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15 Cards in this Set
- Front
- Back
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Manual resuscitators |
Bag, Valve, Mask BVM 100% O2 capabilities Reservoir bag or Accumulator flow meter has to be above 15 lpm need to bag vigorisouly to blow of CO2
Proper placement of hands to hold resuscitator mask to patients face and perform head tilt maneuver |
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Manual Resuscitators |
Adequate stroke volume :700 to 1100 ml Quick refill capabilities Spontaneous breathing through 1 way valve
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Tracheal airways |
Two basic types :Endotracheal tubes ::inserted through either mouth or nose, through larynx and into trachea :Tracheostomy tubes ::inserted through surgically created opening in neck directly into trachea: tracheotomy
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King of airways! Endotracheal Tube |
Endotracheal tube :best emergency device for maintaining a secure airway :provides route for Sx and prevents aspiration Works well with PPV Can be maintained for weeks
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ETT tube |
Murphy eye at end if tip gets occluded Inflatable cuff to seal airway (hi V low P) Pilot tube to cuff. (don't accidentally cut!) Graduated in cm Radio opaque stripe for X ray identification |
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Tracheal airways |
Endotracheal tube and tracheostomy tube |
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Establishing an artificial airway |
Procedure :Orotracheal intubation :Nasotracheal intubation :tracheotomy |
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Orotracheal intubation |
PROS :Fastest, most direct :Larger diameter can be utilized :Minimal trauma CONs :Oral care difficult :ETT leads to increased gag reflex :less stable |
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Nasal intubation |
PROS :less gag reflex :oral care easier :ETT more stable CONS :smaller tube :Necrosis of nasal tissue |
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Intubation Equipment |
Endotracheal tube and stylet (pliable metal device, straightens the tube) Laryngoscope Sterile water soluable jelly 10 cc syringe to inflate cuff Adhesive tape or tube fixation device Bite blok to prevent biting oral ET tube Suction equipment, bag mask, O2 Local anesthetic (lidocaine spray) Stethoscope
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Carlins tube is a double lumen endotracheal tube used for independent lung ventilation |
Used for things like pneumothorax |
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Orotracheal intubation |
Step 1, assemble and check equipment, batteries, blade, bulbs Step 2, position patient: sniffing position Step 3, preoxygenate and ventilate patient with BVM 100% O2, blow off PaCO2 Step 4, insert laryngoscope, step 5, displace epiglottis to reveal the glottic opening Step 6, visualize the glottis (opening into the trachea) Step 7, Insert tube about 2 cm past the cords Step 8, assess tube position (breath sounds, chest x ray, colorimeter) :tip of tube should be 3 to 6 cm above the Carina |
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Laryngoscope |
Blade and Handle Blade :has a flange, spatula, light and tip :Curved blade (mactintosh) :Straight blade (miller) Fiber optic vs traditional laryngoscope Blade size 0-1 for infant, size 2 from age 2 to 8 years old, size 3 from age 10 to adult, and size 4 for large adult
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Laryngoscope blades |
Miller or stragiht blade :inserted to directly lift epiglottis Mactintosh or curved blade :inserted into vallecula and lifted to move the epiglottis indirectly :usually easier to find cords with this blade |
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Assignment |
White Clinical lab competencies Chapter 21 page 461 to 467 Egan page 751 to 757 Workbook page 251 to 252 |
