Airway Flashcards
How do you measure a oropharyngeal airway?
Earlobe to the corner of the mouth
Where does a tracheostomy sit?
Between the 2nd and 4d tracheal rings
Airway adjuncts
Nasopharyngeal
Oropharyngeal
Laryngeal Mask Airway (LMA)
Endotracheal tube (ETT)
What is the esophageal consideration of a tracheostomy?
If tracheostomy cuff is inflated too high, it can impact swallowing
What are the indications for a tracheostomy?
Altered level of consciousness
Upper airway obstruction
Post-surgery odedma (Head & neck or ENT surgery)
Prologned ventilation
Airway clearance
What tracheosotomy has an inner cannula?
Dual lumen
What is the most common type of humidification for a tracheostomy?
Passive: heat-moisture exchange
How long post tracheostomy can securement device be changed?
Cotton tapes can be changed to velcro tapes one week post surgery
What is the measurement for tracheostomy securement?
1 finger
What is the normal parameters for cuff pressure?
20 - 30 cmH20
What is the consequence of cuff pressure <20 cmH2O
oropharyngeal secretions drain into the lungs
What is the consequence of cuff pressure >30 cmH2O
higher than the capillary blood flow to the trachea and therefore will result in a trahceal pressure injury
What is anaphylaxis?
severe systemic allergic reaction to an external trigger
What is the first line of treatment for anaphylaxis?
Adrenaline
Anaphylaxis signs and symptoms
- Difficult or noisy breathing
- Swelling of the tongue
- Swelling or tightness in the throat
- Difficult talking or having a hoarse voice
- Wheeze or persistent cough
- Persistent dizziness or collapse
- Pale and floppy (in young children)
- Itchiness
