Airway management 0.0 / 5 ? OthernursingOtherAll boards Created by: evepoagCreated on: 18-05-22 12:49 What does the upper airway comprise of? Nose Oral cavity Pharynx (naso and oro) Larynx (larygngopharynx) 1 of 17 The first step in airway assessment is LOOK. What are you looking for? - pattern of breathing - consciousness - ability to talk - abnormal skin colour - use of accessory muscles 2 of 17 The second step in airway assessment is LISTEN. What are you listening for? abnormal breath sounds 3 of 17 What is a potential cause of inspiratory stridor? obstruction, at or above, the larynx 4 of 17 What is a potential cause of gurgling? liquid in upper airway 5 of 17 What is a potential cause of snoring? the pharynx is semi-occluded by the tongue 6 of 17 What is a potential cause of crowing or stridor? laryngeal spasms or obstruction 7 of 17 What is a potential cause of expiratory wheeze? constrictions or spasm of lower airways 8 of 17 Describe a complete airway obstruction It is silent and may result in paradoxical see-saw breathing 9 of 17 Name causes of airway obstruction - blockage (eg: vomit, blood, foreign bodies) - pressure/swelling (eg: allergic responses) - tumours 10 of 17 How do you correctly size and insert an oropharyngeal airway (Guedel)? The bite block should be placed at the incisors and it should reach to the angle of the jaw The airway is then inserted upside down and turn 180 degrees once it hits the back of the throat 11 of 17 Why would an oropharyngeal airway not be inserted in a conscious patient? risk of vomitting and gag reflex 12 of 17 when inserting a nasopharyngeal airway, what should you do if resistance is felt? Do not continue, try another nostril 13 of 17 In what type of patient is a Laryngeal Mask Airway (LMA) used? Unconscious or heavily sedated 14 of 17 What are some potential benefits of using a laryngeal mask airway (LMA)? - easy to use - quick to place - less gastric distension when used in conjunction with bag-valve-mask - reduced risk of aspiration 15 of 17 Who inserts an EndoTracheal tube? ICU staff - only trained and competent staff 16 of 17 In what kind of patients are LMAs and ET tubes inserted? Unconscious or heavily sedated 17 of 17
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