PREHOSPITAL EMERGENCY CARE TENTH EDITION CHAPTER 16 Respiratory

PREHOSPITAL EMERGENCY CARE TENTH EDITION CHAPTER 16 Respiratory Emergencies Prehospital Emergency Care, 10 th edition Mistovich | Karren Copyright © 2014, 2010, 2008 by Pearson Education, Inc. All Rights Reserved

EMT SKILLS 16 -1 Auscultating the Chest Prehospital Emergency Care, 10 th edition Mistovich | Karren Copyright © 2014, 2010, 2008 by Pearson Education, Inc. All Rights Reserved

16 -1 A Auscultate the anterior chest at the second intercostal space at each midclavicular line. Prehospital Emergency Care, 10 th edition Mistovich | Karren Copyright © 2014, 2010, 2008 by Pearson Education, Inc. All Rights Reserved

16 -1 B Auscultate the lateral chest at the fourth to fifth intercostal space at each midaxillary line. Prehospital Emergency Care, 10 th edition Mistovich | Karren Copyright © 2014, 2010, 2008 by Pearson Education, Inc. All Rights Reserved

16 -1 C Auscultate the posterior chest below the tip of the scapula on each midscapular line. Prehospital Emergency Care, 10 th edition Mistovich | Karren Copyright © 2014, 2010, 2008 by Pearson Education, Inc. All Rights Reserved

EMT SKILLS 16 -2 Administering Medication by Metered. Dose Inhaler Prehospital Emergency Care, 10 th edition Mistovich | Karren Copyright © 2014, 2010, 2008 by Pearson Education, Inc. All Rights Reserved

16 -2 A Consult with medical direction for an order to administer the medication. Prehospital Emergency Care, 10 th edition Mistovich | Karren Copyright © 2014, 2010, 2008 by Pearson Education, Inc. All Rights Reserved

16 -2 B Check to make sure the medication is for the patient, that it is the proper one to administer, and that it has not reached its expiration date. Prehospital Emergency Care, 10 th edition Mistovich | Karren Copyright © 2014, 2010, 2008 by Pearson Education, Inc. All Rights Reserved

16 -2 C Shake the inhaler vigorously for at least 30 seconds. Prehospital Emergency Care, 10 th edition Mistovich | Karren Copyright © 2014, 2010, 2008 by Pearson Education, Inc. All Rights Reserved

16 -2 D Instruct the patient to inhale slowly and deeply for about 5 seconds. As the patient begins to inhale, depress the canister. Prehospital Emergency Care, 10 th edition Mistovich | Karren Copyright © 2014, 2010, 2008 by Pearson Education, Inc. All Rights Reserved

16 -2 E Remove the inhaler and instruct the patient to hold the breath for 10 seconds or for as long as is comfortable. Prehospital Emergency Care, 10 th edition Mistovich | Karren Copyright © 2014, 2010, 2008 by Pearson Education, Inc. All Rights Reserved

16 -2 F Instruct the patient to exhale slowly through pursed lips. Prehospital Emergency Care, 10 th edition Mistovich | Karren Copyright © 2014, 2010, 2008 by Pearson Education, Inc. All Rights Reserved

16 -2 G Replace the oxygen on the patient. Reassess the breathing status and vital signs. Prehospital Emergency Care, 10 th edition Mistovich | Karren Copyright © 2014, 2010, 2008 by Pearson Education, Inc. All Rights Reserved

EMT SKILLS 16 -3 Administering a Metered-Dose Inhaler with a Spacer Prehospital Emergency Care, 10 th edition Mistovich | Karren Copyright © 2014, 2010, 2008 by Pearson Education, Inc. All Rights Reserved

16 -3 A Remove the spacer cap. Attach the spacer to the inhaler mouthpiece. Prehospital Emergency Care, 10 th edition Mistovich | Karren Copyright © 2014, 2010, 2008 by Pearson Education, Inc. All Rights Reserved

16 -3 B Depress the medication canister to fill the spacer with medication. Prehospital Emergency Care, 10 th edition Mistovich | Karren Copyright © 2014, 2010, 2008 by Pearson Education, Inc. All Rights Reserved

16 -3 C Instruct the patient to inhale slowly and deeply. The spacer may whistle if the patient is inhaling too quickly. Prehospital Emergency Care, 10 th edition Mistovich | Karren Copyright © 2014, 2010, 2008 by Pearson Education, Inc. All Rights Reserved

EMT SKILLS 16 -4 Administering Nebulized Medications Prehospital Emergency Care, 10 th edition Mistovich | Karren Copyright © 2014, 2010, 2008 by Pearson Education, Inc. All Rights Reserved

16 -4 A Complete the primary assessment and assess the patient's pulse rate and breath sounds. Prehospital Emergency Care, 10 th edition Mistovich | Karren Copyright © 2014, 2010, 2008 by Pearson Education, Inc. All Rights Reserved

16 -4 B Select the correct medication and consult with medical direction for an order to administer the medication. Prehospital Emergency Care, 10 th edition Mistovich | Karren Copyright © 2014, 2010, 2008 by Pearson Education, Inc. All Rights Reserved

16 -4 C Add the medication to the nebulizer chamber. Prehospital Emergency Care, 10 th edition Mistovich | Karren Copyright © 2014, 2010, 2008 by Pearson Education, Inc. All Rights Reserved

16 -4 D Assemble the nebulizer. Prehospital Emergency Care, 10 th edition Mistovich | Karren Copyright © 2014, 2010, 2008 by Pearson Education, Inc. All Rights Reserved

16 -4 E Coach the patient to inhale the nebulized medication from the mouthpiece. Prehospital Emergency Care, 10 th edition Mistovich | Karren Copyright © 2014, 2010, 2008 by Pearson Education, Inc. All Rights Reserved

16 -4 F Reassess the patient's pulse rate and breath sounds. Prehospital Emergency Care, 10 th edition Mistovich | Karren Copyright © 2014, 2010, 2008 by Pearson Education, Inc. All Rights Reserved

16 -4 G Nebulized medications may be administered through a mouthpiece. . . Prehospital Emergency Care, 10 th edition Mistovich | Karren Copyright © 2014, 2010, 2008 by Pearson Education, Inc. All Rights Reserved

16 -4 H . . . or through a face mask. Prehospital Emergency Care, 10 th edition Mistovich | Karren Copyright © 2014, 2010, 2008 by Pearson Education, Inc. All Rights Reserved