency Care, Twelfth Edition Daniel J. Limmer OKeefe Grant Murray Bergeron Dickinson Emergency Medical Responder: First on Scene, Ninth Edition Le Baudour Bergeron Wesley Respiratory Compromise Hyperventilation Syndrome – Occurs when person breathes out and eliminates excess amount of carbon dioxide. – Most cases caused by anxiety and do not represent medical emergency. (continued)

49 Copyright ©2012 by Pearson Education, Inc. All rights reserved. Emergency Care, Twelfth Edition Daniel J. Limmer OKeefe Grant Murray Bergeron Dickinson Emergency Medical Responder: First on Scene, Ninth Edition Le Baudour Bergeron Wesley Respiratory Compromise Hyperventilation Syndrome – Can be a sign of something serious. – Be alert for cyanosis. – Monitor for changes in vital signs. – Reduce anxiety by reassuring and comforting patient. (continued)

50 Copyright ©2012 by Pearson Education, Inc. All rights reserved. Emergency Care, Twelfth Edition Daniel J. Limmer OKeefe Grant Murray Bergeron Dickinson Emergency Medical Responder: First on Scene, Ninth Edition Le Baudour Bergeron Wesley Respiratory Compromise Hyperventilation Syndrome – Signs and symptoms: Moderate to severe shortness of breath Anxiety Numbness or tingling of fingers, lips, and/or toes Dizziness Spasm of fingers and/or toes Chest discomfort

51 Copyright ©2012 by Pearson Education, Inc. All rights reserved. Emergency Care, Twelfth Edition Daniel J. Limmer OKeefe Grant Murray Bergeron Dickinson Emergency Medical Responder: First on Scene, Ninth Edition Le Baudour Bergeron Wesley Respiratory Compromise Emergency Care for Respiratory Compromise – Observe body language. – Determine characteristics of breathing. – Pay attention to level of distress and facial expression. – Reassure patient. (continued)

52 Copyright ©2012 by Pearson Education, Inc. All rights reserved. Emergency Care, Twelfth Edition Daniel J. Limmer OKeefe Grant Murray Bergeron Dickinson Emergency Medical Responder: First on Scene, Ninth Edition Le Baudour Bergeron Wesley Respiratory Compromise Emergency Care for Respiratory Compromise – Gather a history. – Ability to speak clearly and in full sentences. – Listen for sounds as patient breathes.

53 Copyright ©2012 by Pearson Education, Inc. All rights reserved. Emergency Care, Twelfth Edition Daniel J. Limmer OKeefe Grant Murray Bergeron Dickinson Emergency Medical Responder: First on Scene, Ninth Edition Le Baudour Bergeron Wesley Respiratory Compromise Take appropriate BSI precautions. Perform primary assessment; support ABCs. Ensure patent airway; administer oxygen per local protocols. Allow patient to maintain position of comfort. Arrange for ALS response if available. (continued)

54 Copyright ©2012 by Pearson Education, Inc. All rights reserved. Emergency Care, Twelfth Edition Daniel J. Limmer OKeefe Grant Murray Bergeron Dickinson Emergency Medical Responder: First on Scene, Ninth Edition Le Baudour Bergeron Wesley Respiratory Compromise Assist with prescribed medication per local protocols and medical direction. Obtain vital signs. Continue to monitor patient and provide reassurance.

55 Copyright ©2012 by Pearson Education, Inc. All rights reserved. Emergency Care, Twelfth Edition Daniel J. Limmer OKeefe Grant Murray Bergeron Dickinson Emergency Medical Responder: First on Scene, Ninth Edition Le Baudour Bergeron Wesley Algorithm for emergency care of patients with respiratory distress.

56 Copyright ©2012 by Pearson Education, Inc. All rights reserved. Emergency Care, Twelfth Edition Daniel J. Limmer OKeefe Grant Murray Bergeron Dickinson Emergency Medical Responder: First on Scene, Ninth Edition Le Baudour Bergeron Wesley Respiratory Compromise Positive Pressure Ventilations – Use bag-mask device to provide rescue breaths when breathing determined to be inadequate. – Place mask firmly over patient's face; provide rescue breaths at rate appropriate for patient's age.

57 Copyright ©2012 by Pearson Education, Inc. All rights reserved. Emergency Care, Twelfth Edition Daniel J. Limmer OKeefe Grant Murray Bergeron Dickinson Emergency Medical Responder: First on Scene, Ninth Edition Le Baudour Bergeron Wesley When breathing is inadequate, provide positive pressure ventilations with a bag-mask device.

58 Copyright ©2012 by Pearson Education, Inc. All rights reserved. Emergency Care, Twelfth Edition Daniel J. Limmer OKeefe Grant Murray Bergeron Dickinson Emergency Medical Responder: First on Scene, Ninth Edition Le Baudour Bergeron Wesley Respiratory Compromise Metered-Dose Inhalers (MDI) – Small device that stores and delivers medication that patient inhales into lungs. – Encourage patient to take medication exactly as prescribed. – Check expiration date.

59 Copyright ©2012 by Pearson Education, Inc. All rights reserved. Emergency Care, Twelfth Edition Daniel J. Limmer OKeefe Grant Murray Bergeron Dickinson Emergency Medical Responder: First on Scene, Ninth Edition Le Baudour Bergeron Wesley Think About It You are treating a patient with severe respiratory distress. You notice that his/her respiratory rate is slowing down. Is this a good sign or bad sign? How would you tell the difference? Would your observation warrant updating the responding ambulance?

