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24 Cards in this Set
- Front
- Back
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What are the signs and symptoms of foreign body Airway obstruction |
acute onset of respiratory distress with coughing, gagging, stridor or wheezing
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Do Not Interfere with a patient with what sort of obstruction? (BLS SKILL) |
Mild / Partial.
Monitor the patient for signs of severe foreign body airway obstruction * Allow the patient to clear the airway by coughing* Reassure the patient and allow for position of comfort |
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Abdominal Thrusts should be preformed for what type of patient? (BLS SKILL) |
Conscious Patient with a Severe / Complete Obstruction. |
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Chest Thrusts should be preformed for what type of patient? (BLS SKILL) |
A conscious, Severe patient AND: 1) unable to encircle the pt.'s chest (obesity) 2) late stage pregnancy |
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What two interventions should be preformed for an unresponsive patient (BLS SKILL)? |
1) Start CPR 2) Check the mouth for foreign body often
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What BLS skill should never be preformed on these patients? |
DO NOT perform blind finger sweeps |
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What intervention should be preformed for suspected obstruction below the level of the cords? |
Endotracheal Intubation
If still unable to ventilate: * Attempt to push the obstruction with an endotracheal tube (balloon deflated).* Retract endotracheal tube to original position and attempt ventilation |
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What intervention should be preformed for obstruction above the level of the cords? |
direct laryngoscopy and attempt to remove the foreign body with Magill forceps |
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If all interventions have been attempted, and you are unable to intubate and unable to ventilate, what procedure should be preformed? |
cricothyrotomy
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When does a SEVERE obstruction develop? |
cough becomes silent, respiratory effort increases and is accompanied by stridor or unresponsiveness |
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DO NOT delay transport for multiple intubation attempts |
DO NOT delay transport for multiple intubation attempts |
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What hospital should these patients be transported to? |
Transport to the closest hospital is mandatory for an uncontrolled airway |
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Surgical Cricothomy is contraindicated in people under what age |
Less then 10 years of age |
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In Surgical Cricothomy, where will the incision be made? |
Just below the laryngeal prominence (point of the Adam’s apple). Slide finger downward to locate the cricothyroid membrane |
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In Surgical Cricothomy, how long and in what direction shall the incision of the skin be made? |
Make 3cm vertical midline incision overlying the cricothyroid membrane. |
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In Surgical Cricothomy, What direction through the cricothyroid membrane should the incision be made |
transverse incision through the cricothyroid membrane the width of the cricothyroid space. |
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In Surgical Cricothomy, What instrument is used to dilate the opening? |
Kelly Clamp
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In Surgical Cricothomy, What size ET tube should be inserted through the incision? |
6.0 mm endotracheal tube directed inferiorly through the incision until just past the balloon and inflate cuff.
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In Pt.'s less then __ years of age, needle cricothomy should be preformed. |
Less then 10 years of age. |
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What are the indications for needle cricothomy? |
Inability to adequately ventilate with an established airway of other means (e.g. bag-valve-mask device and OPA or endotracheal tube) due to: * Severe oral or facial trauma |
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What are the contraindications of needle cricothomy? |
* Neck tumors that obstruct anatomical landmarks
* Inability to identify appropriate landmarks |
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What guage needle should be preformed in needle cricothomy? |
14 gauge needle |
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What angle should the needle be inserted at? |
45 degrees caudually |
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What size adapter should be used to attach the BVM to the catheter in needle cricothomy? |
15 mm adapter (removed from the 3.0 endotracheal tube) |
