Obstruction Flashcards

1
Q

what separates the upper respiratory tracts from the lower

A

the vocal chords

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2
Q

what is a cricothyroidectomy

A

is an incision made through the skin and cricothyroid membrane

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3
Q

what is a tracheostomy

A

creating an airway in the trachea in emergency- last resort

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4
Q

what is the glottis

A

term for both the vocal chords

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5
Q

where is the sub glottis

A

below the glottis, above the cricoid

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6
Q

what is the posterior thyroarytenoid muscle

A

pulls vocal cords apart

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7
Q

what are the differences in the airway of children and babies

A
have large heads and small nostrils 
are obligate nasal breathers 
relatively large tongue 
small, soft larynx 
epiglottis is at the level of the palate- C1
weak neck muscles 
floppy head 
narrow subglottis
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8
Q

why are babies obligate nose breathers

A

so they can feed and breath at same time

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9
Q

what is the air flow resistance theory

A

the narrower the tube the more resistance- harder to breath

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10
Q

what can cause airway obstruction

A
inflammation/ infection/ allergy 
foreign bodies 
physical compression/invasion of airway
trauma (can cause laryngospasm also), iatrogenic trauma 
neuro causes 
burn 
congenital pathology
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11
Q

were can you get recession when you are struggling to breath

A

sternal

subcostal

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12
Q

what colour can skin go in airway obstruction

A

dusty

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13
Q

what is tracheal tug

A

sign of airway obstruction- abnormal downwards movement of the trachea

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14
Q

define stridor

A

high pitched harsh noise due to turbulent airflow resulting from airway obstruction
happens on inhalation

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15
Q

define stertor

A

low pitched sonorous (deep) sound arising from nasopharyngeal airway also inhalation

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16
Q

what can enlarged tonsils and adenoids cause

A

obstructive sleep apnoea

airway obstruction

17
Q

what is the key thing to do in acute epiglottis

A

secure the airway

18
Q

what can be a possible complication of a foreign body causing airway obstruction

A

pneumonia

19
Q

what is recurrent respiratory papillomatosis

A

growth of benign papillomas in the respiratory tract, caused by infection with HPV 6 or 11

20
Q

what can cause subglottic stenosis

A

congenital, inflammatory

21
Q

how on observation can you assess airway

A

work of breathing
skin circulation
appearance

22
Q

what does respiratory failure lead to

A

respiratory arrest

23
Q

what is the treatment ladder for an airway obstruction

A
ABC - resus 
oxygen (helioc)
steroid 
adrenaline 
endoscopy 
secure airway with AT tube 
tracheostomy fnal resort