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Lindsey Jones 3A4 Test

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1.
How do you establish a nasal intubation in an artificial airway?
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2.
What are the 10 airway clearance procedures in natural and artificial airway?
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3.
What is the purpose of suctioning during an artificial airway?
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4.
What is the supine position during airway clearance?
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5.
What happends after oral tube insertion?
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6.
What does the natural humidification do when it is bypassed in an artificial airway?
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7.
What is vibration during airway clearance?
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8.
What is a Head-tilt/chin-lift in natural airway?
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9.
What are the procedures for an extubation?
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10.
In tracheostomy what does it mean when Inflatable cuffs should be Inflated Only in an artificial airway?
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11.
What should be done when a thick secretion situation occurs during an artificial airway?
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12.
What is the Larngospasm problem in an artificial airway?
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13.
What are some of the reasons to establish an artificial airway?
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14.
What are the contraindications during airway clearance?
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15.
What are the ways to minimize cuff problems in an artificial airway?
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16.
What is a partial obstruction in a Natural airway?
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17.
What is Intrapulmonary percussion ventilation (IPV) during airway clearance?
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18.
What is a Nasal pharyngeal airway in artificial airway?
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19.
What are the contraindications to vibration and percussion airway clearance?
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20.
What are the 2 signs of obstruction in a Natural airway?
A.
1. Facilitates mobilization of secretions. 2.Done by placing hand over the area to be drained while vibrating hands.3. Compression and vibration is done during exhalation.
B.
After tube insertion, inflate the cuff, auscultates the stomach first then the lungs, to determine position. If sounds over the stomach are pronounced, deflate cuff rand remove the tube.
C.
1. Lying flat on back (looking @ the ceiling) 2. drains upper lobes, anterior segment. 3. Good for post neuro-surgical patients.
D.
1. During PPV support.2.During IPPB treatment.3.when pt. is eating.4.when there is an established risk for aspiration and if there is anything in the stomach.Inother cases deflate the cuff.When removing use sterile method.
E.
Use nasal intubation if patient will remain awake, alert. Use Magill forceps (no stylet).
F.
Use the MLT and MOV tecniques. Use High-volume, low-pressure cuffs.
G.
1. Postural drainage 2. Chest precusson. 3. vibration 4. autogenic drainage 5. Positive expiratory pressure (PEP therapy) 6. Flutter valve. 7. External percussive device. 8. Intrapulmonary percussion vibration (IPV) 9. Teacing coughing. 10. Evalutation
H.
1. Partial obstruction 2. Complete obstruction.
I.
1. Done by lifting up on the front edge of the jaw with one hand while pusing the forehead upward. 2. Do not use when suspecting neck fracture (no hyperextension of the head).
J.
1. Clear airway by suctioning below&above airway. 2.Explain to the pt.3.Evacuate the cuff.Have pt. inhale&hold.Remove the tube while pt. holding max. inspiration.5.Instruct pt. to cough&expectorate-facilitate w/a tonsil suction device if needed.
K.
1.Facilitates ventilation2.Protect airway(aspiration,inflammation)3.Profound,persistent hypoxemia 4.Facilitates bronchial hygine(marked secretion5.Sedate w/ativan(Iorazepam6.Deliver medications V-valium/versed,L-lidocaine,A-atropine,N-narcan,E-epinephrine
L.
Provide heated humidity. Utilize a HME.
M.
Increase the diameter of the catheter (higher french) but stay w/limits-no more than 1/2 the internal diameter of artificial airway. Increase suction pressure. Instill 5-10cc saline to hydrate secretions. Instill Mucomyst.Lower suction-prn& duration.
N.
1. Softened cough 2. Inspiratory stridor. 3. Paradoxical chest movement (chest moves inward upon inhalation) 4. General age of Resp. distress. (cyanosis, retraction etc.)
O.
1. Done by delieviring inhalation w/oscillation.2. Causes vibration of the lungs. 3.Helps gases penetrate deeper levels of the pulmonary airway system.4.can be combined w/aerosol delivery.5. Good start Frequency is 30 PSI.
P.
This is worst of all the complications. Never extubate until this is resolved.
Q.
Untreated Tb. Poor/unstable cardiovascular system. Over incision sites.
R.
To remove secretions. Promote expectoration of secretions(cough) Collect a specimen.
S.
called as nasal trumphet. Helps in suctioning &remal of secretions.Opens airway for better ventilation. Not good for mech. ventilation.Used on consious pt. Less mucosal trauma. Use largest diameter possible to decrese RAW. Change often to prevent bleeding
T.
1.Untreated pneumothorax. 2.Chest trauma (fractured ribs and bones) 3. TB and assosiated hemoptysis. 4.Pulmonary emboli.
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21.
What is the loss of dignity problem in an artificial airway?

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