Duke PA Respiratory Emergencies and Airway management
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show | Dyspnea
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show | Oropharynx, neck, cardiac, chest exam, pulmonary, skin
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What do you look for in the oropharynx in the setting of respiratory distress | show 🗑
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What do you look for in the neck exam in the setting of respiratory distress | show 🗑
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What do you look for in the cardiac exam in the setting of respiratory distress | show 🗑
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show | Equal rise, trauma
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What do you look for in the pulmonary exam in the setting of respiratory distress | show 🗑
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What do you look for in the skin exam in the setting of respiratory distress | show 🗑
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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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show | Tension pneumothorax
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Chest pain worse on breathing in, leaning forward, and on palpation | show 🗑
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show | Pulmonary edema
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show | COPD
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COPD treatment | show 🗑
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History: pleuritic chest pain, dyspnea (may be intermittent), cough, hemoptysis, anxiety. Physical findings: tachypnea, tachycardia, fever, hypotension, signs of DVT. What is it | show 🗑
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Do you get a d-dimer on patients who you have a high suspicion or low suspicion for pulmonary embolism | show 🗑
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Cornerstone of treatment for pulmonary embolism | show 🗑
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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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show | inflation of affected lung with evacuation of pleural air via a chest tube
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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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what are the two phases of asthma | show 🗑
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show | a quiet chest, agitation or confusion
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what are red flags in an asthma patient | show 🗑
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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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causes of cardiogenic pulmonary edema | show 🗑
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pulmonary edema: ancillary tests | show 🗑
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show | Doppler US; CT (may miss small peripheral PE); V/Q scan; pulmonary angiography
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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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miller laryngoscope blade | show 🗑
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show | curved; Lifts valecula (indirectly lifting epiglottis)
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ET tube sizes | show 🗑
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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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