Airway Care

Question 1

Oropharyngeal Airways

Answer 1

Indications:
Unconscious patient
Support base of tongue
Bite block
Facilitate oral suctioning

Question 2

Nasopharyngeal Airway

Answer 2

Indications:
Conscious patient
Facilitate nasotracheal suctioning
Used to decrease trauma during nasotracheal suctioning

Question 3

BVM if bag fills rapidly and collapses easily on minimal pressure

Answer 3

Check inlet valve

Question 4

BVM if bar becomes difficult to compress and patient compliance is normal

Answer 4

Patient valve may be stuck open or closed

Excessively high flow may cause valves to jam

Question 5

Cuff Pressure

Answer 5

20-15 mmHg
or
25-35 cmH2O

Question 6

Most serious complication of intubation

Answer 6

Laryngospasm

Question 7

Tube Placement

Answer 7

21-25 cm at patient’s lips

2-6 cm above carina or at aortic knob/notch

Question 8

Stylet

Answer 8

Used only to aid in oral intubation

Shapes the tube for easier insertion

Question 9

Magill Forceps

Answer 9

Used only to aid in nasal intubation

Question 10

Nasal intubation tube placement

Answer 10

26-29 cm at patient’s nares

Question 11

CASS Tubes

Answer 11

To prevent VAP

Question 12

Double Lumen ET Tube

Answer 12

Indications:
ILV
Bronchopleural fistula
During surgery
Unilateral lung disease

Question 13

LMA

Answer 13

Indicated for short term ventilation and when intubation is not possible by the oral or nasal route

Question 14

Stridor

Answer 14

Severe respiratory distress/marked stridor - reintubate

Moderate distress/stridor - O2, cool mist aerosol, racemic epinephrine, heliox therapy

Mild distress/stridor or sore throat - provide humidity, O2 and/or racemic epinephrine

Question 15

Fenestrated tubes

Answer 15

Used for weaning and temporary mechanical ventilation with inner cannula

Question 16

Tracheal Button

Answer 16

Used to maintain stoma opening

Question 17

Most severe complications of suctioning

Answer 17

Hypoxemia