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Flashcards in Airway and Alertness Deck (26):
1

What are the components of the primary assessment?

A, B. C, D and E

2

What does "A" stand for?

A - airway and alertness

3

How do you assesses for alertness?

A - alert
V - responds to verbal stimuli
P - responds to painful stimuli
U - unresponsive

4

When will the pt be able to maintain his/her airway?

If pt is alert and airway is clear

5

When should you consider the airway comprimised?

If pt responds to only verbal/pain stimuli or is unresponsive.

6

Until when should you suspect a cervical spine injury (CSI)?

- until Glasgow Coma Scale Score is 15 and evaluated by physician
- cleared by radiography or CT

7

How can the cervical spine alignment and protection be maintained?

- manual stabilization
- immobilization

8

When do you remove the spine board?

when a spinal cord injury has been has been ruled out

9

How do you remove a helmet?

- two people
- one person that provides manual stabilization
- one person that removes helmet

10

How do you inspect an airway?

- alert - ask pt to open mouth
- if pt unable to open mouth, responds to verbal/painful stimuli or is unresponsive - suspect CSI and have two people perform the jaw-thrust procedure

11

What do you inspect the airway for?

- tongue obstructing airway
- loose/missing teeth
- foreign object
- blood/vomit, secretions
- edema
- burns/evidence of inhalation injury

12

What do you auscultate the airway for?

obstructive airway sounds - snoring, gurgling, stridor

13

What do you palpate the airway for?

- maxillofacial bony deformity
- subcutaneous emphysema

14

How do you assess for proper placement of the airway device?

- adequate rise/fall of chest with assisted ventillation
- absence or gurgling over epigastrum
- bilateral breath sounds
- presence of CO2 verified by CO2 detector

15

What do you do after you assess/confirm placement of airway device?

move to next step of the primary survey

16

What can the pt do if he/she is awake and airway is patent?

assume position to that facilitates breathing

17

What do you do if the airway is not patent?

- suction airway
- airway adjunct (naso/oropharyngeal airway)
- definitive airway (endotracheal intubation)

18

What do you not want to stimulate when suctioning?

gag reflex

19

What type of device is used to suction blood, vomit or other secretions?

rigid suction device

20

How do you remove a foreign body?

forceps or another appropriate method

21

If suctioning does not relieve airway, what could be the cause of obstruction?

tongue

22

What should you consider if airway is obstructed after suctioning?

nasopharyngeal or oropharyngeal airway

23

When can a nasopharyngeal be used?

pt is conscious or unconscious

24

When can a oropharyngeal be used?

pt is without a gag reflex

25

What is a definitive airway?

a tracheal tube securely place in the trachea with the cuff inflated

26

When do conditions/situations require a definitive airway?

- apnea
- GCS of 8 or less
- maxillofacial fx
- inhalation injury
- laryngeal/tracheal injury or neck hematoma
- high risk of aspiration
- compromised/ineffective ventillation
- anticipation that pt will be unable to maintain/protect their airway