Airway Management Flashcards
What type of PT HX should you get?
OPQRST/SAMPLE, previous HX airway compromise, trauma/dental surgeries, asthma/COPD/anaphylaxis
What are some S/S for the need of airway management?
SOB/abnormal rate/depth/effort, use of accessory muscles, wheezing, stridor, rales, rhonchi, hoarseness, pallor or cyanosis, AMS, hypoxemia/hyper or hypo-carbia
What are some possible differentials to keep in mind?
Head injury/stroke, drug OD or airway obstruction, pulmonary edema/ ARDS, cardiac arrest or inhalation injury, or COPD/asthma/anaphylaxis
What is ARDS?
Acute Respiratory Distress Syndrome
How do you open, assess, and clear the airway?
Head-tilt/chin-lift or modified jaw thrust, finger sweep, if obstructed, perform abdominal or chest thrusts five times and attempt to ventilate, and repeat until airway is clear
What are the guidelines for SL1?
General patient care, open assess, clear airway, suction, BVM ventilations, NPA/OPA, O2, and high flow nasal cannula
What is the rate for assisted ventilations on an adult?
<10 and >30 as needed
When do you not use an OPA?
pt is conscious or gag reflex intact
How much LPM NC do PTs get if SpO2 is <85%?
5-25 LPM
What are the guidlines for SL2 and SL3
Supraglottic airway, EtCO2, needle decompression, PEEP valve, CPAP, and suction
When do you use an EtCO2?
When a PT is lethargic, AMS, hypotensive or w/SGA
When do you do a needle decompression?
If tension Pneumothorax is suspected with EMT x/TCCC Tier 2 and OLMD approval for anterior or lateral placement
What is a PEEP valve?
positive end-expiratory pressure valve
What are the guidelines for SL4?
Open, access, clear airway, cricothyroidotomy, suction, EtCO2, and post-intubation sedation and pain control
What are the guidelines for SL2 and SL3
Supraglottic airway, EtCO2, needle decompression, PEEP valve, CPAP, and suction
What are the guidelines for SL2 and SL3
Supraglottic airway, EtCO2, needle decompression, PEEP valve, CPAP, and suction
What does SL3 do to open, access, and clear airway?
utilize Magill forceps as needed to remove obstruction
What do you do if SGA is not effective or patient requires ETT to allow for tracheal suctioning?
Video Laryngoscopy (w/wo Bougie) or Direct Laryngoscopy (w/wo Bougie)
When do you do the cricothyroidotomy?
emergency to secure an airway, unless require by PT condition, severe airway edema or edema/burns from smoke inhalation
What should you consider for suction?
Where the OG tube placement is after you advanced airway if gastric distention is present and if perform ETT suction
What is ETT?
Endotracheal tube
What do you do when you perform ETT suction PRN?
Inject 10mL NS into ETT/Cric prior to suction for thick secretions
What is the primary method for post-intubation sedation and pain control?
Ketamine 2mg/kg IV/1O/IN, and repeat q 10 - 15 min PRN to sedation control/nystagmus
What is PRN?
Pro re nata “when necessary” and/or as needed
