Airway management

Question 1

Airway management is making sure that what?

Answer 1

• that the airway is patent
• second most important step in CAB of resuscitation (except in newborns and the drowning victim, ABC)

Question 2

Prevention of hypoxemia requires a protected unobstructed airway and adequate ventilation. T or F.

Answer 2

T- prevention of brain and spinal cord injuries and shock

Question 3

Clues suggesting the immediate need for airway management?

Answer 3

• Can the patient talk
• Any obvious facial anomalies
• Is the patient breathing
• Does the patient have: Hoarseness, Stridor, Suprasternal recession (skin in the middle of your neck sucks in)

Question 4

Most common cause of upper airway obstruction is the what?

Answer 4

The Tongue

Question 5

Airway management steps.

Answer 5

• Assess the airway
• Open airway (head tilt, chin tilt); jaw thrust is used when there’s suspected trauma to cervical spine

Question 6

Airway devices?

Answer 6

• Oropharyngeal airway
• Nasopharyngeal airway

Question 7

Oropharyngeal airway?

Answer 7

• Keep the tongue from falling back and blocking the upper airway
• Are only used in unresponsive patients without a gag reflex
• Still need to monitor
• Airway should extend from the corner of the patient’s mouth to the angle of the jaw.

Question 8

Nasopharyngeal airway?

Answer 8

• Curved, flexible rubber or plastic tubes inserted into the patient’s nostril
• Used in semiconscious or intoxicated patients who need an airway assistance
• Measure length from tip of patient’s nose to the earlobe
• Lubricate with sterile, water-soluble lubricant, and insert into nostril that appears most open
• Not used in pregnant people cuz their nose is more swollen-can bleed

Question 9

CPR stands for?

Answer 9

Cardiopulmonary Resuscitation

Question 10

Indications for CPR?

Answer 10

• Cardiac arrest (unresponsive, no normal breathing/gasping, no pulse)
• NO PULSE: START CHEST COMPRESSIONS IMMEDIATELY!!!
• if there is pulse: check airway- Agonal gasping is a sign of cardiac arrest

Question 11

How long you check for pulse before CPR?

Answer 11

• 5-10 seconds
• note: check carotid in adults and brachial is kids

Question 12

Components of CPR?

Answer 12

• Compressions, Airway, Breathing
• Compressions
  
  • To improve circulation (blood flow)
  • Chest Compression Fraction- minimum 60% increases the likelihood of ROSC, shock success and survival to hospital discharge
• Ventilation (breaths)- to provide oxygen to the victim
  
  • Mouth to mouth
  • Mouth to face shield/mask
  • Bag valve mask

Question 13

Automated external defibrillator (AED)?

Answer 13

Can identify an abnormal rhythm that needs a shock

Question 14

What are shockable rhythms?

Answer 14

Ventricular fibrillation and Pulseless Ventricular Tachycardia

Question 15

What are nonshockable rhythms?

Answer 15

Asystole and pulseless electrical activity (PEA)

Question 16

What rate should rescuers perform compressions?

Answer 16

100-120/min

Question 17

Rescuers Should Compress to a depth of what?

Answer 17

at least 2 inches (5 cm) adult, children same (1/3 depth of their chest), 4 cm/ 1 1/2 inch infants (1/3 depth of their chest)

Question 18

What drug is given when you suspect opioid poisoning?

Answer 18

naloxene

Question 19

How you relieve smns choking (over 1 year old)?

Answer 19

• use abdominal thrusts
• note for pregnant women or obese ppl perform chest thrusts instead of abdominal thrusts

Question 20

How you relieve an infants choking?

Answer 20

backslaps or chest thrusts