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Duke PA Respiratory Emergencies and Airway management

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Question
Answer
show Dyspnea  
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Rapid physical exam for respiratory distress   show
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show Appearance of uvula, foreign body  
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show Tracheal deviation, distended neck veins, stridor  
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What do you look for in the cardiac exam in the setting of respiratory distress   show
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What do you look for in the chest exam in the setting of respiratory distress   show
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show Rales, crackles, wheezing, equal breath sounds  
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show Color, temperature, diaphoresis  
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show Hypoxia  
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Segmental fracture of 3 or more adjacent ribs in two or more places of each individual rib, results in paradoxical respiration   show
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Tall lanky guy who smokes, with sudden onset of dyspnea, what is it   show
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show Pleuritic chest pain  
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Accumulation of fluid in alveoli resulting in impaired gas exchanged and subsequent hypoxia   show
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Characterized by inflamed airway tissue and excessive mucus production   show
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show Steroids, use of NIPPV:CPAP or BiPAP, careful use of O2 (goal of PaO2 at least 60mmHg), broad spectrum antibiotics  
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show Pulmonary embolism  
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show Low  
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show LMWH, heparin, coumadin  
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Biggest reason to perform the Sellick maneuver   show
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flail chest: indicators for early intubation include   show
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what should be done immediately for the patient with a tension pneumo   show
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what is the definitive treatment for a tension pneumo   show
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who is at risk for aspiration pneumonia   show
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show drug overdose, sepsis, pulmonary contusion  
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treatment for pulmonary edema   show
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show acute bronchoconstriction, sub-acute airway inflammation and mucous plugging  
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show a quiet chest, agitation or confusion  
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show fever, productive cough, immunosuppression, elderly or very young  
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show supplemental oxygen, beta agonist (albuterol/smooth muscle relaxation), anticholinergic (atrovent/decreased mucuous production), epinephrine(if impending resp failure), steroids (treat late phase and prevent rebound)  
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show COPD  
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alveoli loose ability to stretch and thus become weak, and break resulting in inability of the lung to exchange CO2 and O2   show
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what is the treatment goal of COPD   show
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show malignancy, pregnancy, postpartum, estrogen use, genetic mutations, Pro C/S deficiency  
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risk factors for pulmonary embolism   show
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show 48  
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show pulmonary angiography  
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show h/o CHF or ESRD, new onset arrhythmia, medication noncompliance, dietary indiscretion  
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show Pulse Ox, blood gas, BNP, chemistry, cardiac markers, EKG; Urine/Serum, toxicology screen  
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Pulmonary embolism: ancillary imaging tests   show
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show Anticoagulation (cornerstone of tx; LMWH, hep, warfarin); thrombolysis (for pts in extremes); embolectomy (rare); IVC filter (recurrent DVT/PE pt on anticoag)  
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show straight; Lifts epiglottis directly  
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macintosh laryngoscope blade   show
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show M 8.0-8.5; F 7.0-7.5; infants/kids: estimate by diameter of pinky finger  
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show Look externally; Evaluate 3-3-2; Mallampati; Obstruction; Neck mobility  
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BURP   show
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