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14 Cards in this Set
- Front
- Back
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1st thing:
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BSI
then..... |
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Open the airway manually..
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Elevate the toungue and insert a simple adjunct (oral or naso).....
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Examiner says "There is no gag reflex present and the patient accepts the adjunct."....
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Ventilate the patient immediately with bag-valve-mask device unattached to oxygen with 2 rescue breaths
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Ventilates patient with room air....
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Examiner now informs canidate that "Ventilation is being performed without difficulty and pulse oximetry indicates the patient's blood oxygen saturation is 85 %......
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Attach oxygen reservoir to bag valve mask device and CONNECT TO HIGH FLOW OXYGEN REGULATOR AT 12-15 LPM.......
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Ventilate the patient at a rate of 10-12 per minute (once every 5-6 seconds) with appropriate volumes.....
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After 30 seconds the examiner auscultates and reports breath sounds are present and equal bilaterally and medical direction has ordered insertion of a supraglottic airwa. The examiner now takes over ventilation.......
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Direct assistant to PRE OXYGENATE PATIENT.....
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Check and prepare supraglotic airway device (ie ballons, syringes setup ect)....
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Lubricates the distal tip of the device (may be berbalized).....
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Examiner removes teh OPA and moves out of the way when the canidate is prepared to insert the device.......
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Positions the head properly...
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Performs a tongue-jaw lift...
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Inserts device to proper depth....
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Secures device in patient (inflates cuffs with proper volumes and IMMEDIATELY REMOVES THE SYRINGE....
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SECURES THE STRAP.....
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Ventilates patient and confirms proper ventilation (correct lumen and proper insertion depth) by AUSCULTATING BILATERALLY OVER LUNGS AND OVER THE EPIGASTRUM.....
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Adjust ventilation as necassary(Ventilates through additional lumen or slightly withdraws tube until ventilation is optimized)....
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Verifies proper tube placement by secondary confirmation such as....
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1.Capnography, capnometry, colormetric device or EDD.
2.Visulize passing the vocal cords 3.Condensation in the tube 4.Equal breath sounds with rise and fall of both sides of the chest..... |
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The examiner must now ask the canidate "How would you know you are delivering appropriate volumes with each ventilation?".....
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Secure the device and confirm that the device remains properly secured....
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Ventilates the patient at proper rate and volume while observing capnography/capnometery and pulse oximetr
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Ventilations continue and state that you are complete
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