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