Chapter 9: Airway Managment Flashcards
1
Q
brain tissue will begin to die within ____ minutes when deprived of oxygen
A
4-6 minutes
2
Q
____ of the brain is lost every minute without oxygen
A
10%
3
Q
oxygen reaches the bodies tissues through what two processes
A
circulation and breathing
4
Q
the airway is divided into upper and lower portions by the
A
larynx
5
Q
_____ is the exchange of air between lungs and the environment
A
ventilation
6
Q
ventilation is necessary for _____ and ____ to occur
A
oxygenation and respiration
7
Q
the upper airway consists of these 6 anatomical structures
A
- nose
- mouth
- jaw
- oral cavity
- pharynx
- larynx
8
Q
the function of the upper airway is to
A
warm, filter, and humidify air entering the mouth and nose
9
Q
the ____ is a muscular tube that starts at the nose and ends at the trachea level
A
pharynx
10
Q
the pharynx consists of these three structures
A
- nasopharynx
- oropharynx
- laryngopharynx
11
Q
the ____ is the entrance to the respiratory and digestive systems
A
oropharynx
12
Q
the ____ prevents food and liquid from entering the larynx during swallowing
A
epiglottis
13
Q
the larynx consists of these two structures
A
adam’s apple and vocal cords
14
Q
function of the lower airway
A
gas exchange
15
Q
lower airway consists of these three structures
A
- trachea
- thoracic cavity
- lungs
16
Q
the ____ is where air enters into the lungs
A
trachea
17
Q
the trachea divides at the ____ into the ______
A
carina, into the two main stem bronchi (right and left)
18
Q
function of the bronchi is to
A
distribute O2 into the lungs
19
Q
bronchi –> _____ –> ______
A
bronchi –> bronchioles –> alveoli
20
Q
the bronchioles are ______ that _____ and ____ as O2 passes through
A
the bronchioles are smooth muscle that dilate and constrict as O2 passes through
21
Q
____ are where O2 and CO2 exchange
A
alveoli
22
Q
alveoli are surrounded by ______ where oxygen is diffused from the alveoli and transported to the heart for distribution through the body
A
pulmonary capillaries
23
Q
also in the thoracic cavity is the ____
A
mediastinum
24
Q
the mediastinum is the area between the
A
lungs
25
the mediastinum consists of these 6 things
1. heart
2. great vessels (vena cava and aorta)
3. esophagus (not part of resp. system)
4. trachea
5. major bronchi
6. nerves
26
the ____ and ____ systems work together to supply cells with O2 and nutrients and to remove waste
respiratory and cardiovascular systems
27
_____ is the amount of air (in ml) that move into the lung s in one breath
tidal volume (TV)
28
ventilation consists of ____ and _____
inhalation and exhalation
29
inhalation is an ____ process
active
30
during inhalation the diaphragm ______
contracts
31
____ is tidal volume that does not reach the alveoli
dead space
32
____ is the amount of air that can be forcibly expelled from the lungs after breathing deeply
vital capacity
33
____ is the air that remains after maximal expiration
residual volume
34
exhalation is a _____ process
passive
35
during exhalation the diaphragm _____
relaxes
36
during exhalation air pressure in the ______ is higher than the outside so air is _____ through the trachea
during exhalation air pressure in the THORAX is higher than the outside so air is PUSHED OUT through the trachea
37
regulation of ventilation is accomplished by ___ of ____
pH of CSF
38
regulation of ventilation is directly related to the amount of ___ in the blood
CO2
39
____ involves difficulty in eliminating CO2 through exhalation
COPD
40
patients with COPD have a back up system known as _____ to control breathing
hypoxic drive
41
_____ is the process of loading oxygen molecules into hemoglobin in the bloodstream
oxygenation
42
oxygenation does not guarantee ____
internal respiration
43
____ is the exchange of gases in alveoli and body tissues
respiration
44
_______ is the exchange of gases between alveoli and blood in the pulmonary capillaries
external/pulmonary respiration
45
_____ is the exchange of gases between systemic circulatory system and the cells of the body (oxygen from blood to tissue)
internal respiration
46
```
without oxygen in:
0-1 minute ____
0-4 minutes _____
4-6 minutes ____
6-10 minutes ____
over 10 minutes ____
```
```
0-1 minute: cardiac irritability
0-4 minutes: brain damage not likely
4-6 minutes: brain damage possible
6-10 minutes: brain damage very likely
over 10 minutes: irreversible brain damage
```
47
____ monitor O2, CO2, hydrogen ions, and pH of CSP to control respiration
chemoreceptors
48
```
circulatory compromise can result from
1.
2.
3.
4.
5.
