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32 Cards in this Set
- Front
- Back
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I hope this works
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I don't want to do this again
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Name some indicators for Endotracheal Intudation
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*Respiratory/Cardiac arrest
*Unconsciousness *Risk of Aspiration *Obstruction due to foreign bodies, burns, trauma, of anaphylaxis *Resp. extremis due to diseases *Pneumothorax, Hemothorax, or Hemopneumothorax w/ resp. difficulty |
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Do not intubate in the prehospital setting if _____ is present, instead rapid transport to the operating room.
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Epiglottitis
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True or False
Bypassing the upper airway's function of warming, filtering, and humidifying the inhaled air is an advantage of Endotrachael Intubation |
False
The statement is a disadvanatage |
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The only fulcrum in the a Pt's mouth are _______, which is why you want to lift instead of flexing the wrist while using the laryngoscope blade.
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Upper incisors
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To avoid hypoxia during intubation, limit each intubation attempt to no more than ____ seconds.
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30 seconds
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*Absence of chest rise
*Absence of breath sounds *Gurgling sounds over epigastrium *Distention of Abdomen *Absence of condensation in tube *Persistence of air leak *Cyanosis *Phonation (noise made by vocal cords) * No color change w/colormetric CO2 detector *falling pulse ox are all indicators of ______ |
Esophageal Intubation
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If you inserted ETT to far, most likely the tube will enter the _____ mainstem
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Right
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The average depth of ETT for men is ____ cm and for women is ____ cm
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men: 21cm
women: 23 cm |
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Any tear in the lung parenchyma can cause a _____.
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Pneumothorax
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*more difficulty in ventilating
* diminished unilateral breath sounds * hypoxia w/hypotension * distended neck veins *deviated trachea these are all signs/markings of |
Tension Pneumothorax
(the trachea will deviate away from the side of the pneumothorax) |
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The most widely preferred and most commonly used path for endotracheal intubation is ______?
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Orotracheal Intubation
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During Orotracheal Intubation, what are the landmarks for the blades Mac vs Miller
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Mac Blade- distal end at the base of the tongue in the vallecula
Miller Blade- distal end is under the epiglottis |
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The most reliable method of confirming correct ETT placement is ?
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Direct visualization of the ETT passing through the vocal cords
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When using a Check ball to confirm ETT placement, resistance to air withdrawl or the creation of a vacumn is a sign of _____
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Esophageal Intubation
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It is ideal to verify and document at least ____ different indicators of proper tube replacement
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3 different indicators
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BURP is a maneuver to enhance visualization of the vocal cords, BURP is an acronym for?
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B- backward
U- upward R- rightward P- pressure |
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What is an advantage and a limitation for Transillumination Intubation
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Advantage- you can perform ET intubation w/out manipulating a trauma PT's head/neck
Limitation- Bright ambient light makes the transillumination difficult to see |
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What are some advantages of digital intubation
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*does not require manipulation of head or neck
* does not require visualization * helpful when facial injuries distort Pt's anatomy *helpful when you can't suction blood/vomitus for a proper view of airway |
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What is your most immediate concern with every patient?
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Maintaining a patent airway and adequate oxygenation and ventilation
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Glasgow Coma Score of ___ or less is a sign of Altered Mental Status and an indication for ?
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RSI
Rapid-sequence Intubation |
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The most preferred neuromuscular blocking agent (paralytic) for emergenc RSI is
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Succinylcholine
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Application of the Sellick maneuver will help to prevent
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Aspiration
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Ture of False
During RSI you want to paralyze the PT before you administer a sedative. |
False
Sedate then paralyze |
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The preferred laryngoscope blade for most pediatric PT's is
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Straight (Miller) blade
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What are 2 ways to measure an ETT for pediatrics
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1- (Age in years+16) / 4
2- match diameter to the child's smallest finger |
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Do you want to use a cuffed or uncuffed ETT with infants and children under 8 yoa, and why?
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Uncuffed because the narrowing of the child's cricoid cartilage forms a suitable cuff
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The depth of insertion of the distal tip for pediatric ETT should be ___ to ___ cm below the vocal cords.
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2-3 cm below
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Laryngoscopy and passage of ETT are likely to cause a vagal response. What are signs of a vagal response
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Dramatic slowing of heart rate
Decrease cardiac output Decrease in Blood Pressure |
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What are some situations whereNasotracheal Intubation are not recommended
(6) |
*suspected nasal fractures
* suspected basilar skull fracture * significant deviated nasal septum or nasal obstruction * cardiac/respiratory arrest * unresponsive PT |
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True or False
Blind Nasotrachael Intubation requires the PT to be breathing |
True
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What are some high risks of Extubation in the field
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Laryngospasm
Involuntary closure of the epiglottis may prohibit successful reintubation |
