Adams - Respiratory Management
***Remember Airway management does NOT always equal intubation*** - ANS-
If the patient comes in breathing fairly well, how do you treat their respiratory
symptoms? - ANS-Give supplemental oxygen (nasal canula or mask) and position the
patient to maximize air exchange
Mask vs nasal canula - ANS-Mask is not as well tolerate but if you get a good suction
you can give 100% oxygen and crank up the volume all the way on the tube
CPAP - ANS-Continuous positive airway pressure
A treatment for apnea involving keeping a patient's airways open using air pressure
delivered via a face mask
High flow humidified air - ANS-Decreases a child's dead space
Creates a reservoir for oxygen and moisture
Prior to intubation, its important to ... - ANS-Assist oxygenation by using a bag-valve
mask
What is angioedema most likely associated with? - ANS-ACE-I
, Flail chest - ANS-fracture of two or more adjacent ribs in two or more places that allows
for free movement of the fractured segment
Mechanical Airway obstruction - ANS-Complete or partial blockage of the airway by a
foreign object, such as a piece of food or a small toy, or by fluids such as vomit or blood
Be prepared to treat quickly.
How do you treat burns to the airway? - ANS-Intubate prophylactically
Describe the protection of the airway - ANS-Airway is fine but unprotected
Primary reasons not to intubate - ANS-Adequate airway protection is present
Oxygenation by other less invasive means can be done
Pay attention to DNI
If the patient has a protected airway what is the first option for treatment? -
ANS-Protected airway can first be treated with supplemental oxygen, if possible
If a patient is unable to breathe for themselves what is the first option? - ANS-Bag-valve
mask (patient does not have a protect the airway)
What is the split of the trachea into primary bronchi? - ANS-Corina
Endotracheal tube - ANS-polyvinyl-chloride airway that is inserted through the nose or
the mouth into the trachea, using a laryngoscope as a guide
Intubation - ANS-elective emergency procedure rather than emergency procedure so
make sure to try every other alternative before intubating
Have ducks in a row to maximize success
If you fail intubation the first time, you... - ANS-reposition the patient
If you fail intubation a second time, .... - ANS-HAVE A BACK UP PLAN
Call for help and use alternatives to intubation like King airway
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