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Emergency Medical Technician > Airway Management - Opening, Suctioning, Adjuncts, & Maintaining > Flashcards

Airway Management - Opening, Suctioning, Adjuncts, & Maintaining Flashcards

You may prefer our related Brainscape-certified flashcards:
Royal College: Emergency Medicine flashcards USMLE® Step 1 flashcards
1
Q

To most effectively open the airway and assess breathing, the unresponsive patient should be in the ___ position

A

Supine

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2
Q

If a situation delays placement in the supine position, the patient’s airway must be ___

A

Opened and assessed in the position in which the patient is found

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3
Q

If a patient is found in the prone position, they must be ___

A

Repositioned to allow for the assessment of airway and breathing and to begin CPR

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4
Q

When rolling a patient with a suspected spine injury, who calls out the count?

A

The person controlling the head

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5
Q

Maneuver to open the airway in a patient without a suspected cervical spine injury

A

Head tilt-chin lift maneuver

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6
Q

Do not use your ___ to lift the chin

A

Thumb

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7
Q

The completed jaw-thrust maneuver should open the airway with the mouth ___

A

Slightly open and the jaw jutting forward

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8
Q

Patients with a history of rheumatoid arthritis or Down syndrome are predisposed to ___

A

Instability of the cervical spine, specifically at the 1st and 2nd cervical vertebrae

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9
Q

Regular chest wall movement indicates ___

A

A respiratory effort is present

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10
Q

How to open a patients mouth while conducting airway maneuver

A

Place the tips of the index finger and thumb in the patient’s teeth. Push the thumb on the lower teeth and index finger on the upper teeth. Called the cross-finger technique

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11
Q

If the airway is not clear, you will force the fluids and secretions ___

A

Into the lungs, resulting in aspiration

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12
Q

After the airway, the next priority is ___

A

Suctioning

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13
Q

If you hear gurgling, ___

A

The patient needs suctioning

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14
Q

A fixed suctioning unit should generate a vacuum of more than ___

A

300 mm/Hg

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15
Q

Plastic, rigid pharyngeal suction tips

A

Tonsil tips (Yankauer tips or DuCanto catheter)

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16
Q

Nonrigid plastic catheters

A

French or whistle-tip catheters

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17
Q

Suctioning unit should be fitted with ___

A
  1. Wide-bore, thick-walled, non kinking tubing
  2. Tonsil tips
  3. Nonrigid plastic catheters
  4. Nonbreakable, disposable collection bottle
  5. Water for rinsing the tips
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18
Q

Hollow, cylindrical device that is used to remove the fluids from the patient’s airway

A

Suction catheter

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19
Q

A ___ is the best type of catheter for infants and children

A

Tonsil-tip catheter

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20
Q

Tips with a curved contour allow for ___

A

Easy, rapid placement in the oropharynx

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21
Q

___ are used to suction the nose and thin secretions in the back of the mouth, and in situations in which you cannot use a rigid catheter

A

French or whistle-tip catheters

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22
Q

An opening through the skin that goes into an organ or other structure

A

Stoma

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23
Q

What kind of catheter cannot be used in a patient with a stoma?

A

Rigid catheter

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24
Q

When measuring for a catheter, use the same techniques as when measuring for an ___

A

Oropharyngeal airway

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25
Q

Don’t touch the back of the airway with a suction catheter because it can ___

A

Stimulate the gag reflex

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26
Q

Aggressive suctioning can also stimulate the ___ and cause ___, especially in ___

A
  1. Vagus nerve
  2. Bradycardia
  3. Infants and small children
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27
Q

Aspiration increases the risk of mortality by ___

A

30% to 70%

28
Q

Between suction attempts ___

A

Rinse the catheter and tubing with water to prevent clogging with dried vomitus or other secretions

29
Q

When suctioning a conscious or semiconscious patient ___

A

Use extreme caution and put the tip in only as far as you can visualize

30
Q

How to measure the catheter?

