Kettering National Seminars Comprehensive Review: AIRWAY CARE B Questions With Complete Solutions
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Course
Kettering
Institution
Kettering
oropharyngeal airway correct answer: - Indications
a)*Unconscious patient
b) support the tongue
c)*bite block ( w/ E.T. tube or seizure)
d) Facilitate oral suctioning
- Complications
a)* This airway should be left unsecured
b) Gagging- remove airway, suction airway, give O2
c) vomit...
Kettering National Seminars Comprehensive
Review: AIRWAY CARE B Questions With
Complete Solutions
oropharyngeal airway correct answer: - Indications a)*Unconscious patient b) support the tongue c)*bite block ( w/ E.T. tube or seizure) d) Facilitate oral suctioning
- Complications a)* This airway should be left unsecured b) Gagging- remove airway, suction airway, give O2 c) vomiting d) Laryngospasm e) airway obstruction- remove, clear out or replace, may also be
too small.
- Proper size determination: a)*Length should be equal to distance from angle of jaw to tip chin or from the angle of jaw to just past corner of mouth. - Insertion technique: a)*Inserted OPPOSITE its anatomic shape (backwards) to back of throat and then rotated into its correct position.
Nasopharyngeal Airway correct answer: - Indication a)*Conscious patient b) Support base of tongue c) Facilitate nasotracheal suctioning d) Use to decrease trauma during nasotracheal suctioning
- Complications: a)* Trauma to mucosa ( most common) use water soluble or water- based lubricant b) Epistaxis ( nasal bleeding)- change every 24 hrs. c) Increased airway resistance - use largest size that will fit
- Proper size determination: a)* Outside diameter of airway should be equal to inside diameter of patient's external nares. b) Length of airway is from tip of earlobe to center of nostrils. c)* Inserted the way it is anatomically shaped with water soluble lubricant.
Head-tilt/ Chin-lift correct answer: - Preferred method of establishing the airway during CPR
- Advantages: a) Easy to preform b) Permits control of loose dentures which may be left in place to obtain better seal during mouth-to-mouth ventilation c) Successful with all age groups Contraindications: a) Fractured neck, or suspicion of neck fracture ( any type of trauma assume, neck fracture)
Jaw Thrust /Modified Jaw Thrust correct answer: - Advantage: a) *Allows for establishing patent airway in patients with suspected neck fractures.
- Disadvantage: a) Difficult to preform b) Difficult to obtain a good seal during mouth-to-mouth ventilation. c) Tiring for operator's wrists. d) Patient's loose dentures not controlled - *The term Modified Jaw Thrust implies NO head extension is performed, whereas Jaw Thrust may or may be included ( on test
use this technique, because it is considered new and improved)
Mild Airway Obstruction correct answer: - Signs of MILD Airway Obstruction: a) Good air exchange b) Responsive and can cough forcefully c) May wheeze between coughs. - Treatment for MILD Airway Obstruction: a) As long as good air exchange continues, encourage the victim to continue spontaneous coughing and breathing efforts.
Severe Airway Obstruction correct answer: - *Poor air exchange
- weak, ineffective cough or no cough at all.
- high- pitched noise while inhaling or no noise at all.
- Increased respiratory difficulty
- * unable to speak or cry ( babies)
- clutching neck with thumb & fingers ( universal choking sign)
Steps for Treating Severe Airway Obstruction in an infant correct answer: 1) If the infant is RESPONSIVE: a)* Infant is straddles over the rescuer arm face down ( prone), the head lower than the trunk, and the head is supported by firmly holding the jaw. b) Deliver ( 5 back blows) with the heel of the hand between the
infant's shoulder blades. c) Turn the infant over and apply ( 5 chest thrusts) d) Repeat the sequence until the obstruction is relieved or the infant becomes responsive.
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