Airway Management Flashcards
Methods of airway management
Head Tilt Chin Lift
Neutral Sniffing Position
Suction
OPA/NPA
Patient is choking and cannot cough
Abdominal Thrust
Modified CPR
Visualize before you ventilate
Alveoli
Diffuse O2 and CO2
Pulmonary Edema Causes (5)
Left Heart Problems
Super Heated Gas
Chemical Inhalation
COPD
Pneumonia
What muscle is upper airway
Smooth
What center is smooth muscle controlled by?
Vasomotor
Wheezing is caused by
Asthma, Anaphylaxis, COPD (AAC)
Hives are also called
Uticaria
Anaphylaxis Tx
Epipen
What does Epipen do?
Dilates Bronchials, Constricts vessels in the body. Triggers sympathetic Response
Anaphylaxis pathophysiology
vasodilation, bronchial constriction
Mediasternum organs
Heart, great vessels, esophagus, trachea, major, bronchi
Wheezing Lung Sounds
“AAC” Asthma, anaphylaxis, COPD
Hemothorax
Just blood in pleura
Hemopneumothorax
Blood and air in pleura
Another name for hives
Urticaria
Frenic Nerve
Controls Diaphram
What controls respiratory rate and how is it measured?
Respiratory Control Center in the brain stem, measured acid in the blood, chemo receptors
Hypoxic Drive
Body using oxygen levels to control respiratory rate
How much oxygen do we retain?
5%
What is modified OPQRST?
Used for respiratory distress. QRS is different.
Quality - is it harder to breath in or out?
R- Rate, Rhythm, Quality
Scale - Mild, Moderate, Severe
Terms for Poor Tidal Volume
Shallow Respiration, Ineffective Respirations, Gasping Respirations
What are the indications for an Orapharyngeal Adjunct (OPA)?
Need to create/maintain airway in unconscious patient with no gag reflex
What are the indications for a Nasopharyngeal Adjunct (NPA)?
Need to create/maintain airway in unconscious or semi-unconscious patient with gag reflex
Rules of Suctioning
Always suction coming out
Adult 15 seconds, Children 10 seconds, Pets 5 seconds
Wait 2 minutes in between (give oxygen)
Patient has decent rate (>8) and tidal volume, what mask would you use?
Non-Rebreather
What flow rate do we use for O2?
10-15 L/min
Patient is in a stable state and has COPD, what mask would we use?
Nasal Canula
Patient is not breathing or has inadequate tidal volume (<8). What mask do you use?
BMV, less than <8 ventilate
Treatment for Hyperventilating
Coach breathing, Begin BMV (Explain procedure to patient), Synch ventilations with patients breath and eventually control breath
What are the two most preferred methods of ventilation by DOT?
Pocket mask (1) rescuer, Two person BMV
What is the least preferred vent method by DOT?
1 person BMV
What can treat pulmonary edema and severe broncho spasm?
CPAP, ALS only
Ataxic Breathing
Totally irregular, no rate or tidal volume that is consistent. Usually brain stem laceration
Cheyenne Stokes Respirations
Regularly irregular. Tidal volume and rate increase and decrease together. Indication is brain injury
Kussmal Respirations
Deep rapid breaths. To correct acidosis
A 3 y/o kid has stridor, fever, chills, nausea, vomiting, and drooling. What can you suspect?
Epiglottitis
A 6 month old has Stridor, Barking seal cough, fever, chills, nausea, vomiting. What can you suspect?
Croup
What is the treatment for epiglottis?
Avoid anything that can trigger the epiglottis, carefully transport to the hospital.
What is the treatment for Croup?
Airway - Suctioning, High flow O2, transport
Respiratory Syncytial Virus is what type of illness?
Pneumonia, because this means lung infection
How to treatment pneumonia?
Support Airway, Breathing, and Circulation. High Flow O2 (could be BMV or NRB), Fowlers, Monitor SPO2, Suction PRN
3 types of COPD
Emphysema, Bronchitis, Asthma
What do we call COPD Emphysema Patients?
Pink Puffers, due to flush color and puffed out chest, pursed lip breathing
What do we call COPD Bronchitis patients?
Blue Bloaters, due to cyanosis and overweight. Lung sounds will include wheezing and rhonchi
A patient has gurgling sounds in their lungs, what is this called?
Rhonchi
Your asthma patient is wheezing and in respiratory distress, but when asked to provide their inhaler, cannot do so. Can you administer the medication?
No
You have just administered albuterol to your patient. What do you need to assess for?
Lung sounds after 3 mins
You’re patient has just had a spontaneous pneumothorax, what is the treatment?
Airway, O2, BMV PRN
Your patient is experiencing sharp pinpoint chest pain and dyspnea. Has good tidal volume but low 02. What can you suspect?
Pulmonary embolism
BADPRLS
Pneumonic for potential pulmonary embolism causes. Birth Control, Atrial Fib, Deep Vein Thrombosis, prolonged immobilization, Recent Surgery, Long Bone Fracture, Sickle Cell Anemia
You have identified your patient likely has a pulmonary embolism. What is the treatment?
Fowlers, High flow O2, Ventilate, Transport
Nitroglycerin, Albuterol, and Epi-pen are all medications we can…
Assist with but do not carry (administer)
Intraosseous
Injection into bone marrow
Acute in medical means…
Non traumatic
Before administering meds we verify using DICCE. What does this mean
Drug/Doctor/Dose, integrity, Clarity, Color, Expiration.