Airway Management And Adjuncts

Question 1

What are the 8 signs of airway obstruction? DAUAOCRU

Answer 1

Difficulty breathing/speaking.
Attempts to move any obstruction by coughing.
Use of accessory muscles.
Abnormal breath sounds of no sounds.
Obvious signs of choking or distress.
Cyanosis.
Restlessness, confusion, agitation and disorientation.
Unconsciousness

Question 2

In airway obstruction what position should you Lay patient if altered loc and no spinal injury?

Answer 2

Lateral

Question 3

How would you clear the airway or laryngectomy patient?

Answer 3

Lay patient on back.
Wipe away mucous.
Tilt head backwards

Question 4

What is the purpose of OP airways? 3

Answer 4

Keep tongue off back of throat in unconscious and patients unable to maintain airway.
Easier to use oropharyngeal suction.
Keeps lips and teeth slightly apart.

Question 5

How would you measure an OP

Answer 5

From angle of jaw to middle of incisors.

Question 6

What would happen with too small an OP

Answer 6

Push tongue into pharynx

Question 7

What would happen if OP was too big

Answer 7

May end in hupopharynx and increase risk of passive regurgitation and air flow into stomach.

Question 8

What other limitation is there to using op

Answer 8

May stimulate gag reflex and bagel stimulation causing bradycardia

Question 9

What are the OP sizes?

Answer 9

00 babies/infants
0 babies/toddlers
1 babies/children
2children 7-11
3 children/small adults >10
4 adults
5 large adults

Question 10

What are the indications for using NP 2

Answer 10

Upper airway obstruction due to backward displacement of tongue.
Useful in clenched jaw, seizures, jaw # and loose teeth

Question 11

What is the minimum age for NP

Answer 11

12

Question 12

What are the two sizes of NP

Answer 12

6mm and 7mm

Question 13

What are the 3 contraindications of NP?

Answer 13

Bilaterally obstructed or deformed nasal passages.
Nasal injury.
Cases of recurrent nosebleeds or nasal polyps

Question 14

What are the hazards and limitations of NP 3

Answer 14

Severe nasal haemorrhage.
Damage to nasal mucous membrane, bone or cartilage.
Possible passage into cranial cavity through # cribiform plate.
Retching, vomitinf and laryngeal spasm

Question 15

How would you recognise airway obstruction? 3

Answer 15

Look- in the mouth. For chest and abdo movement.
Listen- for air passing in and out of mouth.
Feel- for air passing in and out of mouth