respiration stuff

Question 1

checking for airway patency!

Answer 1

• stridor
• wheezing, snoring, crowing
• sniffing or tripod position
• chest rising and falling
• air movement
• can you see foreign bodies

look listen feel

Question 2

upper airway

Answer 2

nose mouth
oralpharynx nasopharynx
laryngopharynx
epiglottis

Question 3

lower airway

Answer 3

after the larynx
trachea
bronchial passages
alveoli

Question 4

children!!!!!!

Answer 4

look for nasal flaring and retractions above clavicle, also they consume oxygen at twice the rate of adults, hypoxia occurs easily, smaller mouh and nose, tongue takes up more space, flexible trachea

Question 5

how to open airway

Answer 5

head tilt chin lift

jaw thrust

Question 6

airway adjunct

Answer 6

• oropharyngeal airway opa

- nasopharyngeal airway nps

Question 7

opa

Answer 7

how to size
use on pts without gag reflex
dont push tongue in, have suction ready, stop if gagging
how to put in

Question 8

npa

Answer 8

use if gag reflex, teeth clench, or oral injuries
typical sizes 34 32 30 28 french
sizing
how to insert
right nostril first
lubrication

Question 9

suction systems

Answer 9

mounted suction systems
-near head of stretcher
portable suction units
-oxygen air or electrically powered
tubing, tips, catheters
-proper equipment
NUMBERS
air intake of at least 30 liters per minute which will occur if the system can generate a vacuum of no less than 300 mmHg

Question 10

suction techniques

Answer 10

no longer than 10 seconds at a time or hypoxia
suction on the way out not in
dont suction farther than u can see

Question 11

minute volume

Answer 11

tidal volume 500 ml x minute volume

t

Question 12

great chart when and how to intervene

Answer 12

adequate breathing-nonrebreather mask or nasal cannula
increasing respiratory distress-nonrebreather mask
severe respiratory distress, continues to deteriorate-assisted ventilations: pfm pocket face mask, bvm bag valve mask, flow restricted oxygen powered ventilation device fropvd
respiratory arrest-same as ^ but w assisted ventilations at 12/minute for an adult or 20/minute for child

Question 13

hypoxia

Answer 13

fire
emphysema
drug overdose
heart attack

Question 14

positive pressure ventilation

Answer 14

mouth to mask preferably with supplemental 15 liters per minute
bvm preferably with supplemental 15 liters per minute
fropvd

Question 15

cricoid pressure

Answer 15

pressure applied to cricoid cartilage to minimize air entry to esophagus

Question 16

stoma breather

Answer 16

clear mucus plugs
use infant child mask
if it doesnt work cover stoma and try with mouth and nose

Question 17

cylinders

Answer 17

d - 350 liters
e - 625 litera
m - 3,000 litera

Question 18

hazards of oxygen therapy

Answer 18

missile if punctured
combustion
no oil
toxicity or air sac collapse
infant eye damage
respiratory arrest

Question 19

rigid pharyngeal suction tip vs flexible suction catheter

Answer 19

yankauer tips and larger bore

used when rigid tips cant be

Question 20

compensation for hypoxia or hypercapnea

Answer 20

shortness of breath
increased respiration rate and depth
increased heart rate

cyanosis(blue lips)

Question 21

if chest doesnt rise and fall

Answer 21

resposition head
check for air escape
reposition fingers
check for airway obstruction

Question 22

when to use cpap vs bvm

Answer 22

cpap they are breathing bvm they arent

Question 23

hydroststic testing every

Answer 23

5 years

Question 24

pressure regulators connected to cylinder for

Answer 24

30-70 psi

Question 25

nonrebreather mask

Answer 25

fill up back before you give it to them

provides oxygen concentration of 80-100% and flow rate is 10-15 liters per min

Question 26

nasal cannula

Answer 26

for pts that refuse nonrebreather

oxygen concentrations b/w 24-44% and no more than 2-6 liters per min

Question 27

tracheostomy mask

Answer 27

8-10 liters per min