Mr Mulhollands Class

Front 1

State the four basic indications for artificial airways?

Back 1

Relieve airway obstruction, facilitate removal of secretions, protect lower airways from aspiration, and facilitate application of positive pressure vent.

Front 2

List the four parts of the tracheostomy tube design?

Back 2

1. 15 mm adapter. 2. Flange/neckplate. 3. Cannula. 4. Obturator.

Front 3

What does frequent nasotracheal suctioning call for?

Back 3

Nasal trumpet.

Front 4

What are two examples of esophageal airways?

Back 4

Combitube and laryngeal mask airway.

Front 5

What are some hazards of LMA'S and combitubes?

Back 5

Severe gagging, not comfortable, and gastric distension.

Front 6

What is an alternative to intubation and popular in the OR?

Back 6

LMA

Front 7

What does a pilot balloon do?

Back 7

Gives you an idea of the status of the cuff.

Front 8

What is the purpose for inserting an esophageal airway? And what is the technique for these?

Back 8

Emergency (EMT'S), heavily sedated patient during surgery, and they are inserted blindly.

Front 9

What is the purpose of the tracheal wedge?

Back 9

Avoids accidental dislodgment, used to disconnect equipment from the tubes if on too tight.

Front 10

What does a peek pressure above 20 do?

Back 10

Cuts off arterial blood flow to area of mucosa and leads to necrosis.

Front 11

List the various equipment needed for proper cuff pressure measurement?

Back 11

Posey cuff manometer, orrrrrrrrr any manometer with a 3 way stop cock and a 10 ml syringe.

Front 12

What is the purpose and various types of stomal maintenance devices?

Back 12

The purpose is to keep stoma open while attempting to wean off the trach tube, and an example of these devices is the olympic trach button.

Front 13

What fits all 4 indications for airways?

Back 13

The ETT!!

Front 14

What are some indications for suctioning?

Back 14

Signs of retained secretions and for good sputum testing sample.

Front 15

What are some complications or hazards of suctioning?

Back 15

Mucosal trauma, cardisc arrythmias, hypotension, hypertension, atelectasis, airway trauma.

Front 16

Identify a "whistle" tip catheter?

Back 16

Usually sized 14 french, has a beveled end with murphys eye.

Front 17

What is the use of the thumb port on the suctioning device?

Back 17

To apply suction.

Front 18

What is the proper sized catheter to use in an airway?

Back 18

No more then 1/2 of the inner diameter of patients airway, and it is measured in even french. (2,4,6,8,10).

Front 19

Theres a mathematical way to figure out what size catheter to pop in a patient, explain it to me?

Back 19

Multiply the ID of trach or ETT by 2, then use next size smaller.

Front 20

Why is it important to use sterile technique qhile suctioning?

Back 20

You can contaminate the trachea and cause an infection.

Front 21

Why do we hyperoxygenate and hyperventilate a patient before, during, and afyer suctioning?

Back 21

To prevent hypoxemia.

Front 22

When shouod we use a yanaur suction tip?

Back 22

Vomiting, removal of oral secretions.

Front 23

Do we use continuous or intermediate settings on the regulators for suctioning?

Back 23

Continuous.

Front 24

What is the purpose of a bag mask resuscitator?

Back 24

To support/provide ventilation, hyperinflate before suctioning, and dislodge mucous plugs.

Front 25

What are some advantages of using bag mask resuscitators over mouth to mouth ventilation?

Back 25

Less chance of infection and very high 02 delivery possible (100%).

Front 26

What is the use of the pressure relief valve on bag mask resuscitators?

Back 26

To prevent excessive pressures from being delivered.

Front 27

What is proper technique when using a bag mask resuscitator?

Back 27

C to E hand placement, and you may need 2 people for proper technique.

Front 28

Whats the thing that blinks on the bag mask resuscitator when its tike to give ventilation? Only seen occasionly.

Back 28

ResQpods.

Front 29

What are some disadvantages of a demand valve resuscitator?

Back 29

Cant tell if resistance or compliance, and barotrauma.

Front 30

Hazards of bag mask resuscitators?

Back 30

Gastric insufflation.

Front 31

What are some advantages of trach tubes over intubation?

Back 31

You can eat and possibly speak, can be used when there is oral trauma, better oral care, and more comfortable.

Front 32

What happens if the pilot line gets cut?

Back 32

The balloon will leak and eventually deflate.

Front 33

On a size 7 ETT, what does the 7 mean?

Back 33

The inner diamameter.

Front 34

What is the differnece between guedels and bermans?

Back 34

Guedels have the hole running through the middle, bermans are on the outer edge.

Front 35

When collecting a sputum sample what should you add to the suction?

Back 35

Lukins trap.

Front 36

When you occlude the outlet on a bag mask resuscitator what should happen?

Back 36

Should be hard to squeeze the bag.

Front 37

Do babies need cuffs?

Back 37

No, because the cricoid cartilage acts as a natural seal.

Front 38

What is the normal range for ICP?

Back 38

5-15 mmHg.

Front 39

What is the normal vacuum ranges for an infant, adult, and child?

Back 39

Adult is 100-120, child is 80-100, infant is 60-80.

Front 40

What part of the tracheostomy tube kit is ONLY used during insertion of the tube itself into the patient's neck, providing a rounded and smooth, nontraumatic surface at the tip and preventing anything from plugging up the tube as it is inserted?

Back 40

The obturator.

Front 41

The most common type of bag-valve resuscitators seen in today's adult intensive care units are:

Back 41

Duck-billed one-way valves, self-inflating style bags.

Front 42

As a patient's lung compliance decreases due to ARDS, it will feel like the lungs are getting easier to ventilate (the bag is easier to squeeze). True or false?

Back 42

False.

Front 43

What part of an endotracheal tube allows the therapist to inflate the cuff once it is inside the patient?

Back 43

The spring loaded valve in the pilot ballon.

Front 44

What suction catheter allows suctioning of the left mainstem bronchus?

Back 44

Coude catheter.

Front 45

What nerve is stimulated when you poke the carina?

Back 45

The vagus nerve. This will DECREASE HR and BP.

Front 46

What are cueved blades designed to fit perfectly into during intubation?

Back 46

The valeccula.

Front 47

What are the 3 main intubation blades and the differences?

Back 47

Macintosh- curved. Miller- straight with slight curve at tip. Wisconsin-straight.

Front 48

If you are asisting an intubation, what pressure/technique could you use to help the intubator?

Back 48

Apply cricoid pressure, also pull on lip if you want.

Front 49

What type of lube do we use for intubation?

Back 49

Water solluble.

Front 50

What is the proper position of the head during intubation?

Back 50

Sniffing position.