Airway Management

Question 1

Surgical Cricothyrotomy

Answer 1

1. Identify cricothyroid membrane.
2. Stabilize cricoid and thyroid cartilages with nondominant hand.
3. Make vertical incision (5-7 cm)
4. Hook inserted to stabilize cricoid membrane. Horizontal incision made through it.
5. Insert dilator
6. Remove hook. Place tube through dilator. Remove dilator. Secure tube.

Question 2

Cricothyrotomy Seldinger Technique

Answer 2

Involves use of a needle and wire

Question 3

Needle Cricothyrotomy

Answer 3

Reserved for pediatric patient < 10 y/o

Question 4

Cormack-Lehane Classification

Answer 4

Question 5

Drug of choice for RSI that produces bronchodilaton in PT w/ reactive airway disease

Answer 5

Ketamine, smooth muscle relaxant

Question 6

Special piece of equipment for an open Cricothyrotomy in a bariatric PT

Answer 6

Gum elastic bougie to assist in placement of the tracheostomy tube

Question 7

Ideal TV for lung protective strategy

Answer 7

4-6ml/kg based off of ideal body weight.
IBW: 2.3 x every inch over 5’ + 50

Question 8

I:E ratio for asthma/COPD PT

Answer 8

1:3 to 1:5 for obstructive airway disorders to avoid air trapping and auto-PEEP. Normal is 1:2.

Question 9

Primary symptom of an infraglottic burn:

Answer 9

Hypoxemia not responding to high flow oxygen

Question 10

MRSOPA

Answer 10

Mask applied tightly to face
Reposition head to “sniffing” orientation
Suction the nares/pharynx
Open the mouth
Pressure of PPV increased to a max of 40cmH2O
Alternative airway/plan

Question 11

Mallampti Classes

Answer 11

Question 12

Reversible pulmonary disorder caused by airway inflammatory response

Answer 12

Asthma

Question 13

Additional indication for advanced airway management in critical PT?

Answer 13

Safe management of aggressive behavior that requires deep sedation or NMBA’s

Question 14

Late indication of respiratory failure in COPD PT

Answer 14

PaCO2>PaO2

Question 15

A PT w/ a PE has which type of V/Q pathology?

Answer 15

V/Q mismatch

Question 16

Lung protective strategy in ARDS:

Answer 16

TV of 4-6ml/kg of PBW. TV limited to maintain I plateau pressure of <= 30cm H2O. RR increased to maintain pH near normal to meet minute ventilation requirements.

Question 17

Beta-2 agonist used for bronchodilator?

Answer 17

Albuterol, epinephrine, metaproterenol, isotharine inhalation, terbutaline

Question 18

Fastest acting med to manage anxiety w/ SOB w/ COPD PT

Answer 18

Versed