NPA

Question 1

Therapeutic Effects

Answer 1

Improves airway patency

Question 2

Indications

Answer 2

Any unconscious patient or semiconscious patients with an intact gag reflect or clenched teeth trismus

Question 3

Contraindications

Answer 3

Basilar skull fracture, periorbital and nasal fractures, suspected head trauma

Question 4

Side Effects 1

Answer 4

Obstructions of the airway (usually from improper sizing)

Question 5

Side Effects 2

Answer 5

Localized Soft tissue mucosal damage bleeding

Question 6

Side Effects 3

Answer 6

Intracranial insertion following head trauma

Question 7

Procedure 1

Answer 7

Standard precautions

Question 8

Procedure 2

Answer 8

Maintain manuall C-spine immobilization throughout the procedure if C-Spine injury is suspected

Question 9

Procedure 3

Answer 9

Determine the patients larger nare ( usually the right)

Question 10

Procedure 4

Answer 10

Select and measure the appropriately sized Nasalpharangeal Airway- measure from the tip of the nose to the earlobe or angle of the jaw

Question 11

Procedure 5

Answer 11

Lubricate with water soluble gel

Question 12

Procedure 6

Answer 12

For the right nare insert bevel towards the septum

For the left nare, insert bevel towards the septum and gently rotate 180 during insertion

Question 13

Procedure 7

Answer 13

If resistance is met during insertion, rotate gently from side to side. If the NPA still will not advance, attempt the other side

Question 14

Procedure 8

Answer 14

Continue to insert until the flange rest against the nostril

Question 15

Procedure 9

Answer 15

Assess airway patency ( ventilate as needed) look for adequate chest rise, lung sounds and pulse oximetry