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DAANCE MODULE 5 OE COMPLETE QUESTIONS AND ANSWERS (VERIFIED)

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DAANCE MODULE 5 OE COMPLETE QUESTIONS AND ANSWERS (VERIFIED)

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  • August 9, 2024
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  • 2024/2025
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  • DAANCE MODULE 5 OE
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DAANCE MODULE 5 OE COMPLETE QUESTIONS AND
ANSWERS (VERIFIED)



Hypoxia



ANSWER = Deficiency of oxygen

Can result in cardiac dysrhythmia, cardiac arrest, neurologic or brain damage, and ultimately death

Will occur more rapidly in children secondary to a diminished respiratory reserve



Signs of an airway obstruction and treatment



ANSWER = choking, gagging, suprasternal notch retraction, labored breathing and rapid pulse initially
followed by decreased pulse, respiratory arrest and cardiac arrest



TX:

1. 100% O2

2. Trendelenburg position/pack off the surgical site

3. Digital traction of the tongue with gauze, tongue forceps, hemostat or tongue suture

4. Suction oropharynx

If the tongue continues to fall back

5. nasopharyngeal airway in conscious/semiconscous patient

6. oropharyngeal airway for unconscous

7. Consider using LMA or other supraglottic airway

,8. Endotracheal tube



Cricothyrotomy



ANSWER = Only used when all other methods have failed.

Quickest, easiest way for surgical airway

Made between the thin cricothyroid membrane between the cricoid and thyroid cartilages of the larynx.

TX:

a. cleanse overlying skin

b. locate cricothyroid membrane by palpation

c. utilize the emergency cricothyrotomy needle/ cannula or large gauge to enter the trachea beneath
the vocal cords through the cricothyroid membrane

d. attach the tube of the crycothyrotomy device to an oxygen source such as an anesthesia machine or
ambu bag and ventilate 100% O2



Tracheostomy



ANSWER = Surgical airway below the level of the larynx into the trachea. Usually performed in a
hospital setting



Laryngospasm.. what, prevention and how to fix



ANSWER = WHAT?

Protective relfex of the vocal cords

Crowing sounds and labored respiratory efforts

Characterized by cessation of crowing sounds, suprasternal retraction and paradoxical chest movement
("rocking" pattern of the chest and abdomen)

, Prevention:

Proper pack placement or throat partition, changing packs and partitions when necessary, adequate
suctioning, control of secretions and adequate anesthesia levels.



TX:

a. 100% O2

b. proper head position/maintain airway

c. pack off surgical site

d. suction oral cavity and oropharynx with tonsil suction

e. postive pressure-100% O2 w/mask

f. administer Succs until spontaneous respiration has resumed.



Succinylcholine



ANSWER = Can trigger MH

Can lead to bradycardia in peds patients

In children, atropine should be administered concomitantly with succinylcholine to prevent bradycardia
and life threatening dysrhythmias

May cause cessation of breathing



Bronchospasm. WHAT? TX?



ANSWER = Contraction of the smooth muscles of the small bronchi and bronchioles. Restriction of air to
and from the lungs. More difficult expiration than inspiration. Exhibits labored breathing, expiration
difficulty and signs of a diminishing respiratory status. Wheezing and often show labored breathing.
Cyanosis or decreased ventilation patterns on the capnograph

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