airway ventilations oxygen management

Question 1

the primary goal of progressive airway management is to?

Answer 1

start simple, work through the various levels and stop when the air way is patient

Question 2

when placing an advanced airway, every effort just be made to avoid

Answer 2

iatrogenic hyper/ hypocapnia, hypotension, bradycardia and spo2 desaturation

Question 3

risk vs benefit in endotracheal intubation must be carefully considered. it’s associated with worse outcomes what……

Answer 3

pediatrics, closed head tramatic brain injuries, and poly trauma when compared to bls airway care

Question 4

generally speaking, endotracheal intubation is indicated for….. 1

Answer 4

inability to vinilate and or oxygenate with non invasive tools and techniques

Question 5

generally speaking, endotracheal intubation is indicated for….. 2

Answer 5

inability to manage secretions with conventional methods

Question 6

generally speaking, endotracheal intubation is indicated for….. 3

Answer 6

high index of suspicion for laryngeal edema

Question 7

which laparoscopy is proffered?

Answer 7

Video

Question 8

An endotracheal intibation attempt is defined as…

Answer 8

Passing the blade or tube beyond the teeth with the intent to intubate

Question 9

Advanced airways must be secured with….

Answer 9

Commercially recognized restraint

Question 10

Progressive airway management 1

Answer 10

Natural airway, no interventions

Question 11

Progressive airway management 2

Answer 11

Head positioning , airway axis alignment, ( Head tilt chin lift, jaw thrust, sniffing position, head of bed up, ramping)

Question 12

Progressive airway management 3

Answer 12

Basic mechanical airways( nasophorengeal or oralphorengeal airway device)

Question 13

Progressive airway management 4

Answer 13

advanced airways ( extraglotic or endotrachial( :SGAD for cardiopulmonary arrest

Question 14

Progressive airway management 5

Answer 14

chricothyroidotomy ( needles , precutaneous surgical)

Question 15

Ventilation moves … in lungs and … out of the lungs

Answer 15

air in and co2 out

Question 16

proper ventilation requires both

Answer 16

adequate tidal volume and and respiratory rate

Question 17

Hyperventilation causes co2 to …

Answer 17

drop

Question 18

when co2 drops, such as in hyperventilation, causes

Answer 18

drop in acid levels resulting in alkolosis

Question 19

co2 is a potent

Answer 19

vasodilator

Question 20

when co2 levels drop , such as in hyperventilation it causes

Answer 20

blood vessels to constrict( can be detrimental to a brain injury)

Question 21

Goals for inadequate oxygenation ( < 94%) 1

Answer 21

preventing or correcting hypoxia

Question 22

positive end-expiratory pressure (PEEP) is a great way to improve

Answer 22

oxygenation

Question 23

In patients that have increased work of breathing , peep ….

Answer 23

stents open closed alveoli and recruits lung thus increasing surface area for gas exchange

Question 24

Peep also increases FRC which is

Answer 24

functional residual capacity

Question 25

FRC does what

Answer 25

improves pulmonary reserves between breaths

Question 26

Peep greater than 15 can lead to

Answer 26

increased inthoraxic pressure resulting in decreased venous return to the heart

Question 27

Peep is contraindicated in patients with

Answer 27

cardiopulmonary arrest or who are grossly hypotensive

Question 28

desired path for progressive ventilation/oxygenation management 1

Answer 28

eupinic - normocapnic ,normosaturated - no change required

Question 29

desired path for progressive ventilation/oxygenation management 2

Answer 29

truncal positioning, airway axis alignment- ( head tilt chin lift, jaw thrust, sniffing position, head of bed up, ramping)

Question 30

desired path for progressive ventilation/oxygenation management 3

Answer 30

Passive oxygenation -(nassal canula, non re breather, nebulizer, controlled mechanical ventilation, bag mask ventilation)

Question 31

desired path for progressive ventilation/oxygenation management 4

Answer 31

non - invasive ventilation/ oxygenation, (cpap, controlled mechanical ventilation, bag mask ventilation)

Question 32

desired path for progressive ventilation/oxygenation management 5

Answer 32

Invasive ventilation/ oxygenation-( controlled mechanical ventilation with peep, bag mask ventilation with peep)

Question 33

apneic nasal oxygenation is considered what

Answer 33

15 lpm nasal canula

Question 34

apneic nasal oxygention has been shown to improve….

Answer 34

oxygen saturation in apneic patients during advance airway placement

Question 35

PPV is

Answer 35

positive presure ventilation

Question 36

when PPV volume and rate is not paid attention to it can cause

Answer 36

imbalance between alveolar ventilation and pulmonary capillary blood flow ( mismatch )

Question 37

ventilation volume and rate should be guided by

Answer 37

the use of waveform capnogrophy and etco2

Question 38

waveform capnogrophy and spo2 are required for ….

Answer 38

all advance airway/ ventilation cases

Question 39

Partial forein body airway obstruction do what

Answer 39

encourage coughing, do not interfere and re evaluate for ineffective to cough, inability to speak and or breath

Question 40

complete air way block and conscious do what

Answer 40

Adult: abdominal thrust, or chest thrust if pregnant or obese until forein body is expelled or patient is unconscious.

infant 5 back slaps followed by 5 chest thrust until object is out or patient is uncouncious

Question 41

complete airway block unconscious do what

Answer 41

open and visulize the airway , remove forein body if seen, if nothing is seen then bls healthcare and neonatal cardiac arrest for infant

Question 42

Foreign body airway obstruction unconscious and after bls care and still not dislodged and cant ventilate

Answer 42

direct or video laparoscopy, magil forceps foreign body removal , surgical cricothyrotomy, needle cric

Question 43

Foreign body airway obstruction unconscious and after bls care and dislodged and can ventilate

Answer 43

universal care guidelines, appropriate clinical guideline