ch 9 airway management Flashcards

1
Q

The pharynx:
______: the upper portion
______: the middle portion
______: the lower portion

A

Oropharynx; Nasopharynx; Laryngopharynx.

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2
Q

What is the larynx?

A

Connects the throat to the windpipe, houses vocal cords, and is the boundary between the upper and lower airway.

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3
Q

What part of the airway lies below the larynx?

A

The trachea.

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4
Q

_____ branch from the trachea.

A

Mainstem bronchi.

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5
Q

What lies at the end of the bronchi?

A

Alveoli.

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6
Q

What surrounds the alveoli?

A

Pulmonary capillaries.

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7
Q

Where are oxygen and carbon dioxide exchanged?

A

The capillaries.

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8
Q

True or False: The airway structures of children and infants are shorter, narrower, and softer than in adults.

A

True.

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9
Q

When listening for breath sounds, stridor is indicative of…

A

A very narrowed air passage.

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10
Q

When listening for breath sounds, hoarseness is indicative of…

A

Swelling around the vocal cords.

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11
Q

When listening for breath sounds, snoring is indicative of…

A

Diminished muscle tone.

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12
Q

When listening for breath sounds, gurgling is indicative of…

A

Vomit, blood, or secretions in the airway.

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13
Q

What does stridor sound like?

A

A high pitched whistling sound.

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14
Q

What does hoarseness sound like?

A

Raspy change in voice.

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15
Q

What does snoring sound like?

A

Similar to the snore during sleep.

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16
Q

What does gurgling sound like?

A

Bubbling sound.

17
Q

What is an immediate sign that a patients airway is not open?

A

Inability to speak.

18
Q

What are 2 signs of an inadequate airway that are present in children?

A

Retractions above the clavicles, between, and below the ribs as well as nasal flaring.

19
Q

In a patient with diminished mental status, airway procedures are best done with the patient laying _____.

20
Q

How should an unconscious patient with a threatened airway be positioned?

A

In a head elevated, sniffing position.

21
Q

To position a supine patient in the sniffing position, you should…

A

Place a few inches of padding behind their head, or in pediatric patients, placing padding behind their shoulders.

22
Q

What is the suprasternal notch?

A

The depression located at the top of the sternum between the clavicles.

23
Q

The optimal position for airway patency is…

A

with the patients ear at the same level as the suprasternal notch.

24
Q

Where should you position your hands on a conscious choking adult if you are unable to wrap your arms around them.

A

Over the sternum.

25
When should a oropharyngeal airway (OPA) be used?
Patient does not exhibit a gag reflex.
26
Prior to inserting an airway, you should always have _____ at the ready.
Suction.
27
How do you size an oropharyngeal airway (OPA)?
Measure device from the corner of the mouth to the tip of the earlobe.
28
When is a nasopharyngeal airway (NPA)?
When the patient has a gag reflex, teeth are clenched, or there are oral injuries.
29
How do you measure the appropriate size for a nasopharyngeal airway (NPA)?
Measure from the nostril to the tip of the earlobe.
30
How do supraglottic airways work?
They isolate the glottic opening by occupying space in the larynx and hypopharynx.
31
When are supraglottic airways used?
When an airway must be maintained over a long period of time.
32
What is the fastest and easiest way to clear fluids from the mouth?
Gravity! Turn the patient to their side.
33
Why should you minimize the time you take to suction an infant?
They are sensitive to vagal stimulation.
34
Limit suctioning to _____ seconds at a time.
10.