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Kettering TMC exam- Airway Care with correct answers
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Kettering TMC exam- Airway Care with correct answers
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Kettering TMC exam- Airway Care withcorrect answers
WhatbarebthebPharyngealbAirways?b-bcorrectbanswer-OropharyngealbandbNaspharyngealbAirways
OropharyngealbAirways:bIndicationsbandbComplicationsb-bcorrectbanswer-Indications-
buncounsciousbPt.,bsupportsbbasebofbthebtongue,bBitebblockb(w/bETbtubeborbseizure),bFacilitateboralbsuctioni
ng.bComplications-
bthisbairwaybshoudbbebleftbunsecured.bGaggingb(removebandbsuction,bgivebo2),bvomitting,bLaryngospasm,bA
irwaybObst.b(remove,bclearbout/replace,bmaybalsobbebtoobsmall)
OropharyngealbAirways:bSizebDeterminationbandbInsertionb-bcorrectbanswer-
lengthbshouldbbebequalbtobdistancebfrombanglebofbjawbtobcornerbofbmouth;binsertedboppositebitsbshapeb(up
sidebdown)bandbrotated
NasopharyngealbAirways:bIndicationsbandbComplicationsb-bcorrectbanswer-Indications-
bcounsciousbPt.,bsupportsbbasebofbthebtongue,bFacilitatebnasalbsuctioningb(usedbtobdecreasebtraumabduring
bnasobsuctioning).bComplications-bTraumabtobmucosa-
mostbcommonb(useblub),bEpistaxisb(nasalbbleeding)b(changebeveryb24bhours),bincreasedbRAWb(useblargestbs
izebthatbwillbfit)
NasopharyngealbAirways:bSizebDeterminationbandbInsertionb-bcorrectbanswer-
outsidebdiameterbshouldbbebequalbtobinsdebdiamterborbPts.bexternalbnares,blengthbshouldbbebequalbtobdista
ncebfrombtipbofbearlobebtobcenterbofbnostrils;binsertedbthebwaybitbisbanatomicallybshappedbwithbwaterbsolu
bleblub.
WhatbarebContraindictionsbforbthebHead-tilt/Chin-Lift?b-bcorrectbanswer-
fracturedbneck,borbsuspicionbofbneckbfracture
WhatbarebAdvantagesbandbDisadvantagesbforbthebJawbThrust/bModifiedbJawbThrust?bDifference?b-
bcorrectbanswer-Adv-bcanbestablishbpatentbAWbinbPts.bwithbsuspectedbneckbfracture.bDisadvantages-
bdifficultbtobdo,bdifficultbtobobtainbgoodbseal,btiringbforboperators,bloosebdenturesbarebnotbcontrolled.bDiff-
bmodified=nobheadbextensionbisbperformedb****anytimebitbsaysbmodified=betterbanswer***
, MildbAirwaybObstruction:bSignsbandbTreatmentb-bcorrectbanswer-Signs-
bPoorborbnobairbexchange,bweak/ineffective/nobcoughb,bHigh-
pitchedbnoisebwhilebinhalingborbnobnoisebatball,bincreasebresp.bdifficulty,bpossiblebcyanosismbunablebtobspe
akborbcry,bclutchingbneckbwithbthumbbandbfingersb(universalbchockingbsign).
SeverebAirwaybObstruction:bSignsb-bcorrectbanswer-Signs-
bGoodbairbexchange,bresponsivebandbcanbcoughbforcefully,bmaybwheezebbetweenbcoughs.bTreatment-
bencouragebcoughing,bdobnotbinterferbwithbPts.battemptsbtobexplelbFB,bstaybwithbandbmointor,bcallb911bifbitb
continues
SeverebAirwaybObstruction:bTreatmentb(Infant)b(ResponsivebandbUnresponsive)b-bcorrectbanswer-
ResponsivebTreatment-
bstraddledboverbarmb(prone),bheadblowerbthanbtrunk,bheadbsupportedbbybholdingbjaw-
b5bbackbblowsbwithbheelbofbhanfbbetweenbshoulderbblades,bTurnbover-
bapplyb5bchestbthrust.bRepeatbuntilbrelievedborbbecomebunresponsive.bUnresponsivebTreatment-
bsendbsomeonebtobactivatebEm.bResponse.bbeginbCPRb(nobpulsebcheck),bbeforebattemptingbtobventilatebloo
kbforbFBb(andbremovebitbifbseen),bContiunebCPRbforb5bcyclesborbaboutb2bmins.
SeverebAirwaybObstruction:bTreatmentb(Responsive)b-bcorrectbanswer-
A)bperformbabdominalbthrustb(Heimlichbmaneuver)-
adminsterbquickbupwardbthurst.bB)bifblyingbonbthebfloor-bplacebinbsupineb(IfbSUPINE-
=LayingbonbtheirbSPINEbpositionbC)bifbobeseborbadvancedbpregancy-
bstantborbkneelbbehindbPt.badmisterbquickbinwardbchestbthrustb(notbabdominal)
SeverebAirwaybObstruction:bTreatmentb(Unresponsive)b-bcorrectbanswer-
sendbsomeonebtobactivatebEm.bResponse.blowerbPt.btobthebfloor,bbeginbCPRb(nobpulsebcheck),bbeforebattem
ptingbtobventilateblookbforbFBb(andbremovebitbifbseen),bContiunebCPRbforb5bcyclesborbaboutb2bmins.
ManualbResuscitationbBagb(Self-Inflating):bOptionialbPEEPbvalveb-bcorrectbanswer-spring-
loadedbvalve,battachedbtobexpiratorybsidebofbPts.bvalve
ManualbResuscitationbBagb(Self-
Inflating):bIfbbagbfillsbrapidlybandbcollapsesbeasilybonbmin.bpressurebyoubshould?b-bcorrectbanswer-
checkbinletbvalve
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