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29 Cards in this Set

  • Front
  • Back
3 signs of a mild airway obstruction

-Good air exchange


-Can cough forcefully


-May wheeze between coughs




Pt. 9, pg. 71

7 signs of a severe airway obstruction

-Clutching the throat (universal choking sign)


-Unable to speak or cry


-Poor or no air exchange


-Weak, ineffective cough or no cough at all


-High-pitched noise on inhaling or no noise at all


-Increased respiratory difficulty


-Possible cyanosis (turning blue)




Pt. 9, pg. 71

Rescuer actions in a mild airway obstruction

-Encourage the victim to continue coughing


-Do not interfere with victim's own attempt to relieve obstruction, but remain with victim and monitor them


-If obstruction continues or progresses to severe, activate emergency response system




Pt. 9, pg. 71

Rescuer actions in a severe airway obstruction

-If victim is adult or child, ask if they are choking. If victim nods 'yes' but can't talk, severe airway obstruction confirmed


-Take steps immediately to remove obstruction


-If obstruction continues and victim becomes unresponsive, start CPR


-If you are not alone, send someone to activate emergency response system; otherwise, provide 2 min of CPR before doing so yourself.




Pt. 9, pg. 71

"Use _________________ to relieve choking in a responsive adult or child."

Abdominal thrusts (the Heimlich maneuver)




Pt. 9, pg. 72

"Do not use _____________ to relieve choking in an infant."

Abdominal thrusts




Pt. 9, pg. 72

To perform abdominal thrusts with a standing or sitting adult/child victim: "Stand or kneel behind the victim and ___________________________."

Wrap your arms around the victim's waist




Pt. 9, pg. 72

To perform abdominal thrusts with a standing or sitting adult/child victim: "Make a _____ with one hand"

Fist




Pt. 9, pg. 72

To perform abdominal thrusts with a standing or sitting adult/child victim: "Place the thumb side of your fist ____________________________."

-Against the victim's abdomen


-In the midline


-Slightly above the navel and well below the breastbone




Pt. 9, pg. 72

To perform abdominal thrusts with a standing or sitting adult/child victim: "Grasp your fist [that's against the abdomen] with your other hand and ______________________."

Press your fist into the victim's abdomen with a quick, forceful upward thrust




Pt. 9, pg. 72

To perform abdominal thrusts with a standing or sitting adult/child victim: "Repeat thrusts until ________________ or ___________________."

-The object is expelled from the airway


-The victim becomes unresponsive




Pt. 9, pg. 72

To perform abdominal thrusts with a standing or sitting adult/child victim: "Give each new thrust with ______________________ to relieve the obstruction."

A separate, distinct movement




Pt. 9, pg. 72

"If the victim is pregnant or obese, _______________________________."

Provide chest thrusts instead of abdominal thrusts




Pt. 9, pg. 73

If an adult or child choking victim becomes unresponsive:

1. Shout for help; send anyone available to activate the emergency response system


2. Gently lower the victim to the ground


3. Start CPR with chest compressions. Do not check for a pulse


4. Each time you open the airway, open the victim's mouth wide. If you see an easily removable object, remove it with fingers


5. If you do not see an object, continue CPR


6. After 5 cycles/2 min of PR, activate emergency response system if not already done




Pt. 9, pg. 73-74

"When a choking victim loses consciousness, ____________________. This could convert a _______________ to a _________________."

-The muscles in the larynx may relax


-Complete/severe airway obstruction


-Partial obstruction




Pt. 9, pg. 74

"Giving 30 compressions and then removing any object seen in the mouth may allow you to eventually _______________."

Give effective breaths




Pt. 9, pg. 74

"You can tell if you have successfully removed an airway obstruction in an unresponsive victim if you: "

-Feel air movement and see the chest rise when you give breaths


-See and remove a foreign body from the victim's mouth




Pt. 9, pg. 74

Use __________ and _____________ for choking relief in an infant. Do not use _____________."

-Back slaps


-Chest thrusts


-Abdominal thrusts




Pt. 9, pg. 74

Positioning for choking relief for a responsive infant

1. Kneel or sit with the infant in your lap


2. Remove clothing from the infant's chest if easy to do so


3. Hold infant facedown with head slightly lower than chest, resting on forearm


4. Support infant's head and jaw with your hand, taking care to avoid compressing the infant's throat


5. Rest forearm on lap or thigh to support infant




Pt. 9, pg. 74

After positioning a responsive choking infant, deliver ________________ between the infant's shoulder blades, using _______________.

-Up to 5 back slaps forcefully


-The heel of your hand




Pt. 9, pg. 75

When delivering back slaps to a responsive choking infant, deliver each slap with _______________________________."

Sufficient force to attempt to dislodge the foreign body




Pt. 9, pg. 75

"After delivering up to 5 back slaps, place _________________, supporting _________________."

-Your free hand on the infant's back


-The back of the infant's head with the palm of your hand.




Pt. 9, pg. 75

After turning a responsive choking infant faceup on your thigh, provide ___________________ at a rate of ____________________, each with ___________________."

-Up to 5 quick downward chest thrusts at the same location as for chest compressions for CPR


-About 1 per second


-The intention of creating enough force to attempt to dislodge the foreign body




Pt. 9, pg. 75

For a responsive choking infant, repeat the sequence of up to 5 back slaps and up to 5 chest thrusts until _____________ or _________________."

-The object is removed


-The infant becomes unresponsive




Pt. 9, pg. 75

If an infant choking victim becomes unresponsive, stop ______________ and start _______________."

-Giving back slaps


-CPR, beginning with chest compressions




Pt. 9, pg. 75

When doing CPR for an unconscious choking infant, each time you open the airway, you must __________________________."

Look for the object in the back of the throat. If you see an object and can easily remove it, remove it. Note that you do not check for a pulse before beginning CPR.




Pt. 9, pg. 75

Review Question 9.1: "Which is an example of a [sign of a] mild foreign-body airway obstruction?"


a. Cyanosis (turning blue)


b. High-pitched noise while inhaling


c. Inability to speak or cry


d. Wheezing between coughs

d. Wheezing between coughs




Pt. 9, pg. 76

Review Question 9.2: "Which victim of a severe airway obstruction should receive abdominal thrusts?"


a. An average-size 27-year-old man


b. A woman who is obviously pregnant


c. An obese 50-year-old man


d. An average-size 9-month old infant

a. An average-size 27-year-old man




Pt. 9, pg. 76

Review Question 9.3: "You are performing abdominal thrusts on a 9-year-old child when he suddenly becomes unresponsive. After you shout for nearby help, what is the most appropriate action to take next?"


a. Begin high-quality CPR, starting with chest compressions


b. Check for a pulse


c. Continue performing abdominal thrusts


d. Provide 5 back slaps provided by 5 chest thrusts

a. Begin high-quality CPR, starting with chest compressions




Pt. 9, pg. 76