Chapter 6a - Airway management Flashcards
(54 cards)
conscious choking adult/child - alternate between 2 of 3 appropriate techniques:
- bent over backblows x 5
- abdominal thrusts x 5
- chest thrusts
Procedure for unconscious choking child - alone
do 2 min CPR
call EMS/911
Open mouth + visualize + remove object if seen
Open airway + attempt 2 breaths
30 chest compressions
visualize mouth + remove object
REPEAT until EMS arrive or successful retrieval
If coughing gagging, do you interfere
NO
if high pitched, wheezing, no sound, do you interfere
Send someone to call EMS/911
procedure for conscious choking infant
kneel down to floor and place baby on your thigh
give 5 back blows
give 5 chest thrusts
continue until unconscious
procedure unconscious choking infant
ensure EMS/911 has been called
check mouth
attempt ventilation/reposition/attempt again
baby CPR. check mouth before breaths
sweep only if visualized
once unobstructed, CPR only as needed
Allergic reaction in which the immune system reacts in a sudden and exaggerated way to contact with an allergic substance (antigen)
Anaphylaxis
in order to be severely allergic to something, you must be in contact with it ____
at least once
what creates the damage to tissues during anaphylaxis? what do they cause?
histamine and leukotrienes
they cause swelling, hives, eventual breathing problems when tissue around airway is involved
Management of anaphylaxis
Call 911
Epinephrine - autoinjector
O2
Oral antihistamines may help reduce sx
Administer epinephrine ONLY when patient is breathing
TRUE
Considered anaphylaxis when ____ systems are involved
2 or more
When can you give a second dose of epi in anaphylaxis reaction?
after 5 minutes, usually repeated every 15 min - no max
Can you use an expired epipen?
yes if that is all that is available
2 populations with whom we need to be careful when delivering epi
older victims
cardiac victims
inclusion criteria for administration of epi
known to be allergic
not known to be allergic
exclusion criteria for administration of epi
no exclusion criteria for anaphylaxis (medical emergency)
Can you administer an epipen to someone who is not known to be allergic therefore has no epipen?
yes
what are the first signs of an allergic reaction? (5)
difficulty breathing
weakness
fainting
itchiness
urticaria
for someone who is not known to be allergic, what are the first signs?
recent contact with causal agent less than 12h ago
AND
respiratory distress or circulatory failure or visible edema of the tongue
general management guidelines for anaphylaxis (6 steps)
- evaluate safety
- ABC , call 911, admin O2
- inclusion criteria ? known or unknown?
- if allergic give epinephrine based on weight
- monitor & provide first aid, repeat epi every 15 min
- always take to hospital (biphasic!)
Effects of epinephrine (5)
dilates bronchioles
increases BP
increases Pulse (may cause palpitations)
anxiety/trembling/nausea/vomit
effects are of short duration
3 things to verify on epipen before using it
6 rights of medications
medication is clear not cloudy
expiration date
tip to remember how to use epipen
blue to the sky orange to the thigh
