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65 Cards in this Set

  • Front
  • Back

The narrowest part of the pediatric airway

The cricoid ring

During the inhalation phase of ventilation, pressure in the thorax is

Less than atmospheric pressure

The major muscle used for ventilation

Diaphragm

A patient being ventilated with a BVM without supplemental oxygen would receive what FiO2?

21%

Abnormal retention levels of CO2 in the body

Hypercarbia

The amount of air moved in or out of the respiratory system in one breath

Tidal Volume (VT)

Cubic centimeters (CC) of air moved in one minute

Minute Volume (VM)

Formula for calculating minute volume

VT X RR = MV

When cardiac output does not match minute volume

V/Q mismatch

How long should a patient be suctioned?

10-15 seconds

Mask used to deliver specific percentages of oxygen to a patient

Venturi Mask

What should a rescuer do if the first two rescue breaths do not go in?

Reposition the airway

How is the airway opened if there is suspected head or neck injuries?

Modified jaw thrust maneuver

The laryngoscope lifts

The tongue and epiglottis

Curved laryngoscope blade

Macintosh

Mac blade is designed to fit in

The vallecula

The greatest advantage of a straight blade

Greater displacement of the tongue

The dangers of movement of an endotracheal tube once it is positioned

Elevation of intercranial pressure

Potentially dangerous complications of improper endotracheal intubation (3)

Esophageal intubation


Pyriform sinus intubation


Right mainstem intubation

Indications of proper endotracheal intubation (4)

Presence of bilateral breath sounds


Absence of abdominal sounds


Presence of condensation in tube


Plateau in Capnography

When is digital intubation useful? (3)

Trauma patient with suspected c-spine injury


Entrapment that prevents proper positioning


Facial injuries distort the anatomy

How is the pediatric airway different from the adult airway? (4)

Tongue is larger in relation to oropharynx


Glottic opening is higher and more anterior


Vocal cords slant upward


Narrowest point is cricoid cartilage

Preferred method of intubation in awake or combative patients

Rapid sequence intubation (RSI)

Blind nasotracheal intubation is contraindicated if the patient

Is apneic

PtL airway

Pharyngeal tracheal lumen airway

ETC airway

Esophageal tracheal double lumen combitube

LMA

Larnygeal mask airway

Both the PtL and ETC airways

Can be inserted into either the trachea or esophagus

Preferred point of entry for surgical airway

Cricothyroid membrane

How do rescue personnel typically ventilate patients with a stoma device?

BVM to stoma

Minimum acceptable vacuum level for suction

300 mmHg

Both standard routes of gastric decompression put the patient at risk for: (3)

Vomiting


Misplacement into trachea


Trauma or bleeding from poor technique

Graphic measurement of expired CO2

Capnography

Numeric measurement of expired CO2

Capnometry

Esophageal detector device (EDD) uses what anatomic principles?

The trachea is a rigid tube, and will not collapse on itself, but the esophagus is flaccid and will

Most common airway obstruction

Tongue

Asymmetrical chest wall movement

Paradoxical breathing

Best technique for opening airway if no c-spine trauma suspected

Head-tilt/chin-lift

May be used for an advanced airway if there is a gag reflex

Nasopharyngeal airway (NPA)

Contraindication of ETC

Partial ingestion of caustic poisons

Opening in anterior neck that connects trachea with ambient air

Stoma

Preferred method of gastric decompression in awake patient

Nasogastric

Device that has inspiratory release valve that makes it useful in treating spontaneously breathing patients who need higher oxygen concentrations

Demand-valve device

Dual lumen airway with ventilation port for each lumen. Blue, longer distal port and clear, shorter proximal port

ETC

Inflatable distal end placed in hypopharynx and inflated. Resembles mask.

LMA

Scissor-style clamps with circle-shaped tips

Magill forceps

Airway designed for insertion into the esophagus

Esophageal Obturator Airway (EOA)

Neuromuscular blocking agent

Succinylcholine

Airway with short, green tube and longer clear tube

PtL

Manually triggered, oxygen-powered breathing device

Demand valve device

Tonsil tip suction catheter

Yankauer

Semicircular plastic and rubber device that conform's to the palate's curvature and lifts the base of the tongue

Oropharyngeal airway (OPA)

Metal wire covered with plastic

Stylet

Esophageal airway that permits suctioning of the stomach

Esophageal gastric tube airway (EGTA)

Flexible 35-37 cm tube with adapter at on end and inflatable cuff at the other

Cuffed endotracheal tube (ETT)

Device consisting of tubing, reservoir bag, and inlet/outlet ports covered by thin rubber flaps

Nonrebreather (NRB)

Six steps to intubation

1. Position airway


2. Open mouth


3. Control tongue


4. Control of the epiglottis


5. Recognizing landmarks


6. Placement of ETT

Typical depth of ETT placement

21cm at the teeth for women, 23 cm at the teeth for men

Upper airway structures (4)

Nasopharynx, oropharynx, Laryngopharynx, Larynx

Lower airway structures (4)

Trachea, Bronchial tree, lungs, alveoli

Where does the trachea split into the bronchi?

Carina

Membrane attached to interior of chest cage

Parietal pleura

Membrane attached to lung surface

Visceral pleura

Additional amount of air inhaled after normal VT (3,000 cc)

Inspiratory reserve volume (IRV)

Additional amount of air exhaled after normal VT (1,100 cc)

Expiratory reserve volume (ERV)