Stridor/Laryngospasm Flashcards

1
Q

Causes/triggers for stridor:

A
obstruction 
airway edema
vocal cord paralysis 
infection 
foreign body in airway
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2
Q

Inspriatory, expiratory and biphasic stridor-what does thismean:

A

Inspiratory: upper airway obstruction
Expiratory: lower airway obstruction
biphasic: mid tracheal lesions

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3
Q

KO treatment plan for stridor:

A
go evaluate patient
full H&P-paying attention to when things started, which positions make it better 
CXR 
ABG
Flexible bronchoscopy
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4
Q

If intubation in patient with stridor can be delayed, what are you giving/doing?

A

Oxygen by facemask
Head up positioning (45-90 degrees)
Nebulized racemic epinephrine
IV dexametahasone 4-8 mg given every 8-12 hours
Heliox: 70%helium, 30% oxygen: less dense than air o oxygen can lead to dramatic decreae in airway resistance and therefore improved ventilation

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5
Q

What to do with Laryngospasm?

A
Place patient on 100% O2
Remove irritating factor
apply jaw thrust and PPV 
Deepen anesthetic with an IV agent such as fentanyl and propofol 
Give iv or topical lidocaine 
call for help if still not working 
Give SUX 10-50 mg IV or IM 
Attempt ot intubate if still not good.
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6
Q

Negative pressure pulmonary edema via laryngospasm:

A

from pt inspiring against closed glottis resulting in high intrapleural pressures resulting in pulmonary edema.

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