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Directives > Airway/Breathing Directives > Flashcards

Airway/Breathing Directives Flashcards

1
Q

Orotracheal Intubation Indications

A

Need for ventilatory assistance or airway control
Other airway management is ineffective

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2
Q

Lidocaine Spray Conditions

A

Age: N/A
LOA: N/A
HR: N/A
RR: N/A
SBP: N/A
Other: Orotracheal intubation

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3
Q

Orotracheal Intubation Conditions

A

N/A to all

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4
Q

Lidocaine Contraindications

A

Allergy or sensitivity to lidocaine
Unresponsive pt

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5
Q

Orotracheal Intubation Contraindications

A

Age <50 AND current episode of asthma exacerbation AND not in or near cardiac arrest

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6
Q

Topical Lidocaine Dose

A

10 mg/spray

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7
Q

Topical Lidocaine Max Dose

A

5mg/kg

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8
Q

Topical Lidocaine Dosing Interval

A

N/A

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9
Q

Topical Lidocaine Max # doses

A

20 sprays

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10
Q

GCS to consider lidocaine spray

A

> /= 4

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11
Q

Max # Intubation attempts

A

2

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12
Q

Primary ETT confirmation

A

ETCO2

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13
Q

Secondary ETT confirmation

A

ETCO2 (non waveform)
Visualization
Auscultation
Chest rise
Esophageal detection device

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14
Q

ETT attempt

A

Insertion of laryngoscope blade into mouth for purpose of intubation.

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15
Q

Secondary methods if ETCO2 not available

A

3

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16
Q

Nasotracheal Intubation Indications

A

Need for ventilatory assistance or airway control
Other airway management ineffective

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17
Q

Xylometazoline Conditions

A

N/A to all

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18
Q

Lidocaine Spray Nasotracheal Conditions

A

N/A to all, Gag reflex

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19
Q

Nasotracheal Intubation conditions

A

Age >/= 8, spontaneous breathing

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20
Q

Xylometazoline Contraindications

A

Allergy or sensitivity

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21
Q

Nasotracheal Intubation Contraindications

A

Age <50 and current asthma exacerbation and not in or near cardiac arrest
Suspected basal skull fracture or mid-face fracture
Uncontrolled epistaxis
Anticoagulant Therapy (excluding ASA)
Bleeding disorder

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22
Q

Xylometazoline Dose

A

2 sprays/nare

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23
Q

Xylometazoline Max dose

A

2 sprays/nare

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24
Q

Xylometazoline Dosing interval

A

N/A

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25
Q

Max # doses xylometazoline

A

1

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26
Q

Max # attempts nasotracheal intubation

A

2

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27
Q

Attempt nasotracheal intubation

A

insertion of nasotracheal tube into nare

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28
Q

Paediatric ETT size >1 year of age

A

age/4 + 4

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29
Q

Depth to teeth for children >2 calculation

A

age/2 + 12

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30
Q

Equation for ETT placement adults

A

Tube size x 3

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31
Q

SGA indications

A

Need for ventilatory assistance or airway control
Other airway management ineffective

