Chapter 11 (Airway Management)

Question 1

Nasopharynx

Answer 1

Entrance channel of air for the nose. Air is humidified and filtered here before being brought into the lungs.

Question 2

Dead Space

Answer 2

The portion of the tidal volume (tubes) that does not reach alveoli and thus does not participate in gas exchange.

Question 3

Airway Adjunct

Answer 3

Prevents obstruction of the upper airway by the tounge and allows the passage of air and oxygen to the lungs. Blood lube.

Question 4

Oropharyngeal (oral) Airway

Answer 4

A type of adjunct which keeps the tounge from blocking the upper airway and provides the area necessary to suction the oropharynx.

Indications: Unresponsive, no gag reflex, apneic patient being ventilated with a bag mask device
Contraindications: Conscious patients, intact gag reflex.

Clamp should withhold the tounge.

Question 5

Nasopharyngeal (nasal) Airways

Answer 5

Used for keeping the airway clear while suctioning.

Indications: semiconscious/unconscious patients with intact gag reflex, intolerable oral way
Contraindictions: severe head injury with blood draining from the nose, history of fractured nasal bone

Bevel to Nasal. Bend in the adjunct should flow downwards toward the respiratory system.

Question 6

Nasal Cannula

Answer 6

Delivers oxygen at a rate of 6 L/min (24 - 44%). (Around as much as venturi mask)

Indication: Mild hypoxemia
Contraindictions: Wild hypoxemia, nasal adjuncts in place.

Prolly good for vomiting patients.

Question 7

Nonrebreathing Mask

Answer 7

Provides Oxygen at a rate of 15 L/min (90%).

Indications: Wild hypoxemia
Contraindictions:

Make sure resevoir bag is full before application.

Question 8

Suctioning

Answer 8

Tip of ear used as point of farthest reach. Take around 10 seconds. Suction only on exit from the mouth (entry = no).