Module 3 Assignment 1

.pdf

School

Louisiana State University *

*We aren’t endorsed by this school

Course

06

Subject

Health Science

Date

Apr 3, 2024

Type

pdf

Pages

6

Uploaded by HighnessSalamanderPerson1058

Module 3 Assignment 1 Steven Burris School of EMS DFW-23-11-K1-HYF-PAR 25 February 2024
Prompt 1 While researching the term “pulmonectomy”, I found that “Pneumonectomy” is the same term. There are many causes for a patient to have a lung removed, such as cancer, trauma, infections and more. My assessment would change due to there being no lung sounds on one side of the chest. If you do not know the patient is missing a lung you would assume the patient has suffered a spontaneous pneumothorax. Also the patient would likely not be able to have as much oxygen in his system causing hypoxia to come up faster. One large concern for treating this patient is if the patient starts to have trouble breathing or starts desatting, we would have a much harder time oxygenating this patient. EMS would need to be much more aggressive in the oxygenation of this patient. Prompt 2 Ventilation Perfusion Mismatch is the difference in air the patient can move into their lungs versus the amount of blood available to prefuse the oxygen into the cells of the patients body. Mismatch occurs when the patients available blood flow is lessoned and they are unable to transport oxygen to the body as well as when the patient is unable to being in adequate oxygen to the body to be perfused. ● Perfusion > Ventilation 1 ○ This patient could be suffering from anaphylaxis causing no airflow into the lungs which will cause the ventilation problem in the Perfusion > Ventilation mismatch.
○ A fix for this would be administering 0.3mg EPI IM to the adult patient and aggressive management of the airway to potentially include a cricothyrotomy if the EPI does not work. ● Perfusion > Ventilation 2 ○ Another form of Perfusion > Ventilation mismatch could be a patient who has gone into respiratory arrest. This patients heart is still beating meaning blood is still being perfused but there is no oxygen being brought into the system to be transported by the blood. ○ The fix for this patient would also be aggressive treatment of the airway. As a responder you would start with placing an OPA and ventilate with a BVM to preoxygenate the patient while you ready your intubation equipment. ● Ventilation > Perfusion 1 ○ One form of Ventilation > Perfusion mismatch could be a patient who is in cardiac arrest meaning there is no blood flow within the body. ○ Manual compressions and or mechanical compressions would be the fix for this patient. No matter how much oxygen you ventilate into this patient, if they are not perfusing any blood their cells are not receiving any of the oxygen you are giving. ● Ventilation > Perfusion 2 ○ Another cause of a perfusion issue could be lack of blood in the system from a trauma or from a GI bleed. If there is not adequate blood and hemoglobin to transport oxygen to the cells and brain the patient will still be hypoxic even if they are at 100% SpO2.
Your preview ends here
Eager to read complete document? Join bartleby learn and gain access to the full version
  • Access to all documents
  • Unlimited textbook solutions
  • 24/7 expert homework help