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Paramedicine > AIRWAY: CHAPT. 14 > Flashcards

AIRWAY: CHAPT. 14 Flashcards

1
Q

The procedure to have the Larynx removed is known as what?

A

Laryngectomy

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2
Q

5 year old boy at home has a trach-tube and is on a vent. Patients mother states unable to suction teach-tube adequately and patients oxygen saturation is dropping. Patient has been ill for 2 days with a fever, congested lungs, and copious amounts of thick green tinged mucus. You attempt to suction tube with no results. What is your best course of action?

A

Remove tracheostomy tube and replace it with a new one

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3
Q

Pharynx

A

Throat

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4
Q

Carina

A

Point where the main stem bronchi branch, important land mark for ET Tube

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5
Q

Peak Expiratory Flow

A

Greatest rate of air flow that can be achieved during forced expiration beginning with the lungs fully inflated

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6
Q

Barotrauma

A

An injury resulting from rapid or extreme changes in pressure

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7
Q

FiO2

A

Percentage of oxygen in inspired air (increases with suppl. O2)
Commonly documented as a decimal (FiO2 = 0.85)

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8
Q

Trachea

A

Windpipe

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9
Q

The distal cuff of the ET tube should hold how many mL of air after placement?

A

6-10mL

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10
Q

Who pioneered mouth to mouth ventilation?

A

James O. Elam (1954)

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11
Q

Larynx

A

Voice box

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12
Q

Alveolar Air Volume

A

Amount of air that reaches the alveolar for gas exchange.

Avg Adult Male = 350mL

It’s the difference between Tidal Volume and Dead Air Space

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13
Q

While using a BVM to ventilate the lungs of a medical patient, you make notice that the patients chest is not rising adequately and the pulse ox is low, suggesting that the patient is not oxygenating properly. What do you suspect?

A

Inadequate Tidal Volume with each breath

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14
Q

A patient in respiratory failure. Using a laryngoscope you attempt to visualize the vocal chords with no success.. Your partner attempts with no success. What is the next appropriate action?

A

Utilize a dual lumen airway

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15
Q

A patient has ingested hydrochloric acid. You would like to secure and airway. What is the best method for doing so?

A

ET Tube

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16
Q

77 year old female in respiratory distress. Tracheostomy tube has come dislodged. What is the next action?

A

Attempt to replace tube or incubate if necessary

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17
Q

Miller

A

Straight Laryngoscope blade that is placed under the epiglottis.

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18
Q

Automatic Transport Ventilators (ATV) are typically contraindicated in patients who what?

A

Have Asthma

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19
Q

Dead Air space

A

Air inspired that does not participate in gas exchange.

Average adult male -150mL

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20
Q

Rhonchi

A

Rattling sounds from mucus obstructions of the large airways

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21
Q

Macintosh

A

Curved laryngoscope blade that is placed in the vallecula

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22
Q

Upper airway consists of what?

A

Nose, Nasal Cavities, Pharynx, Laynx

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23
Q

Sniffing position is indicative of what kind of airway obstruction?

A

Upper airway

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24
Q

SupraSternal Notch

A

Depression that is easily felt at the base of the anterior aspect of the neck; just above the angle of Louise.

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25
Q

Angle of Louise

A

Angular ion of the sternum that indicated the point where the second rib joins with the sternum.

Used as a starting point from which the ribs and intercostal muscle can be counted

26
Q

To correctly position a patients head for combitube insertion you should…

A

Place the head in the neutral position

27
Q

Stridor

A

High pitched crowing sounds on inspiration resulting from right upper airway

28
Q

Alveoli

A

Airway sacs in which gas exchange occurs

29
Q

You have just delivered a newborn baby and need to suction secretions from the airway. Suctioning of a newborn should be between how may second?

A

3-5 seconds

30
Q

Suctioning (application of negative pressure) should be activated upon what?

A

Extraction of the suction catheter

31
Q

In ideal circumstances; suctioning an adult patients airway should not exceed how many seconds?

