CPR - Certified Paramedic Response Respiratory Emergencies and Management Questions and Answers Flashcards
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Read the first 6 CPR - Certified Paramedic Response Respiratory Emergencies and Management Questions and Answers flashcards as text
When using CPAP for a patient in acute pulmonary edema, which of the following patient presentations is a CONTRAINDICATION to CPAP use?
Answer: Systolic BP of 70 mmHg with altered mental status
Severely hypotensive patients with altered mental status cannot protect their airway and cannot tolerate the positive pressure that CPAP delivers.
A 55-year-old male presents with sudden onset pleuritic chest pain, dyspnea, and tachycardia after a long flight. Which condition should be suspected FIRST?
Answer: Pulmonary embolism
Sudden pleuritic chest pain, dyspnea, tachycardia after prolonged immobility (long flight) is the classic presentation of pulmonary embolism.
During nebulized albuterol therapy, which of the following patient assessments BEST indicates a therapeutic response?
Answer: Improved breath sounds with decreased wheezing and increased air movement
Therapeutic response to albuterol is confirmed by improved air entry, reduced wheezing on auscultation, and decreased work of breathing.
In a patient requiring RSI (Rapid Sequence Intubation), what is the CORRECT sequence of medication administration?
Answer: Sedative/induction agent first, then neuromuscular blocking agent
In RSI, the induction/sedative agent is always given first to achieve unconsciousness before the neuromuscular blocking agent is administered.
A patient with COPD presents with worsening dyspnea and is using accessory muscles. Their ETCO2 is 58 mmHg. This value MOST likely indicates:
Answer: Hypoventilation with CO2 retention
ETCO2 of 58 mmHg indicates hypoventilation and CO2 retention (hypercapnia), consistent with a COPD exacerbation with impending respiratory failure.
Which of the following is the CORRECT position to place a patient in respiratory distress who is conscious and hemodynamically stable?
Answer: High Fowler's position (sitting upright at 90 degrees)
High Fowler's position maximizes diaphragmatic excursion and lung expansion, reducing the work of breathing in a conscious patient.