NPA

Question 1

Indications 1

Answer 1

Unresponsive patients and patients with AMS who have an intact gag reflex

Question 2

Contraindications 1

Answer 2

Patient intolerance

Question 3

Contraindications 2

Answer 3

Presence of facial (specifically below the nose) fracture or skull fracture.

Question 4

Procedure 1

Answer 4

Standard precautions

Question 5

Procedure 2

Answer 5

Recognizes the need for airway adjunct (snoring, inability to ventilate adequately w/ a BVM)

Question 6

Procedure 3

Answer 6

Maintain manual cervical immobilization throughout the procedure if c-spine injury is suspected

Question 7

Procedure 4

Answer 7

Select the appropriate size NPA, measure from the tip of the nose to the angle of the jaw or tip of the earlobe

Question 8

Procedure 5

Answer 8

Determine the patients larger nare

Question 9

Procedure 6

Answer 9

Lubricate the npa with water soluble lubricant

Question 10

Procedure 7

Answer 10

Demonstrate right nare insertion, bevel side toward septum, straight back along nasal floor

Question 11

Procedure 8

Answer 11

Demonstrate left nare insertion, bevel side towards the septum and gently rotate 180 during insertion, straight back along the nasal floor

Question 12

Procedure 9

Answer 12

Insert slowly until flange rest against nostril.

Question 13

Procedure 10

Answer 13

Assess airway patency for improvement in (chest rise, lung sounds, pulse oximetry, and bag compliance)