Ch. 6a Airway Management Flashcards
Where does the OPA rest
on the lips
when do you inject epinephrine
2 or more symptoms in different systems
what are the techniques to use when choking
bent-over back blows (5reps)
abdominal thrusts (5 reps)
chest thrusts
alternate btw 2 techniques
what technique do you use on pregnant women
chest thrusts
if 2 initials breaths don’t go in
30 compressions
unconscious infant
attempt vent
baby cpr
check mouth before breaths
allergic reaction definition
immune system reacts in a sudden and exaggerated way to contact with an antigen
what is released by anti-bodies with anaphylaxis
histamine
what does histamine do
damages tissues causing swelling, hives, eventual breathing problems
anaphylaxis management
call 911
epipen
O2
oral antihistamine may help
S&S anaphylaxis: respiratory
difficult, distress, arrest
S&S anaphylaxis: CV
Shock, cardiac arrest
S&S anaphylaxis: GI
nausea, vomitting, diarrhea, abdominal pain
S&S anaphylaxis: Skin
Urticaria: generally raise, migratory
angioedema: worrisome-upper airway, most visible - eyes and lips
redness
S&S anaphylaxis - other
anxiety
feeling of imminent death
after how much time do you give additional epinephrine
usually 15 min
dont give <5min
can you use an expired epipen
yes
what do you do in case of an allergic reaction
call 911 before epipen
send to hospital
what are the effects of epinephrine
dilates bronchioles
increase BP
increase PR, mar cause palpations
anxiety, trembling, nausea, vomiting
effects are short duration
auto-injector risks
accidental injection - used needle
accidental injection - sterile needle
what is the best airway technique if no spinal
head tilt chin lift
suction on the way
out
uses of rigid suction catheters
suction mouth and oropharynx
limited depth insertion
tonsil/whistle tip to engage suction
no blind suctioning
must visualize during suction
can cause soft tissue injury
use soft tip suction catheter
suction nose, npa, opa, mouth besides opa, advanced airways
must measure as you suction without visualisation
measure as for NPA
tonsil/whistle to engage suction
urgent suction interventions
if supine and actively vomiting
turn head or log roll
remove OPA
visualize and use rigid catheter
suction as long as they are vomiting
non-urgent suction intervention
if presence of some fluid in NPA, nose, mouth, besides OPA
suction 15 sec adult, 10 sec child, 5 sec baby
when do you perform emergency log rolls
airway risk
what are risks of suction
aspiration pneumonia
