Chapter 9 - Airway Management Flashcards
The first step of emergency care in the patient with inadequate breathing is:
opening and maintaining the patient’s airway.
Signs of inadequate airway include:
Choices:
A. wheezing, crowing, or gurgling noises.
B. cyanosis of the lips, earlobes, or nail beds.
C. the patient being unable to speak in full sentences.
D. all of the above
all of the above
During your assessment of a 54-year-old male patient, you find that he is not breathing; your next step should be to:
begin providing artificial ventilations to the patient.
Your 24-year-old female patient has fallen from the roof of her house and is unconscious. The best method of opening her airway is the:
jaw-thrust maneuver.
Oropharyngeal airways can be used on unconscious patients, except those who:
have a gag reflex.
If you do not have the proper size oropharyngeal airway to fit your patient:
do not use one
The nasopharyngeal airway is popular because it:
often does not stimulate a gag reflex.
Which of the following is true when suctioning a patient’s airway?
Choices:
A. Never suction for longer than one minute.
B. Suction only as the catheter is going into the mouth.
C. BSI precautions are not necessary unless blood is seen.
D. Suction longer than 15 seconds if patient continues to vomit.
Suction longer than 15 seconds if patient continues to vomit.
The most popular type of suction tip used in the pre-hospital setting is:
rigid pharyngeal tip (Yankauer).
Nasopharyngeal airways must be lubricated to ease insertion; you should use:
any water-based lubricant.
One method of determining which size oropharyngeal airway to use is by:
measuring from the comer of the patient’s mouth to the tip of the earlobe on the same side.
Try to limit suctioning to no longer than:
10 seconds.
Despite all other patient care delivered, no patient will survive without a(n) __________ __________.
open airway
The EMT’ s chief responsibilities are finding and correcting immediately ___________ ___________ problems.
life-threatening
Minimal or uneven chest movements, diminished breath sounds, and noisy breathing are
signs of ___________ ___________ .
inadequate breathing
The two procedures commonly used for opening a patient’s airway are the ___________-___________, ___________-___________ maneuver if no trauma is suspected, and the ___________-___________ maneuver, if head, neck, or spine injury is suspected.
head-tilt, chin-lift; jaw-thrust
The most common impediment to an open airway is the ___________ .
tongue
Use an airway adjunct on all ___________ patients who do not exhibit a ___________ ___________ .
unconscious; gag reflex
When measuring an oropharyngeal airway to determine the correct size to use in your patient,
measure from the ___________ of the patient’s ___________ to the ___________ of the patient’s ___________ on the same side of the face.
comer; mouth; tip; earlobe
Lubricate the outside of a nasopharyngeal airway with a(n) ___________ based lubricant.
water
The rule is try to limit suctioning to no longer than ___________ seconds, unless patient is still vomiting, and then the EMT must ___________ suctioning.
15; continue
If an unconscious patient gags when the insertion of an oral airway is inserted, the EMT
should stop and attempt to insert an ___________ instead.
nasal airway
T/F: The nose, mouth, pharynx, and trachea are all parts of the respiratory system.
True
T/F: Abdominal breathing is a sign of inadequate airway in an adult.
True
T/F: Head, neck, or spinal injury should be suspected in any unconscious trauma patient.
True
T/F: The head-tilt, chin-lift maneuver should be used to open the airway of a patient with a suspected neck injury.
False
T/F: When using the head-tilt, chin-lift maneuver to open a patient’s airway, place your fingertips on the bony part of the chin, not the soft tissues under the lower jaw.
True
T/F: When opening an unconscious patient’s airway, you may need to insert your thumb into the patient’s mouth.
False
T/F: When using the jaw-thrust maneuver to open a patient’s airway, stabilize the patient’s head with your knees.
False
T/F: If the chest does not rise and fall during BVM ventilation, you should reposition the head to ensure an open airway.
True
T/F: If your patient does not tolerate an oropharyngeal airway at your first attempt, reopen the airway and insert it more aggressively.
False
T/F: To ease insertion of a nasopharyngeal airway, it should be lubricated with petroleum jelly.
False
