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Medical: 5 Pulmonary: 1

(5)

Extremities

  • (a)

    Peripheral cyanosis

  • (b)

    Clubbing is indicative of long-standing chronic hypoxemia

  • (c)

    Carpopedal spasm may be associated with hypocapnia resulting from periods of rapid, deep respiration

d)

Diagnostic

testing

(1) Pulse

oximetry

  • (a)

    Used to evaluate or confirm the adequacy of oxygen saturation

  • (b)

    May be inaccurate in the presence of conditions which abnormally bind hemoglobin, including carbon monoxide poisoning or methemoglobinemia

  • (2)

    Peak flow

    • (a)

      Provides a baseline assessment of airflow for patients with obstructive lung disease

(3)

Capnometry

(a)

Provides ongoing assessment endotracheal tube position

of End-tidal

(b)

CO2 drops immediately when the tube displaced from the trachea Quantitative versus qualitative

is

C.

Management

  • 1.

    Airway and ventilation

    • a)

      Head-tilt/ chin-lift

    • b)

      Jaw thrust without head-tilt

    • c)

      Head-tilt/ jaw thrust

    • d)

      Oropharyngeal airway

    • e)

      Nasopharyngeal airway

    • f)

      Nasal cannula

    • g)

      Simple oxygen mask

    • h)

      Nonrebreather mask

    • i)

      Pharyngeal tracheal double-lumen airway

    • j)

      Pharyngeal tracheal lumen airway

    • k)

      Bag-valve-mask

    • l)

      Bag-valve-mask with PEEP

    • m)

      CPAP

    • n)

      Orotracheal intubation

    • o)

      Nasotracheal intubation

    • p)

      Suctioning

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

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

14

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