airway management

Question 1

airway used to maintain an airway in an unconscious pt

Answer 1

oropharyngeal airway

Question 2

complications of oropharyngeal airway

Answer 2

gagging, vomiting, laryngospasm

Question 3

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

Answer 3

nasopharyngeal airway

Question 4

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

Answer 4

equal

Question 5

the preferred method for establishing an airway is called what?

Answer 5

head tilt/chin lift technique

Question 6

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

Answer 6

fractured neck

Question 7

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

Answer 7

modified jaw

Question 8

Signs of mild airway obstruction

Answer 8

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

Question 9

signs of severe airway obstruction

Answer 9

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

Question 10

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

Answer 10

5 cycles

Question 11

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

Answer 11

15L and provides 95-100% o2

Question 12

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

Answer 12

PEEP valve

Question 13

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

Answer 13

mouth to valve mask ventilation device

Question 14

what meds can you directly instill down ETT

Answer 14

narcan, atropine, valium/versed, epi

*think VANE

Question 15

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

Answer 15

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

Question 16

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

Answer 16

epi

Question 17

curved blade (mac) fits into where?

Answer 17

vallecular

Question 18

straight blake (miller) fits directly under where?

Answer 18

epiglottis

Question 19

what blade is preferred use for infants?

Answer 19

miller

Question 20

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

Answer 20

stylet

Question 21

used only during nasal intubation

Answer 21

magill forceps

Question 22

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

Answer 22

21-25cm

Question 23

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

Answer 23

26-29 cm

Question 24

ETT sizes

Answer 24

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

Question 25

the cuff pressure should be between what?

Answer 25

20-30 cmh20

Question 26

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

Answer 26

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

Question 27

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

Answer 27

CASS tube

Question 28

used for independent lung ventilation

Answer 28

double lumen ET tube

Question 29

double lumen ET tube is used during what procedures?

Answer 29

lobectomy and pneumonectomy

Question 30

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

Answer 30

esophageal tracheal combitube

Question 31

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

Answer 31

LMA

Question 32

used to protect airway for a short amount of time

Answer 32

LMA

Question 33

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

Answer 33

king laryngeal tube airway

Question 34

what should be inserted as soon as CPR is begun?

Answer 34

ETT

Question 35

steps of extubation

Answer 35

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

Question 36

stridor can also be referred to ask what?

Answer 36

laryngeal edema

Question 37

complications of extubation

Answer 37

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

Question 38

used for long term intubation

Answer 38

trach

Question 39

when should you change a trach?

Answer 39

when it is obstructed or too small

Question 40

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

Answer 40

fenestrated trach tube

Question 41

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

Answer 41

trach button

Question 42

a longer trach tube that may be used in obese pt

Answer 42

XLT

Question 43

metal trach with an inner cannula

Answer 43

jackson trach tube

Question 44

trach that has a foamed filled cuff

Answer 44

bivoma cuff

Question 45

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

Answer 45

trach speaking device

Question 46

what do you clean an inner cannula with?

Answer 46

hydrogen peroxide then rinse with sterile water

Question 47

what do you clean the stoma with?

Answer 47

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

Question 48

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

Answer 48

laryngectomy

Question 49

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

Answer 49

3-6 weeks

Question 50

laryngectomy tubes do not have what?

Answer 50

cuff

Question 51

what may occur during suctioning and will result in bradycardia?

Answer 51

vagal stimulation

Question 52

et tube suctioning is what type of procedure?

Answer 52

sterile

Question 53

suction vacuum suction

Answer 53

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

Question 54

type of catheter angled to help suction the left mainstream bronchus

Answer 54

coude tip catheter

Question 55

type of catheter that in inline

Answer 55

ballard

Question 56

used to suction mouth and throat

Answer 56

yankeur

Question 57

used to collect sputum sample

Answer 57

leakens trap

Question 58

ideal length of a catheter is how many inches

Answer 58

20-22 inches

Question 59

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

Answer 59

half

Question 60

how to calculate catheter size

Answer 60

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

Question 61

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

Answer 61

15

Question 62

capnography should be how many torrs

Answer 62

30 torrs

Question 63

cuff presssures

Answer 63

20-25 mmhg or 25-35 cmh20

Question 64

laryngoscope blade sizes

Answer 64

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