Paramedic Field Guide

Respiratory Review

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Chapter 1

Objectives

Learning goals & glossary

Learning Objectives

1

Identify and locate, relative to other anatomic structures, the components of the upper and lower respiratory tracts.

2

Describe the function of the components of the upper and lower respiratory tracts.

3

Describe the mechanics of inspiration and expiration, in association with respiratory pressures in each phase.

4

State normal pulmonary volumes and capacities in the adult patient.

5

Define compliance.

6

Briefly explain ventilation/perfusion ratio.

7

Describe the influence of the central nervous system on respiration.

8

Briefly describe the pathophysiology and clinical presentation of: Asthma, COPD, Emphysema, and Bronchitis.

9

Relate the objectives to clinical situations encountered in the field.

CPR Refresher

Compression : Ventilation

30:2

Regardless of officer numbers

Rate100–120 /min
Depth≥ 5 cm
Hand placement2 hands — lower sternum
CPR if pulse< 40 BPM
Advanced airway6–10 breaths/min (continuous compressions)

ALS Medications

Epinephrine1 mg IV/IO q3–5 min
Amiodarone300 mg IV/IO (refractory VF/VT)
Lidocaine1–1.5 mg/kg IV/IO (alt)
Magnesium1–2 g IV (torsades)
Sodium Bicarb1 mEq/kg IV (hyperK/TCA)
Peds GuideALS PCS v5.4
kg

Enter patient weight (0.5 – 149 kg)

Enter patient weight to calculate doses