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Pre-CRT IV
Airway Care and Bronchial Hygiene
| Question | Answer |
|---|---|
| When is an Oroharyngeal airway used | On an unconscious patient |
| When is a Nasopharyngeal airway used | on a conscious patient |
| What are some complications of the Oropharyngeal | Gagging, vomiting, laryngospasm and airway obstruction |
| What are some complications of the Nasopharyngeal | Trauma to mucosa, epistaxis and increased airway resistance |
| What kind of lubricant is used with the nasopharyngeal airway | water soluble or water based |
| How do you determine the size of the Oropharyngeal | Length should be equal to distance from angle of jaw to tip of chin |
| How do you determine the size of the nasopharyngeal | Tip of earlobe to center of nostrils |
| How do you insert the oropharyngeal | insert opposite its anatomic shape to back of throat and then rotate into its correct position |
| How do you insert the nasopharyngeal | inserted the way it is anatomically shaped with water soluble lubricant |
| What are the 5 Indications for endotracheal intubation | 1. provide a patent airway 2. access for suction 3. means for mechanical ventilation 4. protect the airway 5.Direct instillation of medication |
| What are the 5 medications that can be directly administered through the ET tube | Narcan (narcotic overdose) Atropine (Bradycardia) Valium/Versed (Sedative) Epinephrine (asystole) Lidocaine (PVC) |
| Cuff pressure should not exceed what level | 20 mm Hg or 20 torr |
| Minimal occluding volume (MOV) | listen for air leak as cuff is inflated during positive pressure ventilation |
| Minimal Leak technique (MLT) | slowly inject air into the cuff during positive pressure inspiration until leak stops |
| Which hand is the laryngoscope held in | Left |
| What are the two types of laryngoscope blades | Macintosh/curved- fits into vallecula Miller Blade/Straight- fits under epiglottis |
| What are the steps in trouble shooting if light does not work on the blade | tighten bulb check handle attachment change blade check batteries |
| What are the two types of ET cuffs | High pressure Low volume Low pressure High volume(preferred) |
| What are the indications for using a double-lumen ET | Independent lung ventilation Unilateral lung diseases to improve ventilation Used during surgery Bronchopleural fistulas |
| Where should the LMA be properly positioned | Position at the back of the tongue. The tube is advanced until resistance is felt as the mask settle over the esophagus and larynx |
| Hi-Lo Evac Tubes are used for what | oral or nasal endotracheal intubation that requires continuous aspiration of subglottic secretions. |
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