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32
Q

SGA Conditions

A

GCS 3, absent gag reflex

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33
Q

Contraindications SGA

A

Vomiting
Inability to clear airway
Caustic ingestion
Edema
Stridor

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34
Q

Max attempts SGA

A

2

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35
Q

Bronchoconstriction Indications

A

Respiratory distress
Suspected bronchoconstriction

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36
Q

Salbutamol Conditions

A

N/A to all

37
Q

Epinephrine Bronchoconstriction Conditions

A

BVM ventilation required
Hx of asthma

38
Q

Salbutamol Contraindications

A

Allergy

39
Q

Epinephrine Contraindications

A

Allergy or sensitivity

40
Q

Salbutamol <25 kg MDI Dose

A

Up to 600mcg

41
Q

Salbutamol <25kg max single dose

A

600mcg

42
Q

Salbutamol Dosing interval

A

5-15 PRN

43
Q

Salbutamol Max # Doses

A

3

44
Q

Salbutamol NEB <25kg Dose

A

2.5mg

45
Q

Salbutamol MDI >25kg Dose

A

800mcg

46
Q

Salbutamol NEB >25kg Dose

A

5mg

47
Q

Epinephrine Dose

A

0.01mg/kg
Round to nearest 0.05

48
Q

Max Epinephrine Dose

A

0.5mg

49
Q

Max Epinephrine # doses bronchoconstriction

A

1

50
Q

Contraindication Nebulization

A

Fever or declared febrile respiratory illness

51
Q

Allergic Reaction Indications

A

Exposure to a probable allergen
S/Sx of moderate to severe allergic reaction

52
Q

Epinephrine Allergy Conditions

A

For anaphylaxis only

53
Q

Diphenhydramine Conditions

A

Weight >/= 25kg

54
Q

Contraindications Diphenhydramine

A

Allergy

55
Q

Epinephrine # doses anaphylaxis

A

2

56
Q

Diphenhydramine >25 to <50kg dose

A

25mg

57
Q

Diphenhydramine # doses

A

1

58
Q

Diphenhydramine >50kg Dose

A

50mg

59
Q

Diphenhydramine Administration Route

A

IV/IM

60
Q

Croup Indications

A

Severe respiratory distress
Stridor at rest
History of URTI
Barking cough or recent barking cough

61
Q

Epinephrine Croup Conditions

A

<8 yo
HR <200bpm

62
Q

Age <1 weight <5kg Epi Croup Dose

A

0.5mg NEB

63
Q

Age <1 Weight >5kg Epinephrine Croup dose

A

2.5mg NEB

64
Q

Age >1 to <8 Epinephrine Croup dose

A

5mg NEB

65
Q

Minimum Nebulization volume

A

2.5mL

66
Q

Tension Pneumothorax Indications

A

Suspected tension pneumothorax
Critically ill or VSA
Absent or beverly diminished breath sounds on the affected side

67
Q

Needle Thoracostomy conditions

A

Hypotension or VSA

68
Q

Needle Thoracostomy Contraindications

A

N/A

69
Q

Prior to Needle Thoracostomy

A

Mandatory Patch Point

70
Q

Placement of Needle Thoracostomy

A

2nd intercostal space in midclavicular line

71
Q

CPAP Indications

A

Severe respiratory distress
S/Sx of APE or COPD

72
Q

CPAP Conditions

A

> /= 18
Tachypnea
Normotension
SpO2 <90 or accessory muscle use

73
Q

CPAP Contraindications

A

Asthma exacerbation
Suspected pneumothorax
Unprotected/unstable airway
Major trauma or burns to head or torso
Tracheostomy
Inability to sit upright
Unable to cooperate

74
Q

Initial CPAP setting

A

5cm H2O (8lpm)

75
Q

Titration increment CPAP

A

2.5cm H2O

76
Q

Titration Interval CPAP

A

5 min

77
Q

Max CPAP setting

A

15 cm H2O (15lpm)

78
Q

O2 settings CPAP

A

8lpm, 10lpm, 12lpm, 15lpm

79
Q

Endotracheal + Trach Suctioning + Reinsertion Indications

A

Pt with ETT or trach
Airway obstruction or increased secretions

80
Q

Suctioning Conditions

A

N/A

81
Q

Emergency Trach reinsertion conditions

A

Pt with existing tracheostomy where inner/outer cannulas have been removed from airway
Respiratory distress
Inability to ventilate
Paramedics presented with tracheostomy cannula for pt

82
Q

Suction Contraindications

A

N/A

83
Q

Emergency trach reinsertion contraindications

A

Inability to landmark or visualize

84
Q

Infant Suction pressure

A

60-100

85
Q

Child suction pressure

A

100-120

86
Q

Adult suction pressure

A

100-150

87
Q

Suction dosing interval

A

1 minute

88
Q

Max # of suction

A

5

89
Q

Trach reinsertion attempts

A

2

Directives (4 decks)

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