ABCDE Flashcards
what do the following airway noises tell you about obstruction: gurgling snoring stridor wheeze silent
Gurgling secretions Snoring = tongue obstructing pharynx Stridor = perilarnygeal obstruction Wheeze = airways collapse Silent = complete obstruction
what do do if there is gugling
GENTLE suction
if you insert guedel and they bite down….
STOP. they can fee lit and they may aspirate. nasopharyngeal instead? this is just what i thought of….
why is assessing pain important before assessing airway support advice
if they flex to pain they probably won’t tolerate a guedel…
what to always adhere to when doing abcde
LOOK
LISTEN
FEEL!!!!!!!
obs!!!!!!!!!1
look for assessing breathing
are they breathing
is it normal
is it symmetrical
check their sats (although nurse probably already will have)
listen for assessing breathing
air entry
added sounds
usually do the feeling before the listening
feel for breathing
trachea
symmetry
what mask do you deliver o2 through
non-rebreathe mask
also called a reservoir mask
one with the bag on the end
you have sorted out the airway and it is patent. their breathing is inadequate or absent. what should you do?
bag and mask ventilation
look for circulation
perfusion
any bleeding you can see?
listen for circulation
heart sounds - usually unhelpful
feel for circulation
peripheral AND central pulses. make sure to remember VOLUME
CRT
obs for circulation
BP
pulse can be included here instead of feel
why is listening to the chest important for management decisions apart from finding out the cause
want to know if they are overloaded…will influence gi ving fluid
