NEW PARAMEDIC AIRWAY FISDAP REVIEW
PART 1 GURANTEED PASS
WITH 100% CORRECT SOLUTIONS TESTED
AND APPROVED!!!
The respiratory and cardiovascular systems work together to ensure that: -
Answer
1. A constant supply of oxygen and nutrients is delivered to every cell.
2. Waste products are removed from every cell.
Lower airway - Answer Extends from the glottis to the pulmonary capillary
membrane.
1. *Larynx*
2. *Thyroid cartilage*
3. *Cricoid cartilage (cricoid ring)*
4. *Cricothyroid membrane*
5. *Glottis*
6. *Trachea*
1. Larynx - Answer -Complex structure formed by many independent
cartilaginous structures
-Marks where the upper airway ends and lower airway begins
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2. Thyroid cartilage - Answer -Shield-shaped structure formed by two plates that
join in a "V" shape anteriorly to form the laryngeal prominence i. Known as
the Adam's apple ii. More pronounced in men iii. Can be difficult to locate in
obese or short-necked patients
-Suspended from the hyoid bone by the thyroid ligament
-Directly anterior to the glottic opening
3. Cricoid cartilage (cricoid ring) - Answer -Lies inferiorly to the thyroid
cartilage
-Forms the lowest portion of the larynx
-More prominent in females
4. Cricothyroid membrane - Answer -Located between the thyroid and cricoid
cartilage
-Site for emergency surgical and nonsurgical access to the airway
-Bordered laterally and inferiorly by the highly vascular thyroid gland
5. Glottis - Answer -Narrowest portion of the adult airway
-Vocal cords are located at the lateral borders of the glottis.
-Epiglottis is located at the superior border of the glottis.
-ET intubation requires visualizing the epiglottis, glottis, and vocal cords before
inserting the ET tube.
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6. Trachea - Answer -Immediately descends into the thoracic cavity
-Not a straight tube, which is key to understand when placing an ET tube
Appropriate airway management - Answer *Steps must be performed in order.
Bypass steps that do not apply.*
a. Open and maintain a patent airway.
b. Recognize and treat airway obstructions.
c. Assess ventilation and oxygenation status.
d. Administer supplemental oxygen.
e.Provide ventilatory assistance.
Upper airway - Answer Consists of all anatomic airway structures above the
glottic opening.
*1. Tongue*
a. Must be manipulated
b. Tends to fall back into the posterior pharynx in unresponsive patient
*2. Pharynx*
a. Muscular tube that extends from the nose and mouth to the esophagus
and trachea
b. Composed of:
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i. Nasopharynx ii.
Oropharynx iii.
Laryngopharynx
(hypopharynx)
Ventilation - Answer -Physical act of moving air into and out of the lungs
1. *Inhalation* is the active, muscular part of breathing.
2. *Exhalation* is a passive process and does not normally require muscular
effort.
Oxygenation - Answer -Process of loading oxygen molecules onto
hemoglobin molecules in the bloodstream
-Requires adequate *FiO2 (Percentage of oxygen in inhaled air)*
Respiration - Answer -Process of exchanging O2 and CO2-->
1. *External respiration (Also called pulmonary respiration)*: Process of
exchanging O2 and CO2 between the alveoli and blood in pulmonary
capillaries.
2. *Internal respiration (Also called cellular respiration)*: Exchange of O2
and CO2 between the systemic circulation and the body's cells.
Pathophysiology of Respiration - Answer -Multiple conditions can inhibit the
body's ability to effectively provide oxygen to cells.
1. Disruption of pulmonary ventilation, oxygenation, and respiration will cause
immediate effects on the body.