Nasopharyngeal Airways Flashcards
indication for nasal pharyngeal airways
for the conscious patient
supports the base of tongue to prevent airway obstruction
facilitate suctioning
how is nasopharyngeal airways used to facilitate suctioning
used to decrease nasal trauma during and suction
what is the advantage of nasal over the oral
can be used in conscious and semiconscious patient
why are nasopharyngeal airways helpful in semiconcious patients
they are able to breath spontaneously but need frequent nasotracheal suctioning
nasal airways contraindicated
nasal trauma, basilar skulls fractures, deformities of the nose, and coagulation disorders
hazards of nasopharyngeal airways
sinusitis, otitis media, gastric inflation, intubation of the meninges, occlusions of the airway by secretions, tissue necrosis, bleeding during insertion
how do u measure for a nasopharyngeal airway
tip of the nose to the tragus of the ear
what do you use to lubricate the airway
water-soluble lubricant
where should the bevel face
midline when the airway is inserted
how should u determine which side of the nasal passage is less obstructed
temporarily occlude each side and see which airflow is better
what are the nasopharyngeal airway supplies
3 sizes of airways
water soluble anesthetic or plain KY
what should you place to secure a nasopharyngeal airway
place a safety pin through the side of the flare so it will not be aspirated
placement visual assessment
examine oropharynx
flashlight
tongue depressor
complications of nasal pharyngeal airways
trauma to the mucosa infection (inner ear infection) chemical inflammation if water soluble lube is not used epistaxis - bleeding obstructed with secretions
how often should you change the nasal pharyngeal airways
every 24 hours
