Airway Equipment Indication/Contraindications

Question 1

When is PEEP indicated?

Answer 1

When BVM ventilation are not achieving the adequate oxygenation needed (ex. Alveolar collapse, decreased lung compliance, pulmonary edema, near drowning, cardiac arrest, etc.)

Question 2

When is PEEP contraindicated?

Answer 2

Pt. with Pneumothorax

Question 3

King Airway Size 2

Answer 3

Pt. between 12-25 kg

Question 4

King Airway Size 2.5

Answer 4

Pt. between 25-35 kg

Question 5

King Airway Size 3

Answer 5

Pt. between 4-5 feet

Question 6

King Airway Size 4

Answer 6

Pt. between 5-6 feet

Question 7

King Airway Size 5

Answer 7

Pt. 6 feet and above

Question 8

When is King Airway contraindicated?

Answer 8

Pt. conscious or with intact gag reflex, <35 in. tall, with esophageal disease, or ingestion of a caustic substance/suspected overdose

Question 9

When is King Airway indicated?

Answer 9

Unconscious pt. who is apneic or hypoventillating/no gag reflex

Question 10

When is the NPA contraindicated?

Answer 10

Pt. with suspected fracture to the base of skull/mid-face

Question 11

When is the OPA contraindicated?

Answer 11

Responsive pt./intact gag reflex

Question 12

When is the CPAP contraindicated?

Answer 12

Resp./cardiac arrest, suspected pneumothorax, decreased cardiac output, obtundation/questionable ability to protect the Airway, penetrating chest trauma, gastric distinction, facial injury, or uncontrolled vomiting

Question 13

When is the CPAP indicated?

Answer 13

Pt. in severe respiratory distress, awake and oriented, able to fit CPAP mask, can maintain an open Airway, and have a SBP > 90 mm Hg

Question 14

Goal EtCO² reading…

Answer 14

35-45 mm Hg (perfusing pt.) / 40 mm Hg (non-perfusing pt./cardiac pt.)

Question 15

Why may the EtCO² reading be low?

Answer 15

CO² is too low, ineffective chest compressions, hyperventilation, or decreased metabolic output

Question 16

Why may the EtCO² reading be high?

Answer 16

hypoventilation, respiratory acidosis, hypertension, possible ROSC from cardiac arrest

Question 17

Emphysema S/S

Answer 17

Barrel chest, chronic cough, dyspnea, rhonchi and prolonged expiration, wheezing, tachypnea, accessory muscle use, pursed lips

Question 18

Chronic bronchitis S/S

Answer 18

Chronic cough and mucous production, prolonged expiration and wheezing, tachypnea, accessory muscle use, pursed lips

Question 19

Pt. with allergic reaction…

Answer 19

Mild: red skin, rash, local swelling and hives.
Moderate: SpO² > 90%, stable LOC, mild strider, moderate dyspnea.
Severe: SpO² < 90%, decrease in LOC, deep strider, severe dyspnea, unstable vitals.

Question 20

Allergic reaction S/S

Answer 20

Skin: generalized hives, itching, flushing, swelling, runny nose, swelling around eyes.
Respiratory: SOB, wheezing, stridor, hoarseness, cough, pain with swallow.
Cardiac: hypotension, tachycardia, coronary heart spasms.
Gastrointestinal: abdominal pain, cramping, vomiting, diarrhea, pelvic pain.
Neurological: anxiety and headache.

Question 21

Asthma S/S

Answer 21

SOB, wheezing, frequent cough, chest tightness, tachypnea, 1-2 word dyspnea, tripoding, accessory muscle use, allergic reaction symptoms, and anxiety.

Question 22

Impending respiratory failure S/S

Answer 22

Increased work of breathing, cyanosis, tachypnea, tachycardia turning to bradycardia, extreme anxiety, possible AMS, diaphoresis, grunting, nasal flaring, hypotension, decreased response to pain, poor chest rise/fall, head bobbing