Advanced Airway Flashcards

1
Q

2 goals of airway

A

Oxygenation and ventilation

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2
Q

How do you know if they are oxygenated and ventilating

A

End title

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3
Q

LEMONS

A

To identify difficult intubation

Look externally
Evaluate 3:3:2
Mallampati
Obstruction/ Obesity
Neck mobility
Saturation/ Situation

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4
Q

SMART

A

Difficult Cricothyrotomy

Surgical history
Massive neck adipose
Assess anatomy
Radiation
Tissue landmarks

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5
Q

CPAP Indication

A

CHF with SBP above 90
Near drowning
Pneumonia
Asthma/ COPD
Neuromuscular disorder

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6
Q

CPAP Contra

A

Increased secretions
Head trauma/ ICP
Penetration to chest/ pneumothorax
Explosive barotrauma

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7
Q

NIPPV

A

Non invasive positive pressure ventilation

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8
Q

Common pediatric airway infections

A

Epiglottitis
Croup
Bacterial tracheitis
Retro pharyngeal abscess
Ludwig’s angina

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9
Q

Epiglottitis

A

Swelling of the epiglottis from infection that can become an airway obstruction

S/S - drooling, lack of coughing, stridor

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10
Q

Croup

A

Infection of the upper airway (usually viral) may spread to bronchi

S/S - stridor with a cough (barking cough)

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11
Q

Bacterial tracheitis

A

Bacterial infection of trachea

S/S - fever, cough, drooling, harsh vibrating noise from larynx when breathing

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12
Q

Retropharyngeal abscess

A

Collection of pus in back of throat

S/s- fever, stiff neck, noising breathing

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13
Q

Ludwig’s angina

A

Life threatening cellulitis of soft tissue in neck and floor of mouth

S/s- swelling to neck, tongue, cheeks, jaw

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14
Q

Common obstructions to pediatric airways

A

Foreign body
Burns
Anaphylaxis
Trauma

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15
Q

Common congenital abnormalities for Ped airway

A

small chin
large tongue
limited mouth opening
small neck

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16
Q

BVM 1 breath every ____ sec for ped

17
Q

BVM 1 breath every ____ sec for adult

18
Q

formula to select an uncuffed ET tube size for ped

A

(AGE/4) +4

*go down half a size for cuffed

19
Q

What form of shock lowers end title

20
Q

Normal end title range

21
Q

Desired end title range for ICP

22
Q

Normal end title waves

23
Q

Hypoventilation wave form

A

Long squares

24
Q

Hyperventilation wave form

A

Quick squares

25
Asthma wave form
Will look like shark fins Mild- increase RR with low ETCO2 Moderate- decreased RR with normal ETCO2 Severe- really slow RR with high ETCO2
26
3 types of COPD
Asthma- pathway problem Bronchial- pathway problem Emphysema- alveoli problem
27
ETCO2 wave form that trails off…
Bad seal Blown cuff
28
ETCO2 that looks like tents…
Obstruction
29
How do you find MAP
(SBP + 2(DBP) )/3
30
What is a good MAP and what does it mean
65 meaning the pts pressure is good enough to perfuse