NEMO Medical

What are common associated signs and symptoms of respiratory complaints?

hest pain, weakness, fever, swollen hands/feet, cough

What questions should you ask for a respiratory complaint?

• Do you have a respiratory infection or symptoms?

• Do you have a cough?

• Is it productive? What are you coughing up?

• Is it more comfortable to sit in any position?

What should you look for in a respiratory assessment?

Accessory muscle use, tracheal tugging, JVD, abnormal positioning

What should you listen for (respiratory)??

Grunting, wheezing, rales, stridor

What should you feel for in respiratory assessment?

Tracheal deviation

What is the treatment for respiratory complaints?

Proper oxygen therapy

What medication is given for wheezing in respiratory patients?

2.5 mg Albuterol + 0.5 mg Atrovent via nebulizer

What are common associated signs and symptoms of cardiac complaints?

Shortness of breath, weakness, dizziness, palpitations

What questions should you ask for cardiac complaints?

• Do you have a respiratory infection or symptoms?

• Do you have a cough?

• Is it productive?

• Does pain change with movement or deep breathing?

What should you look for in a cardiac assessment?

JVD, peripheral edema, pursed-lip breathing, pink frothy sputum

What breath sounds may be heard in cardiac complaints?

Grunting, wheezing, rales, stridor

What is the treatment for cardiac complaints?

Proper oxygen therapy

When is aspirin given in cardiac complaints?

If indicated → 324 mg Aspirin

When is nitroglycerin given in cardiac complaints?

If indicated → 0.4 mg nitroglycerin

What are common associated signs and symptoms of neurological complaints?

Headache, blurred vision, confusion/cloudiness, noticeable deficits

What psychiatric-related questions should be asked in neurological assessment?

• Is this normal for the patient?

• What is different and when did it begin?

• Recent drugs/alcohol?

• History of diabetes? Blood sugars?

• Fever? Open wounds?

What should you look for in neurological assessment?

PEARL pupils, drug/alcohol paraphernalia, active seizure

What should you feel for in neurological assessment?

Head injuries, PMS (pulse/motor/sensory), Cincinnati Stroke Scale (FAST

Smell for in neurological assessment?

Fruity/acetone breath odor, alcohol on breath

What is the treatment for neurological complaints?

Proper oxygen therapy

What is given for hypoglycemia?

15 g oral glucose

What is given for suspected opioid overdose?

2 mg Narcan intranasally

What should be done in risky weather conditions?

Remove patient from the environment

What are common associated signs and symptoms of anaphylaxis?

Weakness, shortness of breath, itchiness, chest pain

What questions should you ask for anaphylaxis?

• Have you encountered a known allergen?

• Have you taken anything (EpiPen, inhaler, Benadryl)?

• Any new medications, foods, or cleaning products?

What should you look for in anaphylaxis assessment?

Accessory muscle use, tripod/sniffing position, peripheral edema, facial swelling

What breath sounds may be heard in anaphylaxis?

runting, wheezing, rales, stridor

What is the treatment for anaphylaxis?

Proper oxygen therapy

What medication is given for wheezing in anaphylaxis?

2.5 mg Albuterol + 0.5 mg Atrovent via nebulizer

What medication is given for anaphylaxis?

0.3 mg Epinephrine (0.15 mg if under 66 lbs.)

What are common associated signs and symptoms of abdominal complaints?

Weakness, shortness of breath, chest pain

What vomiting questions should be asked in abdominal complaints?

• Have you been vomiting?

• Describe the vomit

• Coffee-ground emesis or bright red blood?

What bowel questions should be asked in abdominal complaints?

• Any unusual bowel habits?

• Describe bowel movements

• Any dark tarry stool?

What urinary questions should be asked in abdominal complaints?

• Pain/problems urinating?

• Unusual odors?

• Does urine look normal?

What female-specific questions should be asked in abdominal complaints?

• Any vaginal discharge?

• Could you be pregnant?

What should you look for in abdominal assessment?

Discoloration, distention, injury, swelling, visible masses

What should you listen for in abdominal assessment?

Periodic bowel sounds

What should you palpate for in abdominal assessment?

Tenderness, rebound tenderness, guarding/rigidity, unusual masses

What is the treatment for abdominal complaints?

Proper oxygen therapy