Airway Flashcards

(31 cards)

1
Q

DO NOT use _____ in patients with severe front facial trauma or basilar skull fracture

A

NPA

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2
Q

Oxygen administration should be based on a patient’s __________ and medical condition

A

respiratory effort

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3
Q

While the goal is to maintain a SpO2 of ___or greater, oxygen should not be reduced or withheld based solely on pulse oximetry readings in patients with distress or medical conditions potentially requiring oxygen.

A

90%

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4
Q

Non Re-breather Mask at _______ for breathing patients with signs of moderate to severe distress, impending shock, or signs of hypoxia

A

10-15 LPM

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5
Q

Adult – __________ – 10/minute

A

1 breath every 6 seconds

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6
Q

Pediatric – __________ – 20/minute

A

1 breath every 3 seconds

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7
Q

Hyperventilation for brain herniation is considered: (maintain a CO2 level__________)

A

of 30-35 mm/Hg

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8
Q

Hyperventilation rate for adult is

A

1 breath every 3 seconds

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9
Q

Hyperventilation rate for child is

A

1 breath every 2 seconds – 30/minute

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10
Q
  • Autovent contraindicated in __________
A

Cardiac arrest

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11
Q

Consider as a vital sign for documentation on patients being treated for a medical or traumatic condition if appropriate, however do not base treatment solely on the _________________

A

monitors findings

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12
Q

The goal shall be to maintain a pulse oximetry level between _________

A

90 and 99%

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13
Q

Capnography - numeric and waveform CO2 monitoring. Normal finding should be ________

A

35-40 mm/Hg

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14
Q

ET tube device for intubated patients to help assess:

A
  • Additional verification of ET tube placement
  • Detection of ET tube dislodgement
  • Confirmation of return of pulses
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15
Q

Adequate BVM ventilations shall initially take precedence over _________

A

intubation attempts

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16
Q

All intubation attempts should be preceded by at least _______ of ventilations with a basic airway device in place.

17
Q

Intubation attempts lasting longer than __ seconds, or ___ compression cycle of the Autopulse, should be re-ventilated prior to secondary attempts.

A

18 seconds, one

18
Q

All intubation attempts will be made while compressions are being performed. If interruption of compressions is needed, limit to ______ or less.

19
Q

Limit intubation to no more than _______ before securing the airway with a secondary device

20
Q

Additional intubation attempts may be attempted at the discretion of the

21
Q

Confirm tube placement clinically by assessing chest rise,___________, and the presence of bilateral lung sounds

A

absence of epigastric sounds

22
Q

Adequate BVM ventilations shall initially take precedence over _________

A

Intubation attempts

23
Q

All intubation attempts should be preceded by at least of ventilations with a basic airway device in place.

24
Q

All intubation attempts will be made while _______ are being performed.

25
Always assign at least __ paramedics to the airway during intubation procedures.
2
26
What is for patients requiring intubation who are breathing spontaneously and still have protective airway reflexes or clenched jaw but are NOT candidates for paralysis; contraindicated in pediatrics or patients with severe front facial trauma or signs of a basilar skull fracture
Nasal Intubation
27
ESOPHAGEAL FOOD BOLUS OBSTRUCTION treatment
Glucagon 2 mg slow IV push, or IM
28
PHARMACOLOGICAL ASSISTED INTUBATIONS preparation and equipment
* Oxygenate 2 minutes, if practical  * Apply appropriate monitors, ECG, pulse ox, ETCO2  *Prepare back up ventilation equipment  * Administer Zofran 4.0 mg IV/IO  * Administer Etomidate 0.3 mg/kg IV slowly or:  *Ketamine: asthmatic patients only: dose is Adult: 2.0 mg/kg IV/IO (EMS Captain must accompany Pt. to hospital) Pediatric: 1.0 mg/kg IV/IO
29
Re-sedation dose for PHARMACOLOGICAL ASSISTED INTUBATIONS
2-5 mg versed
30
The 5 P's Approach to RSI
– Position, Pre-treat, Pre-Sedate, Paralyze, Place
31
Hyperkalemia TX
Consider Calcium Chloride 1 gram then Sodium Bicarbonate 1 mEq/kg IV/IO