Kettering - Airway Care PRACTICE FOR EXAM

Kettering - Airway Care PRACTICE FOR |\ |\ |\ |\ |\ |\




EXAM |\




oropharyngeal airway indications |\ |\




unconscious patient |\




support base of tongue |\ |\ |\




bite block (with ETT or seizure)
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facilitate oral suctioning |\ |\




oropharyngeal airway complications |\ |\




this airway should be left unsecured
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gagging - remove airway, suction airway, give oxygen
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vomiting

layngospasm

airway obstruction - remove, clear-out or replace, may also be
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too small
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oropharyngeal airway proper size determination |\ |\ |\ |\




length should be equal to distance from angle of jaw to tip of
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chin or from the angle of jaw to just past corner of mouth
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oropharyngeal airway insertion technique |\ |\ |\




inserted opposite its anatomic shape (upside down) to back of
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throat and then rotated into its correct position
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,nasopharyngeal airway (nasal trumpet) indications |\ |\ |\ |\




conscious patient |\




support base of tongue
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facilitate nasotracheal suctioning
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use to decrease trauma during nasotracheal suctioning
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nasopharyngeal airway complications |\ |\




trauma to mucosa (most common) - use water soluble or water-
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based lubricant
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epistaxis (nasal bleeding) - change every 24 hours
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increased airway resistance - use largest size that will fit
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nasopharyngeal airway proper size determination |\ |\ |\ |\




outside diameter of airway should be equal to inside diameter of
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patients external nares |\ |\




length of airway is from tip of earlobe to center of nostrils
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nasopharyngeal airway insertion technique |\ |\ |\




inserted the way it is anatomically shaped with water soluble
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lubricant
head-tilt/chin-lift
preferred method of establishing the airway during CPR
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advantages of head-tilt/chin-lift |\ |\




easy to perform (no adjunct equipment required), minimal
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operator fatigue |\




permits control of loose dentures which may be left in place to
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, obtain better seal during mouth-to-mouth ventilation
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successful with all age groups |\ |\ |\ |\




contraindications for head-tilt/chin-lift |\ |\




fractured neck or suspicion of neck fracture |\ |\ |\ |\ |\ |\




jaw thrust/modified jaw thrust advantage
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allows for establishing patient airway in patients with suspected
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neck fracture|\




the term Modified Jaw Thrust implies no head extension is
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performed, whereas Jaw Thrust may or may not include this |\ |\ |\ |\ |\ |\ |\ |\ |\




jaw thrust/modified jaw thrust disadvantages
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difficult to perform |\ |\




difficult to obtain a good seal during mouth-to-mouth ventilation
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tiring for operators wrists
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patients loose dentures not controlled
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signs of mild airway obstruction
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good air exchange|\ |\




responsive and can cough forcefully |\ |\ |\ |\




may wheeze between coughs
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treatment for mild airway obstruction |\ |\ |\ |\




as long as good air exchange continues, encourage the victim to
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continue spontaneous coughing and breathing efforts
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do not interfere with the victims attempts to expel the foreign
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