Airway stuff

Question 1

how much sputum sample is required

Answer 1

5-10mL

Question 2

what to do to decrease trauma when using a nose suction catheter

Answer 2

apply suction 5-10secs and release 1-2 secs
rotating catheter during withdrawal

Question 3

what does increase in tactile fremitus indicate

Answer 3

denser or inflamed tissue - can be pneumonia

Question 4

what does decrease in vocal fremitus mean

Answer 4

air trapping and decreased density of lung space, or fluids; decreasing transmission of lower frequency sounds

Question 5

Percussion: flat, dull, hyperresonant sounds

Answer 5

flat: over solid areas like bones
dull: dense like heart or liver
hyper resonant: loud and in kids or thin adults, or hyperinflated with air

Question 6

Nasal cannula FiO2 range

Answer 6

22-50%

Question 7

Nasal cannula O2 flow rate range

Answer 7

1-6L

Question 8

simple face mask FiO2 range

Answer 8

40-60%

Question 9

simple face mask O2 flow rate range

Answer 9

6-10L

Question 10

nonrebreather face mask FiO2 range

Answer 10

60-95%

Question 11

nonrebreather face mask O2 flow rate range

Answer 11

10-15L

Question 12

Venturi mask FiO2 range

Answer 12

24-60%

Question 13

venturi mask O2 flow rate range

Answer 13

4-12L

Question 14

face tent FiO2 range

Answer 14

28-100%

Question 15

face tent O2 flow rate range

Answer 15

8-12L

Question 16

what is tidal volume

Answer 16

amount of air breathes into or out of lungs in a single breath

Question 17

room air is how many FiO2

Answer 17

21%

Question 18

when are postural drainage typically done

Answer 18

before meals and at bedtime to avoid gastric reflux & vomiting

Question 19

nasopharyngeal airway (nasal trumpet) measurement

Answer 19

reach from tip of nose to the earlobe;
largest outer diameter that fits comfortably in the nares

Question 20

oropharyngeal airway - why use it, requirements

Answer 20

upper airway patent when at risk for becoming obstructed by tongue or secretions;
pt needs to be asleep

Question 21

why use nasopharyngeal airway

Answer 21

upper airway patency; won’t stimulate gag reflex so pt can be awake

Question 22

why use endotracheal tube

Answer 22

general anesthesia or mechanical ventilation up to 14 days

Question 23

why use tracheostomy tube; requirements

Answer 23

long-term airway support; requires surgical procedure for placement

Question 24

purpose of Yankauer suction catheter

Answer 24

clear secretions from mouth

Question 25

between mouth and trachea which should be suctioned last

Answer 25

mouth - clean
trachea - sterile
SO trachea first, mouth last

Question 26

how often should cuffed endotracheal tubes be repositioned

Answer 26

q12hrs to help prevent irritation to oral mucous membranes

Question 27

recommended cuff pressure for ET tube

Answer 27

20-25mmHg

Question 28

percussion vs. vibration

Answer 28

percussion dislodges by striking
vibration increases turbulence

Question 29

in-line suctioning is replaced how frequently

Answer 29

trick question
it get replaced with the ventilation tubing system can is reused until then