Airway Management 2
Terms in this set (40)
You have arrived at the scene of a call for a "man down." As you enter the residence you note that your patient is a male in his mid-60s who is awake, but does not seem to acknowledge your presence. He is perspiring, has cyanosis of his ears and lips, and has rapid, shallow respirations. Which of the following should you do first?
Assist ventilations using a bag-valve mask and suppplemental oxygen.
A 16-year-old patient presents with labored breathing and audible wheezes, heart rate of 124, respirations 36; he is confused about whether he has taken his asthma medication. What is the treatment for this patient?
Ventilate with a bag-valve mask with high oxygen or FROPVD.
The point at which the trachea divides into the two mainstream bronchi is called the:
You are aggressively ventilating an adult patient with a bag-valve mask when you notice that his previously strong pulse is getting weaker. You should:
reduce the volume of the ventilations
Which of the following describes why fast respiration may decrease minute volume?
The lungs may not have the time to fill and exchange gas
A non-rebreather mask at 12-15 liters per minute can deliver to the patient what percent of oxygen?
When does respiratory distress change to respiratory failure?
When the respiratory challenge continues, the systems cannot keep up with the demand, and skin color and mental status change.
Your 68-year-old patient is suffering from chronic obstructive pulmonary disease; this condition can cause gas exchange interruption by what process?
It limits the alveoli's capability to exchange oxygen and carbon dioxide because the alveoli itself is not working.
Your patient is breathing 4 shallow breaths a minute due to overdosing on his pain medication, but he has a palpable radial pulse. The patient gagged while you suctioned his airway. Now that the airway is clear, you should
insert a nasopharyngeal airway
What signs and symptoms would indicate inadequate breathing in a patient?
Increased effort to breathe, cyanosis, cool clammy skin, altered mental status
Which of the following is true concerning the procedure for inserting a nasopharyngeal airway?
The bevel should be turned toward the nasal septum
Your patient was attempting to slide down a railing on a skateboard. He struck a concrete step with his face and is unconscious. You note a clear viscous fluid coming from his nose. He is breathing inadequately and requires ventilation. You should:
give breaths with a pocket mask
You have performed a head-til chin-lift maneuver on a 17-month-old boy and are attempting to ventilate him with a bag-valve mask. You are experiencing a lot of resistance with each breath and the chest is barely rising. Prior to attempting ventilation again, you should:
ease the head forward a little
You are ventilating an 85-year-old male without difficulty. A nurse tells you that the patient has dentures. To ensure a good mask seal, you should:
leave the dentures in place
The movement of oxygen and carbon dioxide across the cell membranes from the capillaries is called:
When suctioning the airway, suction should never be applied longer than ______ seconds.
Which of the following patients does NOT require the administration of supplemental oxygen?
A 24-year-old woman who is breathing 28 times per minute after being in a argument with her husband.
What are the signs of hypoxia?
Commonly seen as blue or gray skin, deterioration of patient's mental status like confusion or restlessness.
Which of the following patients should NOT have their airway opened using a head-tilt chin-lift maneuver?
A homeless person of undetermined age found lying unresponsive in an alley with no bystanders
Which of the following should be kept in mind when assessing and managing the airway of a pediatric patient?
The trachea is easily obstructed by swelling
Your patient is breathing 4 shallow breaths per minute due to overdosing on his pain medication but he has a palpable radial pulse. He vomited prior to your arrival and is choking. You should:
roll him over onto his side to clear the airway
Which of the following is a sign of an inadequate airway?
You are ventilating an adult patient with a bag-valve mask when you notice that his abdomen is getting bigger. You should:
apply cricoid pressure
You are transporting a 44-year-old female with chest pain and sudden respiratory distress. She is agitated, anxious, and refuses to have a non-rebreather mask applied. Which of the following s the best option?
Use a nasal cannula instead
The structures within the lung that allow exchange of gases with the bloodstream are known as:
The process of air moving in and out of the chest is called:
Which of the following is the BEST description of inadequate breathing?
The minute volume is less than normal
You are ventilating a cardiac arrest patient when he begins to vomit copious amounts of large pieces of undigested food. Which of the following would be most effective in clearing the airway?
Using large bore suction tubing without a tip or catheter attached
For life to be maintained, a balance of oxygen and carbon dioxide is needed. The condition when oxygen levels are low is called:
Which of the following structures is found in the lower airway?
Your patient, in whom you have inserted an oropharyngeal airway, is beginning to regain consciousness and develop a gag reflex. Which of the following is the proper way of managing this situation?
Turn the patient on her side and remove the airway
Which of the following is necessary to deliver oxygen to patients at a safe pressure?
Which of the following is the correct method of suctioning?
insert the catheter or tip to the desired depth prior to applying suction
You are attempting to replace the oxygen cylinder in you truck. After removing the regulator from the old cylinder, removing the old cylinder, and placing the new cylinder in the oxygen compartment, you attempt t connect the regulator. The new cylinder has a yellow stripe around it instead of a green one, but was stored with the green cylinders. You are unable to get the regulator to seat properly and it will not turn. You should:
remove the cylinder and get a green cylinder
Which of the following is a disadvantage of oropharyngeal airways?
They cannot be used on a patient with a gag reflex
Your patient is a motorcyclist who was ejected from his vehicle due to striking a guard rail. The patient is unresponsive to painful stimuli and is breathing six to eight times per minute. Which of the following should you do first?
Use a bag-valve mask with supplemental oxygen
Why is inhalation described as an active process?
It requires chest muscles to contract and use energy t move, creating a negative pressure
Your patient is a 65-year-old male with a history of COPD. He is sitting up and complaining of a severe shortness of breath. You should:
apply a non-rebreather mask giving 15lpm of oxygen
The oxygen flow rate for nasal cannula should not exceed ______ liters per minute
Your patient is a 55-year-old man with a history of chronic bronchitis. You have been called to his home today because of an increase in his level of respiratory distress. The patient is on 2 liters per minute of oxygen by nasal cannula at home. Your assessment reveals difficulty speaking due to shortness of breath, leaning forward to breathe, a productive cough, and a respiratory rate of 32 per minute. Which of the following is true concerning the best course of action for this patient?
You should increase the patient's oxygen flow rate to deliver adequate amounts of oxygen to his tissues. If his respiratory rate decreases, you can assist him with a bag-valve mask device
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