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Kick Ass Respiratory Exam > Airway care > Flashcards

Airway care Flashcards

1
Q

What is the most serious complication with an oral airway.

A

Laryngospasm

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2
Q

What is epitaxis mean

A

Nasal bleeding

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3
Q

What is a contraindication to head tilt/chin lift

A

Suspect neck fracture

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4
Q

Why would you choose a nasopharyngeal airway instead of a oralpharyngeal airway?

A

The patient is conscious and has no other contraindications

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5
Q

If you were alone, how long would you do CPR before you activate the EMS system?

A

2 minutes

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6
Q

Why should you not use excessive high flows with manual resuscitation bags?

A

It may cause one of the valves to jam

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7
Q

What is the pressure relief valve set at on a pneumatically powered resuscitation device?

A

50 cm H2O

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8
Q

What are the five indications to intubate someone?

A

Provide a patent airway
Access for suctioning.
Mechanical ventilation
Protect the airway
For medication delivery when IV access is unavailable

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9
Q

What are the different drugs you can deliver through an endotracheal tube and what is the process?

A

Valium-sedative
Atropine-bradycardia
Narcan-narcotic overdose
epinephrine-asystole

Double the normal dose and squirted down the endocrine tube with 10 cc of saline. Hyperventilate for 30 seconds.

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10
Q

With serious Laryngospasm that can happen with an oral airway or intubation, what is the treatment?

A

Tracheostomy

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11
Q

How do you tell immediately if there is a right mainstem intubation

A

If the endotracheal tube is greater than 25 cm at the lip or the NTT is >29 cm at the nare

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12
Q

What is the neuromuscular agent you would recommend for intubation?

A

Succinylcholine

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13
Q

What should you do for intubation if the larynx isn’t in an interior location or the patient is at risk of aspiration

A

Apply cricoid pressure (Sellick maneuver)

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14
Q

What are the four priority assessments for determining proper endotracheal tube position??

A
  1. Inspection, look for chest expansion and proper placement of the tube(ET=<25, NT=<29)
  2. Oscillation-bilateral breath sounds
  3. Capnography, or CO2 detection-should turn yellow
  4. Chest x-ray showing tube 2 to 6 cm above carina
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15
Q

What type of special purpose airway is designed to prevent VAP

A

Continuous aspiration of subglottic secretion (CASS) tube

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16
Q

With a CASS tube, what is the continuous suction line set at?

A

20 mm Hg

17
Q

What type of airway would you recommend for treatment of a bronchopleural fistula, or independent lung ventilation

A

Double lumen endotracheal tube, also known as a DLT, Carlen’s Tube, or Endobronchial tube

18
Q

High-pressure assisted ventilation with supraglottic airways has been shown to cause what side effect?

A

Gastric insufflation

19
Q

What type of supraglottic airway is designed for esophageal intubation

A

King LT supraglottic airway

20
Q

What are two types of endotracheal tube exchangers And which one allows for oxygenation and ventilation

A
  1. Airway exchange catheter allows for oxygenation and ventilation
  2. Gum elastic bougie
21
Q

What is the test called when you evaluate the amount of leakage around the tube during positive pressure ventilation with the cuff deflated

A

Qualitative leak test

22
Q

What should you prescribe to treat moderate distress/stridor after extubation

A

Oxygen, cool aerosol, racemic epinephrine, and Heliox therapy

23
Q

Besides varying respiratory distress levels, what are some other postextubation complications?

A

Vocal cord polyps
Mucosal ulceration
Tracheomalacia
Tracheostenosis

24
Q

What is a late complication of a tracheostomy tube insertion?

A

Tracheo-Esophageal (T-E fistula)
Obstruction, hemorrhage, infection

25
Q

What are two common hazards of suctioning someone’s airway?

A

The most severe is Hypoxemia leading to tachycardia and arrhythmias
Bradycardia from vagus nerve stimulation

26
Q

What does iatrogenic mean?

A

Caused by the procedure

27
Q

What is normal vacuum pressure for an adult suctioning?

A

120-150 mm Hg

28
Q

How long is the ideal catheter for suctioning their way?

A

20 to 22 inches

29
Q

How do you calculate French size for suctioning?

A

Use 1/2 the diameter of the tracheal tube size and multiplied by three

30
Q

When using a Luken trap, what do you flush the catheter with tube obtain your sample

A

Sterile water, or isotonic saline

31
Q

Why would you change to a close system suction catheter for suctioning?

A

If the patient has an infection, is on peep therapy, or desaturates during suctioning

32
Q

If the patient has an adverse reaction to suctioning, what would be your next steps?

A

Reduce the level of vacuum and suction time

Kick Ass Respiratory Exam (9 decks)

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