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St John/ Uni > Skills sign off > Flashcards

Skills sign off Flashcards

1
Q

Suction Indications

A

Significant amount of blood, vomit that threaten airway patency

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2
Q

Suction contras

A

Suction of saliva or pulmonary oedema fluid

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3
Q

Suction Potential complications/cautions

A

Damage to oropharanx
Hypoxia
Stimulation of gag/cough relfex
Braydicardia/hypotention due to vagal nerve stimulation

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4
Q

How to use suction

A

turn to max
Place catheter inside no futhur than you can see
Suction while withdrawing from mouth and in a circular motion
Do it no longer than 10 secs at a time

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5
Q

OPA Indications

A

Routinely placed in all patients requiring airway support

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6
Q

OPA contras

A

Patients who are conscious with gag relfex

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7
Q

OPA cautions

A

gagging, vomiting, aspiration, trauma to mouth, Dental injury, Inadequate airway

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8
Q

NPA indications

A

airway needs to be maintained but patient has trismus, mouth cavity been damaged OPA cant be placed

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9
Q

NPA Contras

A

Nasal trauma Maxillofacial trauma

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10
Q

NPA Cautions

A

Epistaxis, Ulceration, Sinusitis, gag relfex

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11
Q

BVM Indications

A

Administration of Hi flow
PEEP
Assisting ventilations

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12
Q

BVM Contras/cautions

A

Contras: None
Cautions: Active Vomiting, insufficient breathing to open duck bill valve

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13
Q

BVM Complications

A

Hyper/hypo ventalation, gastric inflation, intrathoratic pressure, barotrauma, asphxiation due to duckbill valve not opening

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14
Q

Cardboard splint Indications

A

Fractures disslocations of
Ankle
Tib/fib
Hand, wrist, radius, ulna
ElbowC

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15
Q

Cardboard splint contras

A

None

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16
Q

Cardboard splint cautions

A

Time critical

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17
Q

Cardboard splint complications

A

Pain during splinting
To small/tight can cause ischemia
to large dont provide enough support

18
Q

Cat tourniquet Indications

A

Servere bleeding despite direct pressure
Bleeding that is immediatley life threatening
Crush injury that has been going on for more than 60 mins

19
Q

Cat tourniquet Contras/Cautions

A

None

20
Q

Cat tourniquet Complications

A

Severe pain
Tissue damage
Limbs with two bones may limit pressure able to apply
Bleeding may be difficult to control if on a thigh or any large limb

21
Q

C spine collar indications

A

C spine cannot be cleared clinically
Specific posterior midline tenderness
Signs and symptoms of spinal cord injury

22
Q

C spine collar contras

A

Patients who are unconscious

23
Q

C spine collar cautions

A

pre excisting c spine abnormalities
Uncooperative patients

24
Q

C spine collar complications

A

may worsen neck pain
may promote the development of pressure in areas
makes airway management more difficult
may raise ICP

25
Q

What is the different for sniffing position in neonates, children and adults.

A

Neonates you want to put a towel under their back/shoulders.

Children you don’t need anything to realign the head.

Adults you need to put somthing under their head

26
Q

Do you need to put more towels under an obese person for sniffing position?

A

YES. You often need to put more towels under their back/ shoulders and their head to align it properly

27
Q

What is aim of sniffing position? It is proffered for intubation?

A

YES it is the optimal position for intubation. The aim is to have the ears parallel to the sternal notch.

28
Q

Sagar splint indications

A

Suspected femur fracture involving the shaft. NOT a NOF

29
Q

Sagar splint cautions

A

Not critical personal with ATP should be present
Time critical injury
Suspected fracture to pelvis
Suspected fracture to foot/ankle

30
Q

What are the 5 R’s for medications

A

Right patient
Right dose
Right Time
Right medication
Right Route

31
Q

What are the 4C’s for medications

A

Clarity
Concentration (e.g. duilte, label etc)
Container
Check expiration

32
Q

What are the Indications for a LMA

A

GCS 3 and poor airway despite OPA/NPA/ maneuvers
Cardiac arrest where ETT can’t be placed
Rescue airway in failed intubation

33
Q

What are the contras/cautions for a LMA

A

Active vomiting
Presence of gag reflex
Trismus/restricted mouth opening
Upper airway obstruction
Distorted airway

34
Q

What are some potential complications for a LMA

A

Inability to obtain a good seal
Regurgitation
Aspiration
Kinking of the airway tube
Laryngospasm
Cough
Upper airway trauma
Gas insufflation
Dislodgement

35
Q

What is the acronym for predicting a LMA insertion may be troublesome

A

R - restricted mouth opening
O - Obstruction, obesity, obstetrics
D - disrupted/distorted airway
S - still lungs (poor compliance)

RODS

36
Q

How do you trouble shoot a LMA

A

D - dislodged
O - obstruction
P - pneumothorax
E - Equipment failure
S - stacked breaths

37
Q

What are the indications for Magill Forceps (FBAO)

A

Foreign body airway obstruction
The patient is unconscious and not moving sufficient air
The foreign body can not be removed under direct vision with a finger sweep

38
Q

What are the contras/cautions for Magill forceps

A

Contras:
Conscious patient
Cautions:
None

39
Q

What are the complications for Magill forceps

A

Gagging
Vomiting
Foreign body may be difficult to remove
Foreign body may be in multiple pieces
Damage to the soft tissue of mouth
Damage to teeth

40
Q

What are the indications/contras/cautions for IM injections

A

Indications: Administration of a medication via IM

Contras/cautions: Evidence of infection/trauma at the injection site.

41
Q

What are the potential complications for IM injection

A

Pain at injection site
Bleeding at injection site
Tissue necrosis
Infection

St John/ Uni (23 decks)

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