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63 Cards in this Set

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NAME THE GENERAL PROCEDURES FOR BASIC AIRWAY MANAGEMENT
ENSURE PATENT AIRWAY, PROTECT C-SPINE, PERFORM MANUAL AIRWAY MANEUVERS, USE BASIC ADJUNCTS, USE ADVANCED AIRWAY MANEUVERS, USE BSI
WHAT IS THE PERFERRED AIRWAY MANEUVER
HEAD-TILT/CHIN-LIFT
WICH AIRWAY MANEUVER SHOULD NOT BE USED ON TRAUMA PATIENTS
JAW THRUST
WICH AIRWAY MANEUVER SHOULD BE USED ON TRAUMA PATIENTS
MODIFIED JAW THRUST
WHAT IS SELLICS MANEUVER USED FOR
CLOSE ESOPHAGUS, PREVENT GASTRIC DESTENTION, PREVENT REGURGITATION, LINE UP ANTERIOR LARYNX
WHAT ARE SOME SELLICS MANEUVER COMPLICATIONS
ESOPHAGEAL RUPTURE, LARYNGEAL TRAUMA, FURTHER INJURY OF C-SPINE, DONT PERFORM IF VOMITING
WHEN CAN AN OPA BE USED AND NOT BE USED
USE ON UNCONSCIOUS PATIENT WITHOUT GAG REFLEX, DO NOT USE WITHOUT GAG REFLEX OR MAXILLOFACIAL INJURIES
WHEN CAN A NPA BE USED AND NOT BE USED
USED ON OPTUNRD BREATHING PATIENTS WITH OR WITHOUT GAG, MAXILLOFACIAL INJURIES, PATIENT WITH CLENCHED TEETH, NOT USED WITH NASAL OBSTRUCTION, PRONE NOSEBLEEDS, BASILAR SKULL FRACTURE
HOW DO YOU MEASURE FOR OPA
MEASURE FROM CORNER OF MOUTH TO ANGLE OF JAW
HOW DO YOU MEASURE NPA
SLIGHTLY SMALLER THAN NOSTRIL, MEASURE FROM TIP OF NOSE TO EARLOBE
WHAT DAMAGE MAY BE CAUSED BY NPA
VOMITING, LARYNGOSPASM, BLEEDING, ASPIRATION OF CLOTS, MAY INJURE ADENOIDS
WHAT IS AIRWAY CHOICE OF EMS
ENDOTRACHEAL INTUBATION
DESCRIBE MACINTOSH BLADE
CURVED, FITS INTO VALLECULA, LIFTS TONGUE AND EPIGLOTIS, GIVES GREATER FIELD OF VISION
DESCRIBE THE MILLER BLADE
FIT UNDER EPIGLOTTIS LIFTS TONGUE AND EPIGLOTTIS, , DISPLACES THE BIG TONGUE EASIER, BETTER VISUALIZATION, HELPS WITH LARGE TONGUE AND FLOPPY EPIGLOTTIS
DESCRIBE ET TUBE
FLEXABLE AND TRANSLUCENT, 15-22 ADAPTER ON PROXIMAL END, 5-10 CC CUFF AT DISTAL END OF CUFFS 5-9 MM, PILOT BALLOON, NATURALY CURVED,
WHAT ARE SIZES OF ET TUBES
NEONATE-2.5-3.5, INFANT-3.5-4.0, CHILD-4.0-6.0, ADULT FEMALE-7.0-7.5, ADULT MALE-8.0-8.5, USE NONCUFFED FOR CHILDREN UNDER 8
WHAT IS MALLEABLE STYLET
PLASTIC COVERED WIRE, USED TO SHAPE TUBE INTO J OR HOCKEY STICK, HELPS DIRECT TUBE INTO GLOTIC OPENING, PLACE STYLET 1/2 INCH FROM MURPHY EYE
WHAT IS MURPHY EYE FOR
REDUCE ATELECTASIS OF R UPPER LOBE, REDUCE RISK OF TUBE OBSRUCTION IF END IS OCCLUDED
WHAT IS TUBE HOLDING DEVICE FOR
PREVENT DISDISLODGMENT, INJURY TO TRACHEA, RIGHT MAINSTEM PLACEMENT, TYING PERFERRED OVER TAPING
MAGILL FORCEPS
USED TO REMOVE FOREIGN BODIES, REDIRECTTUBE DURRING NASO INTUBATION
WHAT ARE CONTRAINDICATIONS OF ET TUBE
SUSPECTED EPIGLOTTITIS, MAY CAUSE LARYNGOSPASMS
NAME SOME GENERAL PRECAUTIONS FOR USING ET TUBE
EACH ATEMPT SHOULD BE ONLY 30 SECONDS, HYPERVENTILATE BETWEEN ATTEMPTS, AVOID PLACEMENT INTO PYRIFORM SINUS, ESOPHAGUS, MAINSTEM BRONCHI, VALLECULA
WHAT ARE SIGNS OF ESOPHAGEAL INTUBATION
