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respiratory > airway management > Flashcards

airway management Flashcards

tmc

1
Q

airway used to maintain an airway in an unconscious pt

A

oropharyngeal airway

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2
Q

complications of oropharyngeal airway

A

gagging, vomiting, laryngospasm

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3
Q

a tube that is designed to be inserted into the nasal passage to secure an open airway

A

nasopharyngeal airway

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4
Q

the outside diameter of a nasopharyngeal airways should be ___ to the inside of the diameter or pt’s external nares

A

equal

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5
Q

the preferred method for establishing an airway is called what?

A

head tilt/chin lift technique

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6
Q

do not perform head tilt if the pt has a broken what?

A

fractured neck

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7
Q

in the case of a suspected neck fracture what technique would you use to establish an airway?

A

modified jaw

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8
Q

Signs of mild airway obstruction

A

good air exchange, responsive, strong cough, wheezes in between cough

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9
Q

signs of severe airway obstruction

A

no air exchange, no cough, unable to speak, universal choking signs

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10
Q

how many cycles of CPR should you perform with a severe airway obstruction

A

5 cycles

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11
Q

How many liters does a ambu-bag need to be set at on flowmeters

A

15L and provides 95-100% o2

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12
Q

to further improve oxygenation for the patient with ambu-bag what should you add to the expiratory side?

A

PEEP valve

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13
Q

device that can provide up to 50% oxygen to the patient when 10L of supplemental oxygen is added

A

mouth to valve mask ventilation device

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14
Q

what meds can you directly instill down ETT

A

narcan, atropine, valium/versed, epi

*think VANE

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15
Q

when giving meds directly down ETT you need to give ____the dosage and instill what?

A

double the dose and instill 10ml of saline down and hyperventilate for 30 seconds

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16
Q

During CPR what drug is given first to during brady, astytole, and v fib?

A

epi

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17
Q

curved blade (mac) fits into where?

A

vallecular

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18
Q

straight blake (miller) fits directly under where?

A

epiglottis

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19
Q

what blade is preferred use for infants?

A

miller

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20
Q

makes the tube rigid so its easier to insert during oral intubation

A

stylet

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21
Q

used only during nasal intubation

A

magill forceps

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22
Q

ETT should be inserted so its approx how many cm at the patients lip

A

21-25cm

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23
Q

for nasal intubation, insert the tub approx how many cm at the nares

A

26-29 cm

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24
Q

ETT sizes

A

pre-term=2.5-3.0
term babies= 3.0-3.5
adult females=7.0-7.5
adult males=8.0-8.5

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25
Q

the cuff pressure should be between what?

A

20-30 cmh20

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26
Q

how do you assess to insure the tube is in the proper position?

A

1) inspection
2) auscultation
3) co2 detector
4) xray

27
Q

used to prevent VAP and has a separate port where continuous suction can occur with vacuum pressure of 20mmhg

A

CASS tube

28
Q

used for independent lung ventilation

A

double lumen ET tube

29
Q

double lumen ET tube is used during what procedures?

A

lobectomy and pneumonectomy

30
Q

used during emergency intubation situation but needs to be changed as soon as arrived to hospital

A

esophageal tracheal combitube

31
Q

supraglottic airway that has inflatable mask that sits directly over the opening of the trachea

A

LMA

32
Q

used to protect airway for a short amount of time

A

LMA

33
Q

a supraglottic airway that can be inserted blindly through the oropharynx into the hypo pharynx

A

king laryngeal tube airway

34
Q

what should be inserted as soon as CPR is begun?

A

ETT

35
Q

steps of extubation

A

1) suction airway below the cuff then above
2) deflat the cuff
3) have the patients take a deep breath in
4) remove the tube at peak inspiration
5) have patient cough
6) give o2

36
Q

stridor can also be referred to ask what?

A

laryngeal edema

37
Q

complications of extubation

A

stridor, airway obstruction, vocal cord polyps, mucosal ulcers, tracheomalacia, tracheostenosis

38
Q

used for long term intubation

A

trach

39
Q

when should you change a trach?

A

when it is obstructed or too small

40
Q

type of trach used for weaning and also to give pt ability to talk

A

fenestrated trach tube

41
Q

a rigid plastic the about an inch long that is placed in a a stoma after the trach is removed used to maintain the trach opening

A

trach button

42
Q

a longer trach tube that may be used in obese pt

A

XLT

43
Q

metal trach with an inner cannula

A

jackson trach tube

44
Q

trach that has a foamed filled cuff

A

bivoma cuff

45
Q

one way valve that attaches the trach tube that opens during inspiration and closes during expiration and allows pt to talk

*cuff must be deflated

A

trach speaking device

46
Q

what do you clean an inner cannula with?

A

hydrogen peroxide

then rinse with sterile water

47
Q

what do you clean the stoma with?

A

dip a cotton tip in mixed solution of sterile water and hydrogen peroxide

48
Q

removal of the larynx and separation of the airway from the mouth, nose and esophagus

A

laryngectomy

49
Q

laryngectomy tubes are usually removed after how many weeks leaving a permeant stoma

A

3-6 weeks

50
Q

laryngectomy tubes do not have what?

A

cuff

51
Q

what may occur during suctioning and will result in bradycardia?

A

vagal stimulation

52
Q

et tube suctioning is what type of procedure?

A

sterile

53
Q

suction vacuum suction

A

infant=60-80
children=80-100
adults=100-120

54
Q

type of catheter angled to help suction the left mainstream bronchus

A

coude tip catheter

55
Q

type of catheter that in inline

A

ballard

56
Q

used to suction mouth and throat

A

yankeur

57
Q

used to collect sputum sample

A

leakens trap

58
Q

ideal length of a catheter is how many inches

A

20-22 inches

59
Q

the external diameter of the catheter should be no greater than ___ the insider diameter of the tube

A

half

60
Q

how to calculate catheter size

A

tube size / 2 x 3

ex) size 8 tube / 2= 4
then 4 x 3 = size 12 catheter

61
Q

suction catheter can only be in the airway for how many seconds

A

15

62
Q

capnography should be how many torrs

A

30 torrs

63
Q

cuff presssures

A

20-25 mmhg or 25-35 cmh20

64
Q

laryngoscope blade sizes

A

pre-term=0
term baby=1
kid=2
adult=3

respiratory (4 decks)

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