airway and breathing Flashcards
patent airway
open airway
occluded airway
blocked airway
4 steps to open airway
- manuever
- look for obstruction
- clear airway
- maintain
manuevers
- head tilt chin lift
- jaw thrust
contraindication of head tilt chin lift
c-spine injury
contraindication of jaw thrust
no jaw
removing obstructions
- finger sweeps
- suctioning (manual or mechanical)
bulb syringe
squeeze on the way in, release, then squeeze again on way out
mechanical suction devices
- rigid tip (yankauer)
- flexible tip catheter
yankauer
used to remove fluids and secretions from mouth, insert no further than u can see
flexible tip catheter
used in tracheostomies, stomas, or artificial airways; insert the same length of artificial airway
suctioning timings
adult : 15 secs
children : 10 secs
infant : 5 secs
recovery position
if unconscious patient is breathing adequately and has not suffered trauma
when to place in recovery position
actively aspiring, immediate risk of aspiration, suctioning is needed but not available
airway adjuncts
- oropharyngeal OPA
2 nasopharygeal NPA
OPA
unconscious patients only who are breathing and are in respiratory arrest
contraindication: gag reflex
NPA
used in both conscious and unconscious patients who are not able to maintain an open airway, cannot suction thru NPA
contraindication: facial trauma
OPA insertion
backwards, hit resistance, rotate 180
NPA insertion
lubricate, beveled edge towards septum, and insert
tidal volume
amount of air per breath
assessing for adequate breathing
tidal volume
lung sounds
bilateral chest rise and fall
respiratory arrest (apenic)
lack of chest movements, breath sounds, and air against side of ur face
rescue breathing
mouth to mouth
mouth to barrier
mouth to mask
BVM
rescue breathing timing
adult : 1 breath every 6 secs
children/infants : 1 breath every 2-3 secs