ABSENCE OF CHEST RISEAND BREATH SOUNDS, GURGLING SOUNDS OVER EPIGASTRIUM, ABSENCE OF CONDENSATION IN TUBE, PERSISTANT AIR LEAK CYANOSIS, PHONATION
WHAT ARE SIGNS OF ENDOBRONCHIAL INTUBATION
UNILATERAL BREATH SOUNDS, POOR COMPLIANCE, CYANOSIS, CARDIAC DISRHYTHMIAS, HYPOXIA
WHAT ARE METHODS OF ET VARIFICATION
VISUAL CONFIRMATION, OBSERVE CHEST RISE, AUSCULATE BREATH SOUNDS OVER EPIGASTRIUM THEN CHEST
ET CO2 DETECTOR
DETECTS EXPIRED CO2, YELLOW-CO2 PRESENT, BLUE-CO2 ABSENT
WHAT ARE FOUR METHODS OF INTUBATION IN THE TRAUMA PATIENT
NASOTRACHEAL(PATIENT MUST BE BREATHING), LIGHTED STYLET, DIGITAL, ORALTRACHEAL WITH IN-LINE STABILATION(HEAD BETWEEN THIGHS)
WHEN IS RAPID SEQUENCE INTUBATION USED
PATIENTS WHO NEED AIRWAY BUT HAVE COMPLICATIONS, CLENCHED TEETH, GAG, RESPONSIVE, COMBATIVENESS
WHAT ARE TWO TYPES OF NEUROMUSCULAR AGENTS
DEPOLARIZING AGENTS, NONDEPOLARIZING AGENT
DEPOLARIZING AGENT
BIND TO ACh RECEPTORS, CAUSE DEPOLARIZATION THEN PARALYSIS, SUCCINYLCHOLINE IS AGENT
NONDEPOLARIZING AGENT
BLOCKS ACh RECEPTOR, BLOCKS UPTAKE BY THE MUSCLE, PROHIBITS DEPOLARIZATION, EX. VERCURONIUM, PANCURONIUM, ROCURONIUM
WHAT SHOULD YOU BE PREPAIRED FOR DURING RAPID SEQUENCE INTUBATION
APNEA, VOMITING, ASPIRATION
WHAT SHOULD BE ADMINISTERED TO ALERT PATIENTS BEFORE RSI
NEUROMUSCULAR AGENTS HAVE NO EFFECT ON PAIN OR LOC, USE VERSED, VALUME, FENTANYL, TO RELAX MUSCLES AND SPHINCTERS
WHAT ARE ANATOMICAL DIFFERENCES IN CHILDREN
TRACHEA SMALLER AND SHORTER,TONGUE IS LARGER, INFANTS UNDER 2 MO. ARE NOSE BREATHERS, EPIGLOTTIS NARROW AND FLOPPY, GLOTTIC OPENING IS HIGHER, VOCAL CORDS SLANT UP AND ARE CLOSER TO TONGUE
WICH BLADE IS PERFERRED IN CHILDREN
MILLER
HOW IS TUBE SIZED FOR CHILDREN
AGE IN YEARS+16~4, AGE~4+4, SAME SIZE OF SMALLEST FINGER
NASOTRACHEAL INTUBATION INDICATIONS
SPINAL CORD INJURIES, NOT IN ARREST, CLENCHED TEETH, MAXILLOFACIAL INJURY, RECENT ORAL SURGERY, OBESE PATIENTS
NASOTRACHEAL INTUBATION CONTRAINDICATIONS
NOSE FRACTURE, DEVIATED SEPTUM, NASAL OBSTRUCTION, BASILAR SKULL FRACTURE, CARDIAC OR RESPIRATORY ARREST, UNRESPONSIVE
WHAT ARE ADVANTAGES OF COMBI TUBE
RAPID INSERTION, NO VISUAL NEEDED, ANCHORED BY PHARYNGEAL BALLOON, VENTALATION REGARDLESS OF PLACEMENT, PROXIMAL BALLOON PREVENTS ASPIRATION
WHAT ARE DISADVANTAGES OF COMBITUBE
IMPOSSIBLE TO SUCTION, DIFFICULT WITH ETC IN PLACE, CAN NOT BE USED WITH GAG
WHAT ARE CONTRAINDICATIONS OF COMBITUBE
YOUNGER THAN 16, LESS THAN 5' TALL, INTACT GAG, ESOPHAGEAL DISEASE, ALCOHOLICS, INGESTION OF CAUSTIC SUBSTANCES
WHEN SHOULD SURGICAL AIRWAYS BE USED
AS LAST RESORT
WHAT ARE CONTRAINDICATIONS OF SURGICAL AIRWAY
CANT ID LANDMARKS, CRUSH INJURY TO NECK, TRACHEAL TRANSECTION, TUMOR, SUBGLOTTIC STENNOSIS
WHAT ARE COMPLICATIONS OF NEEDLE CRICOTHYROTOMY
BAROTRAUMA WITH JET INSUFLATION, EXCESSIVE BLEEDING, SUBCUTANEOUS EMPHYSEMA, HYPOVENTILATION
HOW MUCH SUCTION IS NEEDED FOR A SUCTION DEVICE
30 LITERS A MIN. AT 300mmHg
HOW LONG SHOULD YOU SUCTION
NOT MORE THAN 10 SEC.
