SalusPrep

Paramedic NREMT®

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Airway

Airway & Respiratory Management

COPD Exacerbation — CO₂ Retainer · L1

How this exercise works

Sort airway tools and ventilation strategies into the correct management categories — basic adjuncts, advanced airways, BVM, CPAP, and rescue techniques.

Fundamental concept

Categorizing basic adjuncts, supraglottic devices, intubation, BVM, CPAP, and rescue techniques for failing ventilation.

Read: Advanced Airway & Respiratory Management →

Scenario

COPD exacerbation: RR 28, SpO₂ 88% on 2 L NC, somnolent, EtCO₂ 62 mmHg.

Sort each intervention into the correct category.

Items

Avoid NRB 15 L/min targeting 100% SpO₂
Endotracheal intubation if NIV fails or arrest imminent
Bronchodilator nebulization
BiPAP/CPAP per protocol with monitoring
EtCO₂ monitoring to guide ventilation rate
Titrate oxygen to SpO₂ 88–92%
NPA if obtunded but ventilations needed
Surgical airway only in CICO scenario

Basic airway

Drop items here

Advanced airway

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Ventilation

Drop items here