Airway Management ch 8

An airway that is open and clear

Patent. (Limmer & O'keefe pg 174)

The pharynx is divided into three regions

Oropharynx, nasopharynx and Laryngopharynx. (Limmer & O'keefe pg 174)

Large leaf like structure at the back of the throat

Epiglottis. (Limmer & O'keefe pg 174)

The Adam's apple is formed by the

Thyroid cartilage. (Limmer & O'keefe pg 175)

Cartilage ring in the trachea extends fully 360 degrees around

Cricoid cartilage. (Limmer & O'keefe pg 175)

Smaller air passages in the lungs

Bronchioles. (Limmer & O'keefe pg 175)

Tiny sacs at the end of the airway

Alveoli. (Limmer & O'keefe pg 175)

Gas exchange between alveoli and capillaries happens through the process of

Diffusion. (Limmer & O'keefe pg 176)

A common obstruction on a person with a decreased mental status is

The tongue. (Limmer & O'keefe pg 177)

The contraction of smooth muscle that lines the bronchial passages that results in a decreased internal diameter of the airway and increased resistance to air flow

Bronchoconstriction. (Limmer & O'keefe pg 177)

A high pitched sound generated from partially obstructed air flow in the upper airway

Stridor. (Limmer & O'keefe pg 177)

when swelling obstructs air flow through the upper airway patient may present in what position

Sniffing position. (Limmer & O'keefe pg 177)

When you look, listen and feel for respirations what are you looking for?

Chest rise. (Limmer & O'keefe pg 178)

Movement associated with breathing is limited to the abdomen (abdominal breathing). In children, there may be retractions above the clavicles and between and below the ribs.

Signs of an inadequate airway. (Limmer & O'keefe pg 178)

Opening the airway and artificial ventilation are best carried out with the patient in what position

Lying supine. (Limmer & O'keefe pg 180)

What should you do for patients who cannot maintain their own airway?

Open and maintain the airway. (Limmer & O'keefe pg 180)

If indication of head, neck, or spine injury is present, open the airway using

The jaw-thrust maneuver. (Limmer & O'keefe pg 180)

A means of correcting blockage of the airway by the tongue used when no trauma, or injury is suspected

Head-tilt, chin-lift maneuver. (Limmer & O'keefe pg 181)

To open the airway using the head-tilt chin lift maneuver tilt the head by applying gentle pressure to

The patient's forehead. (Limmer & O'keefe pg 181)

To open the airway using the jaw-thrust you position yourself at

The top of the patient's head. (Limmer & O'keefe pg 182)

The best way to clear a patient's airway from vomitus, secretions or blood

A wide bore, rigid yankauer suction device. (Limmer & O'keefe pg 183)

The most common impediment to an open airway is

A lack of airway muscle tone. (Limmer & O'keefe pg 183)

A curved device inserted through the patient's mouth into the pharynx to help maintain an open airway

Oropharyngeal airway (OPA). (Limmer & O'keefe pg 183)

A flexible breathing tube inserted through the patient's nose into the pharynx to help maintain an open airway.

Nasopharyngeal airway (NPA). (Limmer & O'keefe pg 174)

Oropharyngeal airway is contraindicated for patients with

A gag reflex. (Limmer & O'keefe pg 184)

BSI recommended when working with the airway

Gloves, goggles and mask. (Limmer & O'keefe pg 184)

You should measure an oropharyngeal airway from ---to---

The corner of the mouth to the tip of the earlobe. (Limmer & O'keefe pg 184)

Another way to measure an OPA

From the center of the patient's mouth to the angle of the jaw. (Limmer & O'keefe pg 184)

To insert an OPA position the airway device so that its tip is pointing toward---

The roof of the patient's mouth. (Limmer & O'keefe pg 185)

Using a tongue depressor you should insert an OPA with the tip pointing - preferred for infant and child

Facing down and forward. (Limmer & O'keefe pg 186)

Type of airway adjunct you should use for patient who has intact gag reflex. Or teeth are clenched or oral injuries are present

Nasopharyngeal airway. (Limmer & O'keefe pg 186)

You should measure the nasopharyngeal airway form

Patient's nostril to the tip of the earlobe or to the angle of the jaw. (Limmer & O'keefe pg 187)

Lubricate the outside of the NPA with

Water-based lubricant. (Limmer & O'keefe pg 187)

When inserting an NPA the bevel should point towards

The base of the nostril or toward the septum. (Limmer & O'keefe pg 187)

Contraindication for the use of an NPA is

Skull fracture indicated by CSF coming from nose or ears. (Limmer & O'keefe pg 188)

The method of using a vacuum device to remove materials form mouth. Whenever gurgling sound is heard you must...

Suctioning. (Limmer & O'keefe pg 188)

To be effective, suction devices must furnish an air intake of at least

30 liters per minute the system must generate a vacuum of no less than 300 mmHg. (Limmer & O'keefe pg 189)

The most popular type of suction tip is

The rigid pharyngeal tip "Yankauer,". (Limmer & O'keefe pg 190)

Touching the back of the throat while suctioning may cause

Gag reflex or activation of vagus nerve which can slow the heart rate. (Limmer & O'keefe pg 190)

To clear the suction tube you should have available

A container of water. (Limmer & O'keefe pg 191)

When copious thick secretions or vomit is present consider

Removing the rigid tip or catheter and use the large bore tubing. (Limmer & O'keefe pg 190)

You should try limiting suctioning for no longer than

10 seconds. (Limmer & O'keefe pg 190)

Prolonged suctioning can cause

Hypoxia. (Limmer & O'keefe pg 190)

If patient continues vomiting

Continue suctioning longer than 10 seconds. (Limmer & O'keefe pg 190)

before suctioning through an endotracheal tube you should

Pre-oxygenate patient. (Limmer & O'keefe pg 190)

You should suction in the way in or out

In the way out. (Limmer & O'keefe pg 192)

When suctioning with a suction catheter you should measure the catheter from

Corner of the mouth to the earlobe. (Limmer & O'keefe pg 192)

Suctioning is best delivered with the patient turned on his....

Turned on his side. (Limmer & O'keefe pg 192)

Remove visible solid objects from mouth using

Manual techniques. (Limmer & O'keefe pg 193)

When a patient is laying prone and you need to clear an obstructed airway, you need to

Log roll to supine position. (Limmer & O'keefe pg 193)

What should you do with dentures to care for airway

Leave in place. (Limmer & O'keefe pg 193)

If partial denture becomes lose and blocks airway you should

Remove it. (Limmer & O'keefe pg 193)

The difference in anatomy between children's and adults' tongue

In infants and children the tongue takes up more space proportionally to mouth. (Limmer & O'keefe pg 193)

How should you open the airway in infants

Do not hyperextend neck. Use neutral position. (Limmer & O'keefe pg 193)