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7 Cards in this Set
- Front
- Back
- 3rd side (hint)
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What are the Indications and conditions for the king LT? |
(1) Pt needs ventilatory assistance or airway control (2)other airway management is insufficient (3)patient is in cardiac arrest |
(3) |
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What are the contraindications to using the king LT? |
(1) active vomiting (2) inability to clear the airway (3) airway edema (anaphylactic) (4) stridor (5) caustic ingestion |
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What are some complications of using the King LT? |
(1) lateral displacement can put the tip in the piriform fossa (2) tracheal placement (3) tongue edema (4) carotid artery compression (5) gastric in suffocation / aspiration (6) pharyngeal or esophageal perforation |
(6) |
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how will you prepare to insert the king LT? |
(1) obtain consent (2) Don appropriate personal protective equipment (3) prepare equipment in advance (4) choose correct king LT based on Pt height (5) inflate with maximum recommended cuff volume and test each balloon integrity. (6) remove all air from cuffs prior to insertion (7) apply lubrication to tip, avoid apertures (8)position airway (9) utilize op/np airways to improve patency (10) pre oxygenate for 30 - 60 seconds |
(10) |
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What do you want to do throughout the procedure? |
Use aseptic /clean technique |
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Describe your main procedural points? |
1 hold king LT at the connector 2 perform head tilt chin lift 3 rotate 45 to 90 degrees blue line to corner of mouth 4 introduce to corner of mouth 5 advance tip under base of tongue while rotating tube to midline 6 advance tube until base of adaptor is aligned with teeth /finds 7 inflate cuffs
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(7) |
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What next? |
1 gently ventilate patient while simultaneously withdrawing tube 2 confirm placement via 5 point auscultation, chest rise, etco2 3 secure king LT 4 if unsuccessful after 30 seconds stop and re oxygenate 5 maximum 2 attempts 6 if patient begins to vomit, turn head /body to side, deflate cuffs auction and re evaluate 7 document pre and post vitals complications and response to treatment. |
(7) |
