M2 - Foreign Body Airway Obstruction (FBAO)

Question 1

Assessment of the severity of a FBAO:

The simplest way to assess the severity of a FBAO is to assess for ____ ____

• ____ ____: indicated by patients who are able to ____, ____ and ____. An ____ ____ indicates a mild airway obstruction. Patients should be encouraged to ____ ____ to expel the foreign material. Transport patient to hospital if ____ to remove foreign body, administer ____ (___) if indicated.
• ____ ____: Indicated by patients who are unable to ____, ____ ____ and/or have ____/____ ____. Attempts at ____ may be _____ or have ____ ____ ____. An _____ ____ indicates a severe FBAO and requires _____ ____.

Answer 1

Effective cough
Effective cough; speak, cough, breathe; effective cough; continue coughing; unable; Oxygen (221)
Ineffective cough; speak, breathe effectively; wheezy/noisy breathing; coughing; silent; little air movement; ineffective cough; immediate treatment

Question 2

Treatment:

1. ____ ____ (__) - assess ____ of FBAO
2. ____ ____: Severe FBAO
   
   • If the patient is _____
     - Administer up to _ sharp ____ ____ (position the patient with their ____ ___ to utilise ____ - Skill 101.12)
     - If ____ ____ fail, administer up to _ ____ ____ (Skill 101.13)
     - If both fail, administer _____ if indicated and continue to alternate ____ ____ with ____ ___ during ____
   • If the patient is ____
     - Extricate the foreign body with a _____ and ____ _____
     - If this fails, commence ___
3. ____ ____ - Mild FBAO
   
   • Encourage ____ to expel foreign body
   • Administer _____ if indicated
4. ____ ____ (__) for patients with ____ FBAO
5. Regularly repeat and document ____ ____ ____ and ____ ____ in order to identify trends in clinical deterioration

Answer 2

1. Patient care (A2); severity
2. Ineffective cough;
   conscious; 5; back blows; head down; gravity; back blows; 5 chest thrusts; oxygen; back blows; chest thrusts; transport
   Unconscious; laryngoscope; Magill forceps; CPR
3. Effective cough; coughing; oxygen
4. Urgent transport (A8); severe
5. ABCD physical examinations; physiological observations