Doe Airway Obstruction

Front 1

airway abnormality characterized by mechanical impediment of delivery or O2 in lungs

Back 1

Airway Obstruction

Front 2

How many children die each year from foreign body aspiration in US

Back 2

500

Front 3

What percentage of children die from foreign aspirations and what age does this occur in children

Back 3

90 percent
children younger than 3 years

Front 4

65 percent daeths occur with this age group

Back 4

infants

Front 5

Objects in denistry are at great risk to fall into the

Back 5

posterior portion of the oral cavity and into the pharnyx

Front 6

what are some dental hazards

Back 6

aspirations of objects
ingestion of objects

Front 7

what are some hazards of ingesting an object?

Back 7

10% cause impaction, abscesses, or perforation of the GI tract; 90% pass through tract in 10-12 hours

Front 8

What are the hazards of aspirating an object?

Back 8

Extremely serious; Must be removed to avoid major infection or death

Front 9

What are some dental devices recovered from the throat?

Back 9

crowns
endo instruments
mirror heads
rubber dam clamps

Front 10

mouth and nose empty into

Back 10

pharynx

Front 11

The first passage of airway is

Back 11

trachea
aka windpipe

Front 12

the trachea is located

Back 12

in front of throat and carries air from pharynx to the lungs

Front 13

The second passage and what does it carry

Back 13

the esophagus solids from the mouth to the stomach

Front 14

What are two classifications of airway obstructions

Back 14

Mild airway (partial obstruction)Severe obstruction (complete)

Front 15

what is a mild airway obstruction

Back 15

good air exchange;
responsive and can cough forcefully;
wheeze between coughs

Front 16

severe airway obstruction

Back 16

poor or no air; weak cough or no cough; high pitched noise while inhailing or no noise;increased respiratory difficulty; unable speak; grasping neck; unable to move air

Front 17

what is the first thing you do if pt is conscious with partial obstructed airway

Back 17

ask "Are you choking" ;as long as good air exchange stay with pt and monitor coughing and breathing. If persist activate EMT

Front 18

How do you treat a pt with complete airway obstruction

Back 18

Ask victim if chocking; If pt nodes YES and no speech then activate EMS; Perform Heimlich maneuver until object expelled or pt becomes passes out

Front 19

how do you treat unresponsive choking victim

Back 19

activate EMS; open airway; remove object if seen; CPR;

Front 20

how do treat a unresponsive child choking victim

Back 20

if alone with child, open airway; remove object if seen; CPR : 5 cycles or 2 minutes CPR then activate EMS

Front 21

Unresponsive victim you need to do this everytime you u give CPR to unresponsive victim

Back 21

Look for object and if u see it remove

Front 22

How can you tell if treatment in unresponsive pt is a success

Back 22

see chest rise when giving breathes; See and remove object

Front 23

After relieving choking to unresponsive pt

Back 23

provide 2 breathes: check pulse

Front 24

unresponsive pt with nopulse/no breathing

Back 24

chest compressions and AED

Front 25

unresponsive pt with pulse but no breathing

Back 25

CPR 1 breathe every 5 to 6 sec (10 to 12/min and check pulse every 2 min)

Front 26

unresponsive choking victim with pulse and breathing

Back 26

place pt in the recovery position (laying on the side) and monitor until EMT arrive

Front 27

Where do u place fist during heimlich

Back 27

place thumb side of the fist agaisnt the pt abdomen; thenis held midline slightly above the umbilicus and below xyphoid

Front 28

Prior to dismiss of pt choking it is suggested

Back 28

pt be evaluated for possible complications by medical

Front 29

If pt is pregnant and choking wher4e do you place fist

Back 29

perform chest thrusts instead of abdomen

Front 30

Define hyperventilation and when does it occur

Back 30

increase in the rate or depth of breathing that result in a change in chemistry; occurs as a result of anxiety

Front 31

Hyperventilation results in

Back 31

alkalosis

Front 32

predisposing factors of hyperventilation

Back 32

acute anxiety; hidden fear

Front 33

signs and symptoms hyperventilation

Back 33

nervousness; increase rate respirations; feeling suffocation
tightness chest; dizziness; tingling in extremities

Front 34

what do you do if pt is hyperventillating

Back 34

stop procedure; position pt to comfort; remove materials from mouth; calm pt; CPR/ breathe into hands; find cause, discharge

Front 35

extreme case of hyperventilation

Back 35

administer drug therapy/ Diazepam;

Front 36

How to prevent hyperventilation

Back 36

Medical history quetionare; modify dental treatment to lesson fear; physical exam; vital signs

Front 37

define asthma

Back 37

affliction of the respiratory tract that can affect all aspects of the tracheobranchical tree

Front 38

tracheobronchical tree

Back 38

trachea; bronchi; bronchioles

Front 39

types of asthma

Back 39

extrinsic; intrinsic; status asthmaticus

Front 40

Etiologic factors in acute asthma

Back 40

allergy; respiratory infection; physical exertion; occupational stimuli; pharmacologic stimuli; psychologic factors

Front 41

common allergens in dental office

Back 41

eugenol; impression material; resins; latex

Front 42

signs and syptoms of dental allergens

Back 42

coughing; sweating; tightness in chest; difficulty breathing; wheezing; BP normal/elevated increase heart rate; nervousness

Front 43

If symptoms start what do u do

Back 43

stop dental tx/ evaluate respiration

Front 44

If pt has signs/symptoms of allergies, what do you do?

Back 44

1.stop tx; 2. position pt; 3.ABC/CPR 4.remove allergen 5.administer-bronchodialator-O2-epinephrine IV- 911

Front 45

Symptoms of cardio-related hyperventillation?

Back 45

Palpations ;Tachycardia(rapid hr) ; Precordial pain(chest pain)

Front 46

Neurologic symptoms of hyperventilation?

Back 46

Dizziness; lightheadedness;

Front 47

Identify one sign of hyperventilation?

Back 47

nervousness of feeling suffocation

Front 48

Treatment for hyperventilation?

Back 48

remove precipitating cause;
postion pt upright; Instruct pt in proper breathing;

Front 49

What is proper breathing technique to show pt when they are hyperventilating?

Back 49

slow deep breathing and to cover nose/mouth with hands. Or can use oxygen tank mask

Front 50

Why do we hav the pt cover there nose and mouth and breathe?

Back 50

This is done to correct respiratory alkalosis.

Front 51

Identify what vital signs need to be monitored? normal range

Back 51

Adult Pulse 60-80
Pediatric Pulse 60-140
Adult Respirations 12-20
Pediatric 15-25

Front 52

What are two signs of respiratory airway obstruction?

Back 52

Inability to speak, breathe, cough; Pt demonstrates Universal sign for choking

Front 53

Two signs of partial airway obstruction?

Back 53

Wheezing between coughs; forceful cough; weak speech

Front 54

What do you do if your pt is choking and you can see the object?

Back 54

Position pt in Trandelenberg(on side) use forceps or suction if the object

Front 55

What do you do if pt is choking but cant see object?

Back 55

Administer heimlich maneuver
(perfomed from behind w/pt in an upright position in the dental chair