A

15 seconds

32
Q

What best defines the purpose of humidified oxygen?

A

Help moisten respiratory mucosa and loosen thick secretions

33
Q

Define tracheostomy

A

A surgical opening between the tracheal rings

34
Q

A stoma is best described as what?

A

A surgical opening into the trachea that bypasses the upper airway

35
Q

Helium

A

Point of entry for the bronchial vessels, bronchi, and nerves in each lung

36
Q

Thyroid Cartilage

A

Largest cartilage that is shaped like a shield and can be identified externally

37
Q

The adult trachea is approx. how many CM in length?

A

10-12 CM

38
Q

Croup

A

Also known as Laryngotracheobronchitis.

Infection of the airway below the level of the vocal chords, usually caused by a virus

39
Q

62 year old female in an MVA, in obvious respiratory distress; has a stoma because of a laryngectomy. What do you do to assists the patients breathing?

A

Insert ET tube in stoma and ventilate

40
Q

Tripod position is indicative of what kind of airway issue?

A

Lower airway obstruction

41
Q

21 year old male has been struck in the neck several times with a metal baseball bat during a gang fight. Patient has stridor with each breath. Appropriate management for this patient includes what?

A

Early intubation to protect airway

42
Q

Expiratory Reserve Volume

A

Volume that can be maximally exhaled after a normal expiration

43
Q

Minute Volume

A

Volume inhaled/exhaled in 1 minute

44
Q

Vellecula

A

“Little Valley”

Depression between base of the tongue and the epiglottis

45
Q

Bronchioles

A

Smaller airway without cartilage in their walls

46
Q

Functional Residual Capacity

A

Volume remaining after the end of normal expiration

47
Q

Epiglottis

A

Leaf like structure composed of cartilage covering trachea’s pending

48
Q

Residual Volume

A

Volume left in lungs after max expiration

49
Q

Tidal Volume (TV)

A

Volume inhaled/exhaled in one respiratory cycle

(In an adult male: approx. 5-7 mL/kg

50
Q

Wheezing

A

Whistling sound on exhalation caused by narrow or tight lower airways

51
Q

Interatrial septum

A

Separates right and left atria

52
Q

Crackles

A

(Rales)

Fine bubbling sounds caused by fluid in the small airways

53
Q

Pleura

A

Double membrane covering lungs

54
Q

Inspirations Reserve Volume

A

Amount of gas that can be forcefully inspired in addition to a normal breath’s TV

55
Q

Costal Angle

A

Angle formed by the margins of the ribs at the sternum

56
Q

Lower Airway consists of what?

A

Trachea, Bronchial tree, alveoli and lungs

57
Q

Placed a nasogastric tube in patient with gastric distinction. Patient has no facial injuries, or other trauma. After inserting the tube, no reduction in distention even though air flows freely through the tube. A likely reason for this is what?

A

Tube misplaced in trachea

58
Q

After ensuring the patients airway is open and inserting an OPA, you use a BVM to ventilate the patients lungs. You notice each breath the chest rises minimally but the abdomen gets larger. What action do you perform to prevent this problem in the future?

A

Cricoid pressure

59
Q

You are inserting a NPA and are eating resistance during the insertion. What is next?

A

Take out NPA, Re-Lubricate it, and try other nostril.

60
Q

During the transfer on an incubated patient, you notice that coarse breath sounds are developing. You attempt to suction the trachea for secretions. The suction catheter become obstructed. What is the. Next appropriate action?

A

Flush the suction catheter with sterile saline to clear the obstruction

61
Q

Epiglottitis

A

(Supraglottitis)

Infection of the soft tissue in the area above the vocal chord

62
Q

Bronchiolitis

A

Specific viral illness of newborns and toddlers, often caused by RSV, that causes inflammation of bronchioles.

highly contagious, occurs during first 2 yrs of life, more common in males

Paramedicine (5 decks)

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