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Medical: 5 Pulmonary: 1

        • (3)

          History of prior similar episodes

      • d)

        Physical findings

        • (1)

          Wheezing may be present in ALL types of obstructive lung disease

        • (2)

          Retractions and/ or use of accessory muscles

      • e)

        Diagnostic testing

        • (1)

          Pulse oximeter to document degree of hypoxemia and response to therapy

        • (2)

          Peak flow to establish baseline airflow

    • 7.

      Management

      • a)

        Airway and ventilation

        • (1)

          Intubation as required

        • (2)

          Assisted ventilation may be necessary

        • (3)

          High flow oxygen

      • b)

        Circulation

        • (1)

          Intravenous therapy may be necessary to

          • (a)

            Improve hydration

          • (b)

            Thin and loosen mucous

        • (2)

          Pharmacologic

          • (a)

            Adrenergic stimulants

          • (b)

            Albuterol

          • (c)

            Metaproterenol

          • (d)

            Terbutaline

          • (e)

            Atropine sulfate

          • (f)

            Magnesium

          • (g)

            Methylxanthines

          • (h)

            Corticosteroid

      • c)

        Supportive care

      • d)

        Transport considerations

        • (1)

          Appropriate mode

        • (2)

          Appropriate facility

        • (3)

          Continue monitoring

        • (4)

          Contact medical direction

      • e)

        Psychological support/ communication strategies

  • C.

    Pneumonia

    • 1.

      Epidemiology

      • a)

        Incidence

        • (1)

          Fifth leading cause of death in the US

        • (2)

          Not a single disease, but a group of specific infections

      • b)

        Risk factors

        • (1)

          Cigarette smoking

        • (2)

          Alcoholism

        • (3)

          Exposure to cold

        • (4)

          Extremes of age (old or young)

      • c)

        Anatomy and physiology review

        • (1)

          Cilia

        • (2)

          Causes and process of mucous production

    • 2.

      Pathophysiology

      • a)

        Ventilation disorder

      • b)

        Infection of lung parenchyma

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

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