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RCP111
Artificial Airways
| Question | Answer |
|---|---|
| Position Maneuvers to Open Airway: | - Head Tilt: - Sniffers position - Contraindicated if suspected vertebral column trauma. - Anterior Mandibular Displacement: - Use if suspected vertebral column trauma. - Triple Airway Maneuver: - Head tilt, AMD, and se |
| Partial Airway Obstruction | - Use of accessory muscles. - Intercostal retractions. |
| Partial Obstruction | some sound will be heard |
| Total Obstruction | - No sound will be heard. - No air will be able to be inhaled or exhaled. |
| What are the two pharyngeal airways? | - Nasal pharyngeal - Oral pharyngeal |
| Where is the most often place to facilitate frequent nasotracheal suctioning? | nasal pharyngeal airway |
| What type of oral pharyngeal airway most often used in an unconscious patient to prevent the tongue from blocking the upper airway? | oral pharyngeal airway |
| Where does the pharyngeal airway extend into? | pharynx |
| The oropharyngeal airway device is designed for insertion along what? | The tongue until the teeth & / or gingiva limit the insertion. |
| Where does the oropharyngeal airway device lay between? | The posterior pharynx and the tongue and pushes the tongue foward. |
| The oropharyngeal airway will activate what? | The gag reflex |
| How do you size the oral airway? | Tagus of the ear, to the tip of the lips. |
| What is the correct insertion of the oropharyngeal airway? | Insert upside down, after 2/3s in towards hard palate and over the tongue, then rotate 180 degrees into place |
| Type of oropharyngeal airway: GUEDEL | Hollow, opening down middle, for air passage, a buccal flange, a bite block portion, and a curved part that follows the contour of the hard palate. |
| Type of oropharyngeal airway: BERMAN | I beam construction but similar shape to the Guedel. |
| Contraindications- Oral | - Conscious or semi- conscious patient. - Oropharyngeal trauma. - Head trauma (DO NOT USE). |
| What will happen if the oropharyngeal airway is to small? | It may not displace tongue or may cause tongue to obstruct airway or may aspirated. |
| What will happen if the oropharyngeal airway is to large? | - May cause epiglottis impaction. - Roof of mouth may be lacerated upon insertion. |
| What would happen if a patient vomits with an oropharyngeal airway? | Aspiration from intact gag reflex. |
| What are some hazards of an oropharyngeal airway? | - too small - too large - vomiting - pressure necrosis |
| What are some nasopharyngeal airway facts? | - Located so that it can provide a clear for gas flow into pharynx. - Soft rubber catheter (flang, bevel) - Can be tolerated by the conscious patient. - Useful for patient with a soft tissue obstruction. |
| What is the proper sizing of the nasal pharyngeal airway? | - Measure from tragus of the ear to tip of the nose. |
| What is the proper insertion of the nasal pharyngeal airway? | - Lubricate with water soluble jelly. - Bevel angled toward midline. |
| What are some contraindications of the nasal airway? | -Facial fractures - Facial trauma - Coagulation disorders; can cause a lot bleeding. |
| What are some hazards of nasopharyngeal airway? | - Pressure necrosis - Bleeding - Occlusion of the esophagus - Sinus and ear aches |
Created by:
tracyb34
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