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15 Cards in this Set

  • Front
  • Back
What are the requirements of oxygen delivery
Open airway (A)

Ventilation to lungs (B)


Circulation to carry oxygen to tissue (C)

What are some potential errors in regards to airway management
1. Failure to recognize the need for airway support

2. Inability to establish an airway


3. Loss of previously established airway


4. Aspiration of gastric contents or blood

Why is altered level of consciousness an airway problem
1. They can't tell you if there is a problem

2. Decreased drive to breath because of CNS damage


3. Decreased tone in upper airway structures


4. Decreased protective reflexes

How do you deal if someone throws up
Log roll whole body and suction airway contents
How does a maxillofacial trauma cause airway problems
1. hemorrhage

2. Increased secretion


3. Decreased ability to swallow


4. Foreign objects (teeth)


5. Loss of structural support

What 3 things should you do on assessment
Look

Listen


Feel

What should you look for
1. Talking is a good sign

2. Agitation or obtunded = hypoxia


3. Cyanosis (late sign of deO2)


4. Tachypnea


5. Chest rise and all


6. Abnormal movements of chest wall

What do you listen for
1. Noisy or snoring breathing

2. Stridor


3. Hoarseness


4. Equal air entry

What should you feel for
1. Tacheal deviation

2. Crepitus

If a patient is having trouble breathing how do you manage it
Supplemental O2 for everyone (nonrebreath mask with 12-15 litres of O2 per minute)



Open airway (Jaw thrust, chin-lift, Nasal or oropharyngeal airway)

1. What is chin lift good for

2. What is an issue with this technique


3. When should you not do it

1. Open obstructed airway and allows inspection of oropharynx

2. Doesn't allow for bag-valve mask


3. Head Trauma

1. How do you do a jaw thrust

2. What is it good with

1. Both hands

2. Good with bask valve mask

Can you use a nasal and oropharyngeal airway in a patient that is awake
No
What are the definitive airway managements
1. Orotracheal intubation

2. Surgical (cricothyroidotomy, tracheostomy)


3. Laryngeal mask airway

What are 5 indications for definitive airways
1. Apnea

2. Can't maintain airway or good oxygenation


3. Protect from aspiration


4. Potential for airway compromise to develop


5. Closed head injury with GCS < 8