WHAT CAN SUCTIONING CAUSE
DYSRHYTHMIAS, STIMULATION OF VAGUS NERVE, COUGHING OR GAGING
HOW IS SOFT CATHETER DEPTH MEASURED
FROM CORNER OF MOUTH TO ERA LOBE
WHAT ARE SOME RULES FOR SUCTIONING
DONT LOOSE SIGHT OF RIGIT TIP, DONT JAB OR FORCE, SUCTION ON WAY OUT, , DONT SUCTION BRAIN TISSUE
HOW IS TRACHEAL SUCTION PERFORMED
HYPERVENTILATE, USE SOFT TIP, LUBE TIP, INSERT UNTIL RESISTANCE FELT, APPLT FOR 10-15 SEC., MAY INJECT 3-5CC OF SALINE TO LOOSEN SECRETIONS
NASAL CANULA
1-6 LPM, 24-44%O2, USE ONLY IF NRB NOT TOLERATED
VENTURI MASK
CONCENTRATION ADJUSTED BY CHANGING SIZE OF ORIFICE, USUALY USED WITH COPD PATIENTS, 24,28,35,0R 40% O2
SIMPLE FACE MASK
RE-BREATHS EXHALED AIR, 6-10LPM, 40-60% O2,
WHAT IS BEST WAY TO DELIVER O2
NON-REBREATHER, INFLATE RESERVOIR BEFORE PLACING, IF RESERVOIR DEFLATES MORE THAN 1/3 WITH INSPIRATION INCREASE FLOW, 10-15 LPM, 80-100%O2
SMALL VOLUME NEBULIZER, O2 HUMIDIFIER
ALLOWS DELIVERY OF 3-5CC OF MEDICATION OR STERAL WATER IN AEROSOL FORM,
HOW MUCH AIR IS NEEDED FOR EFFECTIVE VENTALATIONS
800ML O2 @12-20 BREATHS A MINUITE
WHAT ARE SIGNS OF ADEQUATE VENTALATIONS
CHEST RISE AND FALL, HEART RATE RETURNS TO NORMAL, USE RATE OF ADULT 12/MIN, CHILD 20/MIN
HOW MUCH O2 IS DELIVERED WITH MOUTH TO MASK
UP TO 50% DELIVERED OVER 1.5-2 SEC. FOR ADULT, 1-1.5 SEC. KIDS
WHAT ARE COMPLICATIONS OF MOUTH TO MASK
HYPER INFLATION OF LUNGS, GASTRIC DESTENTION, HYPERVENTILATION OF USER
HOW MUCH O2 IS DELIVERED BY BVM WITH RESERVOIR
90-95% WITH, 60-70% WITHOUT
WHAT ARE THE COMPLICATIONS WITH DEMAND VALVES
DOES NOT ALLOW YOU TO FEEL COMPLIANCE, LUNGS MAY OVER INFLATE, GASTRIC DISTENTION IF NOT TUBED, NOT RECOMMENDED FOR PATIENTS UNDER 16 OR WITH CHEST TRAUMA
WHEN SHOULD AUTOMATIC VENTILATORS NOT BE USED
KIDS UNDER 5, AWAKE PATIENTS, OBSTRUCTED AIRWAY
WHAT SHOULD BE EVALUATED DURING VENTILATIONS
SKIN COLOR, BREATH SOUNDS, RESPIRATORY RATE, CHEST RISE, WORK OF BREATHING, PULSE OX