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Medical: 5 Pulmonary: 1

(iii)

Severe lethargy or coma is a

sign of hypercarbia

(c)

Ability to speak

(i)

1-2

word

dyspnea

versus

ability

to

speak freely (ii) Rapid, rambling speech as a sign of

(d)

anxiety and fear Respiratory effort

(i)

Hard

work

indicates

obstruction

(ii) Retractions

(2)

    • (iii)

      Use of accessory muscles

  • (e)

    Color

    • (i)

      Pallor

    • (ii)

      Diaphoresis

    • (iii)

      Cyanosis

      • (a)

        Central

      • (b)

        Peripheral

Vital signs

(a)

Pulse

  • (i)

    Tachycardia is a sign of hypoxemia and the use of sympathomimetic medications

  • (ii)

    In the face of a pulmonary etiology, bradycardia is an ominous sign of severe hypoxemia and

imminent cardiac

arrest

(b)

Blood pressure

(c)

Hypertension

may

be associated

sympathomimetic

medication use

(i)

Respiratory rate

with

(i)

The

respiratory

rate is not a very

accurate indicator of respiratory status unless it is very slow (ii) Trends are essential in evaluating

the (a)

chronic patient Slowing rate in the face of an unimproved condition suggests exhaustion and impending respiratory insufficiency

(d)

Respiratory patterns

  • (i)

    Eupnea

  • (ii)

    Tachypnea

  • (iii)

    Cheyne-Stokes

───────────

────────────────────────────────────────────────────────────────────────────

───────────────────────── United States Department of Transportation National Highway Traffic Safety Administration Paramedic: National Standard Curriculum

12

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