Chapter 11 - Airway Management Flashcards
A 19-year old female is found unconscious by her roommate. Your primary assessment reveals that her breathing is inadequate. As you insert an OPA, she begins to gag violently. You should:
Remove the airway and be prepared to suction her oropharynx
A 23–year old male experienced severe head trauma after his motorcycle collided with an oncoming truck. He is unconscious, has agonal gasps, and has copious bloody secretions in his mouth. How would you manage his airway?
Alternate oropharyngeal suctioning and ventilation with a bag-mask device
A 37-year old male has an apparent foreign body airway obstruction. He is conscious and alert and is coughing forcefully. His skin is pink, warm and moist. The MOST appropriate treatment for this patient includes:
encouraging him to cough and transporting
A 51-year old female presents with a sudden onset of diff breathing. She is conscious and alert and able to speak in complete sentences. Her respirations are 22 breaths/min and regular. You should:
administer oxygen via a nonrebreathing mask
A man was found unresponsive in his bed at home. There is no evidence of injury, and the patient’s medical history is not known. The patient’s face is cherry red, yet the pulse ox reads 98%. What could MOST likely explain this?
Carbon monoxide poisoning
A nasopharyngeal airway is inserted:
with the bevel facing the septum if inserted into the right nare
All of the following will help minimize the risk of gastric distention when ventilating an apneic patient with a BVM EXCEPT:
a. ensuring the appropriate airway position
b. delivering ea breath over 1 second
c. increasing the amount of delivered tidal vol
d. ventilating the patient at the appropriate rate
C. increasing the amount of delivered tidal volume
An adult at rest should have a RR that ranges between:
12 and 20 breaths/min
Based on current guidelines, in which of the following situations should supplemental oxygen be administered?
a. Elderly w/ ox sat 95%
b. Exposure to CO w/ ox sat 94%
c. diabetic w/ ox sat 98%
d. signs of MI w/ ox sat 97%
Exposure to carbon monoxide and an oxygen saturation of 94%
Central chemoreceptors located in the medulla provide feedback to increase the rate and depth of breathing when they sense:
slight increases in carbon dioxide or a decrease in the pH of the cerebrospinal fluid
CPAP is indicated for patients who:
have pulmonary edema and can follow verbal commands
Each cell of the body combines nutrients and oxygen and produces energy and waste products through a process called?
metabolism
How does CPAP improve oxygenation and ventilation in patients with certain respiratory problems?
It forces the alveoli open and increases the concentration of oxygen in the alveoli
In contrast to inhalation, exhalation:
is a passive process caused by increased intrathoracic pressure
Prior to applying a nonrebreathing mask to a patient, you must ensure that the:
reservoir bag is fully inflated
