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Daance/Mod V
Office Aneshesia Emergencies
| Question | Answer |
|---|---|
| Airway obstructions causes____________, which leads to _____________complications? | hypoxia, cardiovascular |
| what is a laryngospasm? | protective reflex of the vocal cords that attempts to prevent passage of foreign matter into the larynx, trachea and lungs.what |
| Crowing sounds and labored respiratory efforts are typical of what? | partial airway obstruction due to laryngospasm |
| cessation of crowing sounds, suprasternal retraction and paradoxical chest movements are characteristics of what | a complete laryngospasm |
| what is a bronchospasm | a generalized contraction of the smooth muscles of the small bronchi and bronchioles in the lungs, resulting in low air flow to and from the lungs. |
| during a bronchospasm the patient will exhibit what symptoms | wheezing and often show signs of labored breathing |
| what kind of patients are more susceptible to bronchospasms? | patients who have a history of allergies, asthma, COPD, or bronchitis. |
| what are the bodys protective reflexes for the prevention of aspiration? | closure of the tracea at the level of vocal chords and vigorous coughing. |
| what is hyperventilation? | a patient is breathing faster and deeper than normal causing the patient to exhale too much carbon dioxide. |
| do you give oxygen for hyperventilation? | NO!! |
| Certain medications can cause respiratory depression and apnea, what is the best way to treat | positive pressure ventilation with a bag/mask can be effect way to accomplish adequate air exchange until patient recovers. |
| pain that begins in the center of the chest and radiates out is called? | Angina |
| what can you give a patient suffering from Angina | nitroglycerin |
| what acroym is used to treat Acute Coronary Syndrom | MONA |
| what does MONA stand for? | Morphine, Oygen, Nitroglycerin Aspirin |
| what is infiltration | leakage of fluid into surrounding tissues. |
| what do you do if infiltration occures | stop the infussion and restart iv at another site. |
| what is a hematoma | blood leakage into surrounding tissue. |
| how do you treat a hematoma | immediately firm pressure.. later moist heat. |
| what is phlebitis | irritation or inflammation of the vein |
| how do you treat phlebitis | elevation of the limb, moist heat and NSAIDS |
| what is intra-arterial injection | where an iv is put into an artery not a vein |
| what is a CVA | Cerebrovascular Accident (or stroke) |
| definition of a stroke | a neurologic impairment lasting more than 24 hours that has been caused by a disruption of blood flow to a region of the brain. |
| what is urticaria | itching |
| what is erythema | redness |
| what is angiodema | swelling of the lips. |
| anaphylaxis | most severe allergic response and is life threatening. |
| uncontrolled hemorrhage can lead to ? | hypovolemia |
| what is hypovolemia? | inadequate blood volume. |