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Trauma Nursing Core Course (TNCC)- 9th Edition Rated A+ 2024
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Trauma Nursing Core Course (TNCC)- 9th Edition Rated A+ 2024
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Trauma Nursing Core Course (TNCC)-9th Edition Rated A+ 2024
Can an oropharyngeal airway be used in someone with a gag reflex? - ANSWER-No
ETCO2 level indicating effective ventilation - ANSWER-35-45 mm
(Greater than 50 signifies depressed ventilation
How do you assess breathing? - ANSWER-Expose the patient's chest and inspect for
the following:
Spontaneous breathing
Symmetrical chest rise and fall
Depth, pattern and rate of resps
Work of breathing (accessory muscles, pursed lip, diaphragmatic breathing)
Skin colour
Contusions, abrasions, deformities
Open pneumothorax
JVD
Signs of inhalation injuries
How to assess for proper placement of a definitive airway (3 steps) - ANSWER-1.
Attach CO2 detector (assess for presence of CO2 after 5-6 breaths)
2. Adequate rise/fall of chest with assisted ventilation
3. Auscultate for gurgling over epigastrium and presence of bilateral breath sounds.
If an airway is patent, what is the goal? - ANSWER-Focusing efforts at maintaining and
supporting a patent airway
(Pt may be allowed to assume position that facilitates better air exchange so long as no
CSI is suspected)
In a patient who is unable to open their mouth or unresponsive, how do we assess the
airway? - ANSWER-Jaw- thrust maneuver is performed to open airway and mouth to
assess for obstruction
List some conditions or situations that would require definitely secured airway -
ANSWER-Apnea
GCS of 8 or less
Severe maxillofacial fractures
Evidence of inhalation injury
Laryngeal or tracheal injury or neck hematoma
High risk of aspiration and patient unable to protect airway
Compromised or ineffective ventilation
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