Airway management

Question 1

When is a OPA (oropharyngeal airway) contraindicated?

Answer 1

OPA is contraindicated in a person who is conscious and has intact cough, gag, or swallow reflex.

Question 2

What device is used to maintain an open airway of an anesthetized or comatose patient?

Answer 2

Berman airway

Question 3

Purposes of a Guedel Airway?

Answer 3

• Bite block
• tongue depressor
• maintain airway

Question 4

How to measure size of OPA ?

Answer 4

hold device next to patients upper jaw with the front even with the teeth and measure to the angle of jaw

Question 5

OPA assessments after device placement?

Answer 5

• breath sounds Q2
• mouth care Q2
• suction PRN
• replace Q4 - Q8

Question 6

NPA (nasopharyngeal airways) location?

Answer 6

inserted into nostril, makes passage between nose and nasopharynx

Question 7

Who is an NPA indicated for?

Answer 7

patients with an intact cough and gag reflex but unable to cough hard enough to clear secretions

Question 8

Preinsertion tasks of NPA?

Answer 8

• lubricate tube with water based lube

- advance perpendicular to face

Question 9

NPA contraindications?

Answer 9

• anticoagulated
• low platelet count
• bibasilar (base) skull fracture
• basal formities
• facial trauma
• children d/t increased risk of epistaxis

Question 10

Complications of NPA?

Answer 10

• trauma to nares
• airway obstruction
• laryngospasm
• gagging and vomiting

Question 11

NPA length?

Answer 11

measure distance nares to tragus of ear

Question 12

NPA assessments?

Answer 12

• auscultate lung sounds
• check posterior airway
• ensure its not tight

Question 13

Most effective way to clear the airway?

Answer 13

Cough and deep breathing

Question 14

There is a decreased risk of atelectasis and pneumonia in conjunction with early mobility and ambulation.

True or False

Answer 14

TRUE

Question 15

Describe splinting for a patient with an abdominal or thoracic incision

Answer 15

Hold a pillow firmly over incision when coughing

Question 16

Why do we have patient use an incentive spirometer?

Answer 16

• promotes deep breathing and good inspiratory effort

- minimizes risk of atelectasis and development of pneumonia

Question 17

Flow rate for nebulizers?

Answer 17

6-8 liters

Question 18

Bronchodilator and Steroids are both ordered, which one do you give first?

Answer 18

Bronchodilator

Question 19

Contraindication for postural drainage and cupping?

Answer 19

• head injury
• COPD
• cardiac disorder

Question 20

Indications for BVM (Bag valve mask)?

Answer 20

• hypoxia
• hypoventilation
• resp failure
• resp arrest

Question 21

BVM breath duration?

Answer 21

1 second

Question 22

Patient with spontaneous circulation, BVM breath rate?

Answer 22

8-10 breaths per min

Question 23

Patient in respiratory arrest, BVM rate?

Answer 23

10 per min

Question 24

CPR BVM breath and compression rate?

Answer 24

30 compress

2 vent

Question 25

WHy is coughing and deep breathing useful for patients?

Answer 25

better exchange of oxygen and carbon dioxide, decreases risk of atelectasis and risk for pneumonia. It is the BEST way to clear the airways.

Question 26

Whats does a peak flow measurement tell us?

Answer 26

- max expiration to evaluate airway diameter - can tell us how much effort is needed after a bronchodialator - informs the patient when to use rescue bronchodialator

Question 27

Define postural drainage

Answer 27

use of gravity to facilitate removal of secretions from the lungs

Question 28

Contraindication of cupping and postural drainage?

Answer 28

- head injuries - COPD - HX of cardiac disorders