```
1. pulmonary embolism
2. tension pneumothorax
3. open pneumothorax
4. hemothorax
5. hemopneumothorax
49
_____ causes poor TV
tension pneumothorax
50
_____ is a hole through the lung and chest wall
open pneumothorax
51
____ is blood in a lung
hemothorax
52
_____ is a collapsed lung with blood
hemopneumothorax
53
adequate breathing is
- ____ breaths per minute
- ___ pattern
- ______ lung sounds
- ______ chest rise and fall
- ____ depth
- 12-20 breaths per minute
- regular pattern of inspiration and expiration
- clear bilateral lung sounds
- regular and equal chest rise and fall
- adequate depth
54
_____ is when the patient's heart has stopped and they have ocassional gasping breaths
agonal respirations
55
_____ happen often with stroke and head injury, are INC rate and depth followed by apnea
cheyne-stokes respirations
56
_____ have an irregular or unidentifiable pattern
ataxic respirations
57
_____ are deep gasping respirations (associated with metabolic or toxic disorders)
kussmaul respirations
58
to open the airway the patient should be in the ____ position
supine
59
in an unconscious patient the ____ is the most common obstruction
tongue
60
the _____ is the most often used method to open the airway
head-tilt chin lift
61
_____ is used to open the airway if cervical trauma is suspected
jaw thrust
62
OPA keeps ____ off of the airway and should be used only for an ____ patient with no ____
OPA keeps tongue off of the airway and should be used only for an unconscious patient with no gag reflex
63
NPA's are for a patient with
gag reflex
64
____ tips are used on a suctioning device for the pharynx
yankauer tips (rigid pharyngeal suction tips)
65
_____ tips are used to suction the nose or back of mouth
whistle-tip (nonrigid plastic)
66
suction no more than
___ s for adult
___ s for child
___ s for infant
15 s/ adult
10 s/child
5 s/ infant
(or as long as necessary)
67
______ is used to maintain a clear airway in an unconscious patient who is not injured and is breathing on his or her own with a normal respiratory rate and adequate TV
recover position
68
always give supplemental oxygen to patients who are
hypoxic
69
never withold oxygen especially if you are giving
ventilations
70
____ are the preferred way to give oxygen to patients who are breathing adequately but are suspected of having hypoxia
nonrebreathing masks
71
NRB masks should be set to a rate of ____L/min and provide up to ___% inspired O2
12-15 L/min
| 90% inspired O2
72
_____ give 24-44% inspired O2
nasal cannula
73
nasal cannula should be set at a rate of ____L/min
4-6 L/min
74
with a ____ mask the patient rebreathes a small amount of their exhaled air
partial rebreathing mask
75
the partial rebreathing mask is advantageous for a patient who is
hyperventilating
76
venturi mask can vary the _____ and is for long term management
% of oxygen
77
3 signs and symptoms of inadequate venilation
altered mental status
inadequate minute volume
excessive accessory muscle use and fatigue
78
with normal breathing the diaphragm _____ and the ____ pressure generated in the chest cavity brings air into the lungs
contracts, negative pressure
79
with positive pressure ventilation, the positive pressure generated by the device forces air into the chest cavity and the _____ intra thoracic pressure ____ the amount of blood pumped by the heart
with positive pressure ventilation, the positive pressure generated by the device forces air into the chest cavity and the INC intra thoracic pressure DEC the amount of blood pumped by the heart
80
ventilation rates for patients with a pulse
adult
child
infant
adult: 1 breath every 5-6 sec
child: 1 breath every 3-5 sec
infant: 1 breath every 3-5 sec
81
______ ventilation is preferred over BVM for apnic person
mouth to mask ventilation
82
4 signs you are performing adequate ventilations
1. improved color
2. chest rise
3. no resistance
4. you can hear and feel air escape at patient exhales
83
_____ occurs with artificial ventilations (stomach fills with air)
gastric distension
84
gastric distension occurs most commonly amongst
children
85
gastric distension occurs when you ventilate too ____ or _____ with a ______ or ______
forcefully or rapidly with a mag mask or pocket mask
86
gastric distension can also occur when there is _____ or when you use improper ____
FBAO or when you use improper head position
87
gastric distension can cause ____ and INC risk of _____
can cause vomiting and INC risk of aspiration
88
gastric distension can also DEC _____ by elevating _____
DEC lung volume by elevating the diaphragm
89
if dentures are _____ you should leave them in place when performing ventilations but if they are _____ they should be removed
if dentures are well-fitting you should leave them in place when performing ventilations but if they are loose they should be removed
90
when fresh air is inspired into the lungs it is ___% O2, but when it is exhaled it is ____%
21% on inhalation, 16% on exhalation
91
```
common causes of inaccurate ______ readings include:
hypovolemia
anemia
dirty fingers
nail polish
CO poisoning
peripheral vasoconstriction
```
pulse oximetry
92
the aspect of natural ventilation that involves the diaphragm contracting and the chest wall expanding is
inhalation
93
which of the following structures is not part of the upper airway
- nasopharynx
- epiglottis
- trachea
- larynx
trachea
94
the process by which CP2 moves from a high conc in the capillaries to a lower conc in the alveoli
diffusion
95
a patient who is developing early stages of hypoxia may exhibit
restlessness
96
NPA's _____ get inserted with a rotating motion
DO NOT
97
if a d-sized oxygen cylinder contains 300L of oxygen and is at 2,000 PSI at the start of a call, the best estimate for the amount of time a patient can receive 15 L/min with a NRB mask is
20 min
98
properly performed suctioning of a patient may still cause
vomiting
99
the most common complication of the flow-restricted, oxygen-powered ventilation device is
gastric distension
100
the structure also known as the wind-pipe is
the trachea
101
some cells may become severely or permanently damaged after what period of time without oxygen
4-6 minutes
102
with an oxygen rate of 15 L/min and an adequate mask to mouth seal a bag mask device with an O2 reservoir can deliver nearly what % of O2
100%
