Chapter 14 Flashcards
True or False
If the patient is still able to cough, the obstruction would be soldiered a partial obstruction.
True (if a complete obstruction were to occur, the patient would be unable to speak, cough, or breathe and would be in significant distress)
Dental objects that have been aspirated include?
Primary and permanent teeth Dental impression material Orthodontic retainers Fixed prosthetics (crowns, bridges, partial dentures) Implants Orthodontic wires Orthodontic brackets Anesthetic needles Gauze Screwdriver Ultrasonic scaler tips Broken instrument tips
True or False
10% of ingested objects cause impaction, abscesses, or perforation of the gastrointestinal tract.
True
What are the symptoms of a partially obstructed airway?
Coughing Cyanosis Placing hands in throat area Wheezing Dyspnea Anxious Fear
What are the symptoms of a completely obstructed airway?
Respiratory distress
Place hands in throat area
Cyanosis
Unable to talk or cough and eventual loss of consciousness
What are the signs and symptoms of aspirated foreign body?
Nonexistent to severe dyspnea depending on the location of the foreign body in the airway Dyspnea Hoarseness Wheezing Coughing Decreased breath sounds Cyanosis Stupor Excessive sputum production Possible suffocation
What are the signs and symptoms of ingested foreign body?
Feeling of something trapped in throat Mild to severe discomfort in throat Drooling Dysphagia Airway compromise Sensation in chest area Gagging Vomiting Pain in neck or throat Abdominal dissension and discomfort
What is the treatment for a partially obstructed airway?
Position the patient upright and encourage him or her to continue coughing to attempt to expel the object.
True or False
Applying back blows is no longer recommended as this may cause aspiration of the object.
True
What should be done if a patient ceases coughing and cannot speak?
Indication of total airway obstruction
Heimlich maneuver should be performed until the object is expelled or the patient loses consciousness(abdominal thrusts)
What should be done once the patient loses consciousness?
Placed in supine position and the clinician should open the airway in attempt to ventilate the patient. If breaths do not enter the lungs, head should be repositioned to ensure the airway is open and another attempt to ventilate should ensue.
If the breath does not enter the lungs when ventilating, what should be done?
CPR should be performed at a rate of 30:2 compressions to ventilations for 5 cycles, inspect the oral cavity for the object, and perform a finger sweep only if the object is apparent
What should be done if aspiration or ingestion of an object is suspected?
EMS should be contacted as the patient should be transported to the ER where chest or abdominal X-ray will be taken.
If the radiograph reveals that an object has been aspirated, doctors will likely perform?
Bronchoscopy
Procedure in which a tube with a light is placed in the patient’s throat and into the bronchi to view the area and to remove the foreign body.
What if an aspirated object is left untreated?
Cause inflammation, infection, ulceration, and granulation tissue formation in the lungs