A

Measure from the corner of the mouth to the earlobe or angle of the jaw

31
Q

Do not suction while ___

A

Inserting the catheter

32
Q

When suctioning, turn the patient’s head ___, unless ___

A
  1. To the side
  2. You suspect a cervical spine injury
33
Q

Apply suction in a ___ motion as you ___

A
  1. Circular motion
  2. Withdraw the catheter
34
Q

If an obstruction is in a patient’s mouth that cannot be suctioned out ___

A

Log roll them to the side and carefully clear the mouth

35
Q

Only attempt to remove an object from the mouth if it is ___

A

Visible

36
Q

If a patient requires assisted ventilations is producing frothy secretions as quickly as you can remove them ___

A

Alternate suctioning with ventilations

37
Q

The primary function of an airway adjunct

A

Prevent obstruction of the upper airway by the tongue and allow the passage of air and oxygen to the lungs

38
Q

Two principle purposes of an oropharyngeal airway

A
  1. Keep the tongue from blocking the upper airway
  2. Make it easier to suction the oropharynx if necessary
39
Q

How to suction with an oropharyngeal airway

A

Through an opening down the center or along either side of the airway

40
Q

Indications for the oral airway

A
  1. Unresponsive patients without a gag reflex (breathing or apneic)
  2. Any apneic patient being ventilated with a bag-mask device
41
Q

Contraindications for the oral airway

A
  1. Conscious patients
  2. Any patient who has an intact gag reflex
42
Q

Protective reflex mechanism that prevents food and other particles from entering the airway

A

Gag reflex

43
Q

If the patient gags while you are attempting to insert an oral airway ___

A

Immediately remove the adjunct and prepare to log roll the patient and suction the oropharynx, should vomiting occur

44
Q

An oral airway is a safe way to maintain an airway of a patient with a possible ___

A

Spinal injury

45
Q

An oral airway does not replace ___

A

Manual maneuvers

46
Q

If the oral airway is too large ___

A

It could push the tongue back into the pharynx, blocking the airway

47
Q

If the oral airway is too small ___

A

It could block the airway directly like any foreign body obstruction

48
Q

How to measure for oral airway

A

Measure for the earlobe or angle of the jaw to the corner of the mouth

49
Q

How to insert oral airway

A

Insert upside down and then rotate 180º

50
Q

The flange of the oral airway should rest ___

A

Against the lips or teeth

51
Q

In children, the only acceptable method of inserting an oral airway is to ___

A

Use a tongue blade to hold the tongue down while inserting the airway. Rotating it in the posterior pharynx may cause damage

52
Q

If you encounter difficulty while inserting the oral airway, ___

A

Insert the airway with a 90º rotation

53
Q

When inserting an oral airway with a 90º rotation

A

Use a bite stick or tongue depressor to depress the tongue, rusting it remains forward

54
Q

If a patient becomes responsive and regains the gag reflex after an oral airway is inserted ___

A

Gently remove the airway by pulling it out, following the normal curvature of the mouth

55
Q

Usually used with an unresponsive patient or a patient with an altered LOC who has an intact gag reflex and is not able to maintain their airway spontaneously

A

Nasopharyngeal airway

56
Q

Coat the nasal airway with ___

A

Water-soluble lubricant

57
Q

Indications for the nasopharyngeal airway

A
  1. Semiconscious or unconscious patients with an intact gag reflex
  2. Patients who otherwise will not tolerate an oral airway
58
Q

Contraindications for the nasal airway

A
  1. Severe head injury with blood draining from the nose
  2. History of fractured nasal bone
59
Q

How to measure for a nasal airway

A

Measure from the tip of the nose to the earlobe

60
Q

Which nostril should the nasal airway be placed?

A

The larger one

61
Q

With a nasal airway, if using the right nare, ___

A

The bevel should face the septum

62
Q

With a nasal airway, if using the left nare, ___

A
  1. Insert the airway with the tip of the airway pointing upward, which will allow the bevel to face the septum
  2. Insert until resistance is met and rotate 180º
63
Q

The curvature of the nasal airway should follow ___

A

The curve of the floor of the nose

64
Q

When the nasal airway is inserted completely ___

A

The flange rests against the nostril. The other end opens into the posterior pharynx

65
Q

Used to help maintain a clear airway in an unconscious patient who is not injured and is breathing on their own with a normal respiratory rate and adequate tidal volume

A

Recovery position

66
Q

The recovery position is not appropriate for patients with ___

A

Suspected spinal, hip, or pelvic injuries or for patients who are unconscious and require ventilatory assistance

Emergency Medical Technician (100 decks)

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