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PAR2011 - ALS > CWI's > Flashcards

CWI's Flashcards

1
Q

What are the indications for the Nasopharyngeal airway (NPA)?

A
  • Pt in an altered conscious state presenting with trismus
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2
Q

What are the advantages for the Nasopharyngeal airway (NPA)?

A
  • Better tolerated than OPA in semi-conscious pt’s
  • able to be used with trismus
  • rapidly inserted
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3
Q

What are the disadvantages for the Nasopharyngeal airway (NPA)?

A
  • may cause epistaxis
  • smaller internal diameter
  • may be difficult to suction through
  • may obstruct post insertion
  • difficult to insert in the presence of nasal trauma or deformity
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4
Q

What are the contraindications for the Nasopharyngeal airway (NPA)?

A
  • middle third facial fracture
  • significant nasal trauma
  • traumatic brain injury where tidal volume is adequate despite trismus
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5
Q

What are the precautions for the Nasopharyngeal airway (NPA)?

A
  • base of skull fractures
  • mid facial fractures
  • cerebrospinal fluid from nares or ears
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6
Q

What are the advantages for the Oropharyngeal airway (OPA)?

A
  • prevents tongue from falling backwards
  • used as bite block
  • larger diameter allowing better oxygenation
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7
Q

What are the disadvantages for the Oropharyngeal airway (OPA)?

A

must be measured correctly to avoid

  • not working effectively
  • damaging soft posterior structures
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8
Q

What are the indications for the Oropharyngeal airway (OPA)?

A
  • unconscious pt

- bite block

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9
Q

What are the contraindications for the Oropharyngeal airway (OPA)?

A
  • intact gag reflex

- trismus

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10
Q

What are the precautions for the Oropharyngeal airway (OPA)?

A
  • Pt’s with neurological injury
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11
Q

What are the indications for the Supraglottic airway (SGA)?

A
  • unconscious pt without gag reflex
  • ineffective ventilation with BVM
  • Pt requires >10 mins of assisted ventilation
  • Unable to intubate
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12
Q

What are the advantages for the Supraglottic airway (SGA)?

A
  • provides improved airway and ventilation management opposed to OPA and NPA
  • Lower risk of aspiration
  • Can be inserted from many positions
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13
Q

What are the disadvantages for the Supraglottic airway (SGA)?

A
  • only 2 attempts to get it in
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14
Q

What are the contraindications for the Supraglottic airway (SGA)?

A
  • intact gag reflex or resistance to insertion
  • trismus and strong jaw tone
  • suspected epiglottis or upper airway obstruction
  • the use of sedation to assist placement or maintain LMA
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15
Q

What are the contraindications for the Laryngoscope?

A
  • Pt with intact gag reflex
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16
Q

What are the indications for the IPPV with a Bag Valve Mask BVM?

A
  • Apnoea or significant hypoventilation

- Adult Pt’s with cardiac output should use PEEP valve

17
Q

What are the contraindications for the IPPV with a Bag Valve Mask BVM?

A

PEEP valves contraindicated in paediatrics and patients in cardiac arrest

PAR2011 - ALS (11 decks)

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