60 Copyright ©2012 by Pearson Education, Inc. All rights reserved. Emergency Care, Twelfth Edition Daniel J. Limmer OKeefe Grant Murray Bergeron Dickinson Emergency Medical Responder: First on Scene, Ninth Edition Le Baudour Bergeron Wesley SUMMARY

61 Copyright ©2012 by Pearson Education, Inc. All rights reserved. Emergency Care, Twelfth Edition Daniel J. Limmer OKeefe Grant Murray Bergeron Dickinson Emergency Medical Responder: First on Scene, Ninth Edition Le Baudour Bergeron Wesley Summary Respiratory compromise is one of the most common calls encountered. Causes include asthma, bronchitis, emphysema, hyperventilation. Characterized by increased work of breathing, increased breathing rate, use of accessory muscles.

62 Copyright ©2012 by Pearson Education, Inc. All rights reserved. Emergency Care, Twelfth Edition Daniel J. Limmer OKeefe Grant Murray Bergeron Dickinson Emergency Medical Responder: First on Scene, Ninth Edition Le Baudour Bergeron Wesley Summary Left untreated, can lead to respiratory failure; respiratory arrest; death. Asthma: disease of the lower airways characterized by spasm and swelling of bronchioles, resulting in narrowing of airways. – Triggered by allergies, dust, stress, and/or exercise.

63 Copyright ©2012 by Pearson Education, Inc. All rights reserved. Emergency Care, Twelfth Edition Daniel J. Limmer OKeefe Grant Murray Bergeron Dickinson Emergency Medical Responder: First on Scene, Ninth Edition Le Baudour Bergeron Wesley Summary Bronchitis: inflammation of bronchi and bronchioles. – Results in overproduction of mucus over inside lining of airways; may last for months at a time. – Characterized by productive cough.

64 Copyright ©2012 by Pearson Education, Inc. All rights reserved. Emergency Care, Twelfth Edition Daniel J. Limmer OKeefe Grant Murray Bergeron Dickinson Emergency Medical Responder: First on Scene, Ninth Edition Le Baudour Bergeron Wesley Summary Emphysema: loss of elasticity of lung tissue and destruction of alveoli. – Results in poor gas exchange and trapping of excess carbon dioxide within lungs. – Slow, progressive disease that results in severe respiratory distress.

65 Copyright ©2012 by Pearson Education, Inc. All rights reserved. Emergency Care, Twelfth Edition Daniel J. Limmer OKeefe Grant Murray Bergeron Dickinson Emergency Medical Responder: First on Scene, Ninth Edition Le Baudour Bergeron Wesley Summary Hyperventilation syndrome: associated with situations of high stress or anxiety. – Begins when stress of situation causes patient to breath fast. – If not controlled, will result in loss of too much carbon dioxide. – Usually treated by helping patient calm down and control breathing.

66 Copyright ©2012 by Pearson Education, Inc. All rights reserved. Emergency Care, Twelfth Edition Daniel J. Limmer OKeefe Grant Murray Bergeron Dickinson Emergency Medical Responder: First on Scene, Ninth Edition Le Baudour Bergeron Wesley Summary Care includes support of ABCs, providing supplemental oxygen, calming and reassuring patient. Allow patient to maintain position of comfort and do not force patient to lie down unless unresponsive.

67 Copyright ©2012 by Pearson Education, Inc. All rights reserved. Emergency Care, Twelfth Edition Daniel J. Limmer OKeefe Grant Murray Bergeron Dickinson Emergency Medical Responder: First on Scene, Ninth Edition Le Baudour Bergeron Wesley Summary Often a true emergency, and rapid transport by ALS ambulance is often most appropriate care. If available, encourage patient to self- administer prescribed meter-dose inhaler as prescribed.

68 Copyright ©2012 by Pearson Education, Inc. All rights reserved. Emergency Care, Twelfth Edition Daniel J. Limmer OKeefe Grant Murray Bergeron Dickinson Emergency Medical Responder: First on Scene, Ninth Edition Le Baudour Bergeron Wesley REVIEW QUESTIONS

69 Copyright ©2012 by Pearson Education, Inc. All rights reserved. Emergency Care, Twelfth Edition Daniel J. Limmer OKeefe Grant Murray Bergeron Dickinson Emergency Medical Responder: First on Scene, Ninth Edition Le Baudour Bergeron Wesley 1.What are the common causes of respiratory compromise? 2.What are the signs and symptoms of a patient experiencing respiratory compromise? 3.Why is it important to recognize the fear that a respiratory emergency can cause? 4.What is the appropriate assessment and care for a patient experiencing respiratory compromise? Review Questions

70 Copyright ©2012 by Pearson Education, Inc. All rights reserved. Emergency Care, Twelfth Edition Daniel J. Limmer OKeefe Grant Murray Bergeron Dickinson Emergency Medical Responder: First on Scene, Ninth Edition Le Baudour Bergeron Wesley Please visit and follow the Resource Central links to access content for this text.


Download ppt "Copyright ©2012 by Pearson Education, Inc. All rights reserved. Emergency Care, Twelfth Edition Daniel J. Limmer OKeefe Grant Murray Bergeron Dickinson."

Similar presentations


Ads by Google