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24 Cards in this Set
- Front
- Back
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What is the most common airway obstruction? |
Tongue |
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What is the proper technique for inserting an oral airway? |
With a twisting motion |
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What reaction will an OPA cause if inserted into a conscious pt? |
It will stimulate gag reflex. |
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How do we visualize the larynx? |
With direct laryngoscopy |
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What do we need for direct laryngoscopy? |
Laryngoscope |
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What are the four advantages of endotracheal intubation? |
Secures the airway, protects against aspiration, diminishes gastric distension & offers an alternative route than IO or IV |
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What are the two types of laryngoscopy blades? |
Miller (straight) & Macintosh (curved) |
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What are the proper anatomical marks for placement of Miller & Mac blades? |
Epiglottis for Miller & vallecula for Mac |
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What is the optimal position of the pt for intubation? |
Sniffing position - supine with head elevated with flexion & extension of neck |
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What is the purpose of a stylet? |
Stiffens tube |
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What are the benefits of endotracheal intubation over other airway adjuncts? |
Maintains airway better than NPA or OPA Cuff protects against aspiration Diminishes gastric distension |
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What are four errors that can take place during endotracheal intubation? |
- Not adequately ventilating pt prior to intubation - Letting go of tube - Using teeth as fulcrum - Taking longer than thirty seconds |
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What are five complications of endotracheal intubation? |
- Broken teeth - Laryngospasm - Intubation of right main stem - Not auscultating - Tube being in esophagus |
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What is the procedure for esophageal intubation? |
Quickly remove tube after inflating cuff, turn head to side, suction |
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What is the procedure for breath sounds on right side but not left side after intubation? |
Deflate cuff, back out slowly while ventilating & listen until breath sounds are bilateral & cuff can be reinflated |
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What is Sellick's maneuver used for? |
Preventing regurgitation |
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What are the procedures for preparing an LMA? |
Inflate & deflate to test for leaks, do flip test, lubricate top, bend to check for kinks, pass along hard palate |
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How many times can an LMA be sterilized in a hospital? |
Forty |
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What would two indications for an LMA be? |
- Unsuccessful ET intubation - ET tube not available |
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What is the proper technique for insertion of LMA? |
Hold like pen in dominant hand, should move outward upon inflation & tape to lower jaw |
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What are three ways that we confirm proper placement of LMA? |
- Auscultation with breath sounds bilaterally - Bilateral equal chest rise - No breath sounds in epigastrium |
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Is the LMA a first line adjunct? |
No, ET tube is first choice |
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Can an LMA be used in a patient with a gag reflex? |
No |
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What maintains the trachea in an open position? |
C- ring cartilages |
