Artificial Airways

Question 1

ROLE OF RT IN AIRWAY MANAGEMENT

Answer 1

Providing respiratory care through the
use of bronchodilator therapy, oxygen
therapy, Bi-PAP, ventilator
management.

Question 2

ROLE OF RT IN AIRWAY MANAGEMENT

Answer 2

Performing airway clearance
management, CPT via the use of the
different equipment and precusser.

Question 3

Respiratory Therapists play an integral
role in the

Answer 3

Code Response Team
assissting the MD with all intubations
that take place.

Question 4

A device to relieve upper airway
obstruction.

Answer 4

OROPHARYNGEAL

Question 5

Should be used in patients who are
sedated or unconscious.

Answer 5

OROPHARYNGEAL

Question 6

TYPES OF OROPHARYNGEAL

Answer 6

1. Berman airway
2. Guedel airway
3. Cath-Guide Guedel airway

Question 7

Has external side channel

Answer 7

Berman airway

Question 8

Has one large internal
channel

Answer 8

Guedel airway

Question 9

Has 3 internal channels

Answer 9

Cath-Guide Guedel airway

Question 10

SELECTION OF OROPHARYNGEAL AIRWAY
May be estimated by:

Answer 10

1. The distance from the center of the
   mouth (or central incisors) to the angle
   of the jaw
2. The corner of the mouth to the earlobe

Question 11

INSERTION OF OROPHARYNGEAL AIRWAY

 Ensure that the patient is

Answer 11

sedated or
unconscious

Question 12

If the patient begins to gag or retch
during the procedure,

Answer 12

remove the airway
immediately and reassess the necessity
of an oropharyngeal airway

Question 13

INSERTION OF OROPHARYNGEAL AIRWAY

The patient should be in a

Answer 13

supine
position, and the mouth is open

Question 14

If a tongue blade is available, the tongue
is ____ and the oropharyngeal
airway may be inserted

Answer 14

depressed

with thepharyngeal curvature

Question 15

Some practitioners prefer to insert the
airway into the patient’s mouth upside
down so that the

Answer 15

distal end of the airway
is facing the hard palate (roof of the
patient’s mouth)

Question 16

As the airway is inserted fully, it is

Answer 16

turned 180° until the flange (proximal
end) rests on the patient’s lips or teeth

Question 17

If oropharyngeal airway is given to conscious patient, it will lead
to irritation and could cause the patient

Answer 17

to gag, vomit or aspirate of gastric
contents (vomitus)

Question 18

prevent patient from biting
the artificial airway

Answer 18

Bite block

Question 19

artificial airway Too large –

Answer 19

causes Obstruction

Question 20

artificial airway Too small –

Answer 20

Can’t serve its purpose

Question 21

Is a simple airway adjustment that ca be
used to facilitate ventilation and removal
of secretions

Answer 21

NASOPHARYNGEAL AIRWAY

Question 22

NASOPHARYNGEAL AIRWAY is also a

Answer 22

nasal trumphet or nasal horn

Question 23

Can be used in patients with an intact gag reflex, unstable fractures of the mandible, trimus (lockjaw), or oral trauma

Answer 23

NASOPHARYNGEAL AIRWAY

Question 24

Prior to insertion of a nasopharyngeal
airway, the nares should be

Answer 24

inspected
for obstruction

Question 25

INSERTION OF NASOPHARYNGEAL AIRWAY

A local anesthetic spray may be applied
to the

Answer 25

posterior nares for patient comfort

Question 26

Prior to nasopharyngeal insertion, the patient should be
in a

Answer 26

sitting or semi-fowler position and
the nares are lifted to reveal the nasal
airway

Question 27

Placement of the nasopharyngeal airway should be

Answer 27

parallel to the nasal floor, rather the
upwards toward the cribform plate of the
ethmoid bone

Question 28

Lubrication with a _____ and _____ should
facilitate the insertion of nasopharyngeal airway

Answer 28

water-soluble
lubricant

gentle rotation

Question 29

since nasopharynx i sHighly vascular could lead to

Answer 29

bleeding or
soft tissue damage (multiple attempts)

Question 30

Nares must be lifted –

Answer 30

Sniffing position

Question 31

Lubricant in nasopharyngeal airway insertion–

Answer 31

KY gel

Question 32

A tube with a small cushioned mask on the
distal nd that provides a seal over the
laryngeal opening

Answer 32

LARGE MASK AIRWAY (LMA)

Question 33

Is a reusable device, made primarily of medical-grade silicone rubber and is latex-
free

Answer 33

LARGE MASK AIRWAY (LMA)

Question 34

With proper care and sterilization, it can be
reused up to 40 times

Answer 34

LARGE MASK AIRWAY (LMA)

Question 35

LMA CONTRAINDICATIONS
 Does not protect an airway from the
effects of

Answer 35

reguritation and aspiration

Question 36

LMA CONTRAINDICATIONS

Should not be used in patients who _____

Answer 36

have not fasted (18 hours)

Question 37

LMA CONTRAINDICATIONS
Should not be used in patients who are
not

Answer 37

profoundly unconscious and in those
with severe oropharyngeal trauma

Question 38

INSERTION OF LMA

Prior to insertion of LMA, the patient is

Answer 38

in a supine position, and the head is
advanced slightly

Question 39

INSERTION OF LMA
The chin is

Answer 39

depressed to open the
mouth

Question 40

INSERTION OF LMA
with the cuff _______, the lma is inserted blindly without a laryngoscope through the _____

Answer 40

completely deflated or partially inflated

mouth and advanced along the hard palate

Question 41

INSERTION OF LMA
LMA is then further advanced to the

Answer 41

posterior pharynx and turned toward the
trachea and larynx

Question 42

INSERTION OF LMA
lma may be guided with fingers

Answer 42

to ascertain that it makes the proper turn

Question 43

For surgical or OR patients

Answer 43

lma

Question 44

lma External adapter size –

Answer 44

15mm ED

Question 45

maneuver to insert the ET tube

Answer 45

Sellick maneuver –

Question 46

Large Male (Largest possible size):

Answer 46

7.5 - 8.0

Question 47

Female tube size:

Answer 47

7.0 – 7.5

Question 48

Special airway for independent
ventilation.

Answer 48

DOUBLE LUMEN ENDOTRACHEAL TUBE (DLT)

Question 49

DLT has

Answer 49

2 separate lumens
2 cuffs
2 pilot balloons

Question 50

only 1 lung is sick, other is healthy

Answer 50

unilateral lung disease

Question 51

DLT provide independent lung ventilation
where isolation of the lung is described
in order to prevent

Answer 51

lung to lung spillage of
blood or pus.

Question 52

DLT selection

Answer 52

28 and 38 fr are suitable for small childreb

Question 53

bad lung down, good lung up for patients with

Answer 53

lung abscess, pulmonary interstitial emphysema (pie)

Question 54

GLDBLU if patient has no

Answer 54

lung abscess or PIE