OPA

Question 1

Indications

Answer 1

Any unconscious patient without a gag reflex requiring ventilatory assistance

Question 2

Contraindications 1

Answer 2

Patients with an intact gag reflex

Question 3

Contraindications 2

Answer 3

Patients initially presenting with trismus

Question 4

Procedure 1

Answer 4

Standard precautions

Question 5

Procedure 2

Answer 5

Recognizes the need for an 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 OPA, measure from the corner of the mouth to the tip of earlobe or angle of the jaw

Question 8

Procedure 5

Answer 8

Open the patients mouth with the cross finger technique

Question 9

Procedure 6

Answer 9

Insert the OPA with the tip facing the roof of the mouth and when reaching the soft palette rotate 180

Question 10

Procedure 7

Answer 10

Alternate: use the tongue blade eliminate the need to rotate (preferred method in pediatrics)

Question 11

Procedure 8

Answer 11

Advance the opa untill the flange rests against the patients teeth and the other end opening into the pharynx.

Question 12

Procedure 9

Answer 12

Immediately remove the device if the patient begins to retch or gag

Question 13

Procedure 10

Answer 13

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