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23 terms

airway management exam 1

trach and cuffs
STUDY
PLAY
what is a stylet used for
guide ET tube
How often does a pt need to be suctioned
PRN(as needed)
*no longer than 15 seconds*
*suction, re-mask, give a few minutes, listen to BS, if need to be suctioned again repeat*
major complications associated with extubation
trach damage
airway obstruction or stridor
difficult breathing
not ready to extubate
vomiting
vocal card damage
necrosis or fistula (sore)
Laryngospasm
nose bleeds
what happens to oxygenation level of pt during suction and how to prevent it
o2 levels decrease
pre oxygenation to prevent
what are absolute contraindication for nasotracheal suction
epiglottitis (all ready swollen)
croup
what size of suction catheter for an airway should be used and what would happen if a too large catheter was used
1/2 the size
to big--block air, pneumo, atelectasis
vagal stimultion during suction causes what
bradycardia (slow heart beat)
hypotension
cardiac arrest
2 different types of laryngoscope blades
miller--straight--lifting epiglottis directly
macintosh--curved--lifting epiglottis indirectly
why is epiglottis a contraindication to the use of a laryngoscope
causes swelling or airway closure
the first and simplest technique use to confirm ET tube placement following intubation
BS 1st
other--chest rise
what is the indications for artificial airway
protect airway
relieve airway obstruction
facilitate suctioning
protect from aspiration
provide closed and sealed system for mechanical vent and CPAP
name 2 types of oropharyngeal airway and there indication and care
Bermann--rigid
Gudell--hole in middle
establish airway
bite blocks for seizing pt
provide suctioning
bite block with ET tube placement
use with mask/bag unit for manual ventilation
poorly tolerated by conscious pt's--gag reflex
describe difference between the oral and nasal airway
oral--provides an airway for emergency situations
short term-24 hours or less
used for mech vent or CPAP--facilitates suctioning
Nasal--used to protect airway from aspiration and provide an airway for mech vent or CPAP--facilitate suctioning via a direct route--best used for longer intubation times-72 hours or more
early and late complications following the placement of a tracheostomy tube
Early Late
bleeding infection
pnuemo humidifiction
sub q stenosis
air embolism hemorrhage
dysfuction of swallowing
MLT
minimul leak technique
hear leak at peak inspiration
use during low or no PEEP
hazards of oral intubation
trach damage
right mainstem intubtion
cuff rupture
aspiration
hypoxemia
vocal cord damage
increased risk of infection
intubation of esophagus
homorrhage
broken teeth
laryngospasm
vagal stimulation--causes decrease HR-hypertensive
what should the NIF/MIP be before wening a pt from an oral airway
-20 or above
describe the first thing done following intubation of the airway
asses placement
describe the difference between the following terms, tracheostomy, tracheotomy and stoma
tracheostomy--surgical procedure
tracheotomy-- tube
stoma--hole
describe posey cufflator nd explain its use
measure actual presurein the cuff
measures in cmH20
has bulbous end to add air and release button to extract air
function and care of a nasopharyngeal airway
relieve upper aireway obstruction caused by tongue or soft palate
facilitates nasal suctioning
provides an airway
bettwer for conscious pt's with an active gag reflex
alternte nares every 8-24 hours
blocks drainage of sinus
necrosis
place with lube- ky jelly gently insert along floor of nose
measure from tip of nare to tip of ear
parts of endotracheal tube
cuff
pilot line-balloon
tracheostomy ties
inner cannula
15-22 mm adapter,
PVC
radio opaque line
beveled edge
murphy's eye
placement markings
ideal position for pt for extubation
sit up