Essential Airway Management Flashcards
(58 cards)
What does DRCACBC stand for?
Danger Response Catastrophic haemorrhage Airway C-spine Breathing Circulation
What would you use the larger suction tube for?
Vomit
What would you use the smaller suctions tube for?
Fluids like saliva, and may also be used on children
How far should a suctioning tube be descended?
As far as you can see
How do you use a hand held suctioning pump? (6)
Connect bottle to hand controlled suction
Pick one of two tubes
Place tube as far as you can see
To build up pressure, pump the handle
Use zigzag motion as you move out of the mouth
Start pumping from further down and slowly move upwards
How do you suction using a battery powered suction? (5)
Ensure charge or power source
Attach tube
Use tougher catheter for adults and finer catheter for children
Insert catheter as far as you can see
Suction using zigzag motion upwards
How do you do a jaw thrust? (2)
Place fingers on corners of the jaw and place thumbs on cheekbones
Must be held for short period of time due to tiredness, and use of assisted ventilation should be used
When would you use airway adjuncts? (2)
When the head-tilt chin-lift or jaw thrust fails
Because they may cause tongue to fall back displacing the epiglottis causing airway obstruction
What are the three airway adjuncts?
Nasopharyngeal Airway (NPA)
Oropharyngeal Airway (OPA)
Bag-Valve-Mask (BVM)
When would you us an OPA?
When patient is unconscious
When would you use an NPA? (3)
When OPA stimulates gag reflex and is ineffective
Patient would be unconscious or partially unconscious
If trismus occurs - spasm of the jaw rendering the mouth shut
What can an NPA and an OPA also be used in conjunction with?
BVM
How would you use an OPA? (7)
Check consciousness
Check airway
Mouth piece sized from corner of jaw to surface of the mouth
Insert upside down (in children inserted right way up)
Once in contact with roof of mouth, rotate 180 degrees
If gagging remove mouthpiece
Attempt again. If can not withstand OPA, use NPA
How would you use an NPA? (8)
Can be used on semiconscious patients and gag reflex patients
Can be used on patients with facial injuries
Ensure no skull fracture or internal nose damage
Tube measured from patients nostril to tragus on the ear
Add lubricant to tube
Insert bevel end on wall of trachea
Push and twist horizontally down
If resistance, pull out and insert in other nostril
How do you use BVM? (8)
Fill bag with oxygen using tube connected to oxygen cylinder
Form tight seal around mouth using mask
Ensure correct size mask
Ensure patent airway
2 person technique
3 fingers around jaw and two on mask
Squeeze bag every 5 seconds
Sats should show decrease in CO2 and increase in O2
How do you prepare an oxygen cylinder before use? (5!
Check cylinder contents gauge on to ensure efficient gas content
Remove tamper evident seal and cover fitted over valve outlets
Ensure batch label fitted to cylinder and not removed
Appropriate size tubing to fir tree outlet
Open cylinder valve slowly and check for leaks
What is the target sats for most patients?
94-98%
What is the target sats for those at risk of type 2 respiratory failure like COPD? (High CO2 levels and low O2 levels)
88-93%
When is a nasal cannulae used? (3)
Used for type 1 and type 2 respiratory failure
Used on stable patients
Deliver low concentrations of oxygen
What is the flow rate of nasal cannulae?
2-6l/min
What is the flow rate for simple face mask?
5-10l/min
What oxygen percentage is delivered by nasal cannulae?
24-40%
When would a Venturi mask be used?
Used when specific O2 requirements are needed to be administered, e.g. oxygen for COPD
What is the target saturation rate for Venturi mask?
88-92%
