132 test 1-airways/ippb

Question 1

Name Indications for E-T Tubes?

Answer 1

Failure to ventilate/oxygenate
respiratory failure
need to protect airway
airway compromised
predation of decomposition
airway obstruction

Question 2

What are some things that cause ventilatory failure?

Answer 2

Drugs
Midbrain Abnormalities
Disease of respiratory muscles

Question 3

In this disease acetylcholine becomes absent; causing inaction of neural junction

Answer 3

Myasthenia Gravis

Question 4

This disease de-mylenates nerve sheath by immune system & causes paralysis, begins as virus

Answer 4

Guillian Barre

Question 5

Name symptoms of obstructed airway?

Answer 5

stridor, muscle exertion, accessory & intercostal muscles being used

Question 6

Name the 4 protection reflexes?

Answer 6

Pharyngeal
Laryngeal
Tracheal
Carinal

Question 7

Name the 2 types of cuffs that seal airway?

Answer 7

Low Volume, high pressure

High volume, low pressure

Question 8

Which type of volume cuff is best?

Answer 8

High volume, low pressure because it helps preserve airway

Question 9

What size ET is normally used in women & men?

Answer 9

Women: size 7-8
Men: 8-9

Question 10

What should cuff pressure be set at?

Answer 10

20-25 mmHg

Question 11

What is the max cuff pressure above the cuff?

Answer 11

20 cmH20

Question 12

At what pressure is lymph flow impeded?

Answer 12

5 mm Hg

Question 13

At what pressure is Venous flow obstructed?

Answer 13

Greater than 10 mmHg

Question 14

At what pressure is arterial blood flow obstructed?

Answer 14

Greater than 30 mm Hg

Question 15

What type of tube is used that is double lumen & can seal either the esophagus or trachea and oropharynx?

Answer 15

Combitube

Question 16

What type of tube is used to ventilate only one side of lung?

Answer 16

Carlen Tube

Question 17

What other type of airway device is often used for anesthesia to provide patent airway, sometimes used in emergencies?

Answer 17

LMA–Laryngeal Airway Device

Question 18

What are some complications of E-T Tubes?

Answer 18

Poor secretion removal
Loss of protective measures
unable to talk
could cause vocal cord paralysis
Glottic edema
Tracheal stenosis
Treacheal Malacia

Question 19

When viewing ET tube exernally where should the oral tube be sititng at teeth in mean & women?

Answer 19

21-23 cm for men

19-21 cm for women

Question 20

Where does the ET tube get inserted?

Answer 20

Mid Trachea
2-4 inches above carina
Between T2-T4

Question 21

What is the best method to confirm if ET tube is correctly placed?

Answer 21

Xray

Question 22

What is best method to confirm if ET tube is correctly placed at bedside?

Answer 22

EasyCap

Question 23

Which type of trach tube is best for ventilated patient, cuffed or uncuffed?

Answer 23

Cuffed

Question 24

How often should inner cannulas of trach tube be changed?

Answer 24

Every 24 hrs

Question 25

What are some conditions requiring trach tubes?

Answer 25

Traumatic upper airway obstruction
Uncontrolled upper airway breathing
Coma
Patient unable to maintain ventilation
Laryngeal & upper airway edema

Question 26

Complications of trach tubes?

Answer 26

Laryngeal lesions
Failure to establish patent airway
Tracheal damage: stenosis, malacia

Question 27

Why is routine aircare necessary?

Answer 27

Keep patent airway
Protect lower airway
Cough reflex is suppressed

Question 28

How do you determine the catheter tube size?

Answer 28

Size x 2 and take next smallest size

Question 29

What are results of too much pressure too long?

Answer 29

Tracheal Ischemia
Ulceration
Necrosis

Question 30

What should the cuff pressure be set at?

Answer 30

20-25 mmHg

Question 31

Why are tubes cuffed?

Answer 31

To seal the airway