Airway Study Guide – EMT Exam Questions with 100% Correct Answers
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Course
EMT Airway
Institution
EMT Airway
Airway Study Guide – EMT Exam Questions with 100% Correct Answers
What are we looking for while assessing a patients respiratory effort? - Answer-[The patients breathing is present and adequate (Ch. 9/ Pg. 327)]
[Ch. 10/ Pg. 400]
-A normal rate (between 12-20 breaths/min)
-A regular pattern...
Airway Study Guide – EMT Exam Questions with 100% Correct Answers
Preferred suction catheter for suctioning of the "Oropharynx" - Answer-Tips w/ curved contour i.e. tonsil tip/ rigid tip (Pg. 409)
How do we measure for placement of an OPA? - Answer-From the patients earlobe to the corner of the mouth (Ch. 10/Pg. 412)
What is the proper sequence for suctioning of a patients airway? - Answer-1. Check the unit for proper assembly of all its parts 2. Turn on the unit & test to ensure a vacuum pressure of >300 mmHg achieved 3. Select & attach appropriate suction catheter to tubing by measuring catheter from corner of pt's mouth to edge of earlobe/angle of jaw 4. Turn pt's head to the side (unless there's cervical injury). Open pt's mouth using cross-finger tech or tongue-jaw lift then insert tip of catheter to depth measured. Don't suction while inserting catheter 5. Insert catheter to premeasured depth & apply suction in circular motion as you withdraw catheter 6. Ventilate pt for 2 mins then alternate w/ suction for 15 secs (adults) until secretions gone (pg. 411)
Understand the etiology of wheezing. What part of your lungs are obstructed? - Answer-
Lower airway obstruction
Understand the etiology of snoring. What part of your lungs are obstructed? - Answer-
Upper airway obstruction, usually the tongue
What's the most likely cause of snoring respirations? - Answer-Tongue obstructing airway
How do we open a patients airway when we are NOT concerned with a cervical injury? -
Answer-Use the head tilt-chin lift maneuver (Ch. 10/ Pg. 405)
How do we open a patients airway when we ARE concerned with a cervical injury? - Answer-Use the jaw-thrust maneuver (Ch.10/ Pg. 406)
Indications and Contraindications of OPA - Answer-Indication:
-Unresponsive patients without a gag reflex (breathing or apneic)
-Any apneic patient being ventilated with a BVM
Contraindication:
-Conscious patients
-Any patient (conscious or unconscious) who has an intact gag reflex
Indications and Contraindications of NPA - Answer-(Ch. 10/ Pg. 414)
Indication:
-Semiconscious or unconscious patients with an intact gag reflex -Patients who otherwise will not tolerate an OPA
Contraindication:
-Severe head injury with blood draining from the nose
-History of fractured nasal bone
What are we looking for while assessing a patients respiratory effort? - Answer-[The patients breathing is present and adequate (Ch. 9/ Pg. 327)]
[Ch. 10/ Pg. 400]
-A normal rate (between 12-20 breaths/min)
-A regular pattern of inhalation and exhalation
-Clear and equal lung sounds on both sides of the chest (bilateral)
-Regular and equal chest rise an fall (chest expansion)
-Adequate depth (tidal volume)
Most likely cause of airway obstruction in an adult? - Answer-the tongue
If we encounter a conscious adult patient that appears to be choking, he is able to speak but is coughing , how should we proceed? - Answer-Just continue to monitor the pt closely & encourage the pt to continue coughing in hopes it will expel the foreign object. Abdominal thrust is not needed at this time & avoid removing the object manually as it can force the object further down the airway.
Best suction catheter for adult patient that is choking on pureed food? - Answer-Rigid tip
catheter
Signs of upper airway obstruction? How will the patient be positioned? Universal choking sign; - Answer-Tripod position or semi-fowler position (45 degree angle)
What is the time limit for suctioning of a patients airway before reattempting oxygenation? - Answer-No more than 15 secs for adults, 10 secs for children & 5 secs for infants
What do we do with a patient that has dentures that are loose? - Answer-Remove because it could be creating an airway obstruction.
Understand the term "Diffusion" thorough understanding - Answer-movement from an area of high concentration to an area of low concentration (passive)
A patient is with respirations of 6 per minute. How do we treat? - Answer-A patient is with respirations of 6 per minute. How do we treat? Bag-valve mask, bag whenever the patient inhales and add in a couple more in between to raise the respiration per minute
Normal respiratory ranges: - Answer-Adult: 12-20 breaths/min
b. Pediatric: 15-30 breaths/min
c. Neonate: 25-50 breaths/min
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