2 airway care pt 1

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2 airway care pt 1
2011-06-08 23:31:18
airway care pt

2 airway care pt 1
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  1. NAVEL
    • narcan - narcotic overdose
    • atropine - bradycardia
    • valium/versed - sedative
    • epiniphrine - asystole
    • lidocaine - PVC
  2. how much med do you give if you install NARCAN down the ETT
    double the normal iv dose and flush with 10 ml saline
  3. complications of intubation
    • infection
    • cuff pressure
    • largngospasm - most serious complication
  4. cuff pressure > 5 and >10 will have
    • edema
    • (swelling)
  5. cuff pressusure >20 will have
  6. hold laryngoscope in the ___ hand, ETT in ___ hand
    • left
    • right
  7. tip of the tube should be __ cm or ___ inch above the carina or at the _____
    • 2 cm
    • 1 inch
    • aortic knob/notch
  8. curved blade fits into ____, raises the ____
    • vallecula
    • epiglottis
  9. straight blade fits under the ____
  10. which blade is preferred for infant intubation
    straight blade
  11. stylet is ONLY used to aid in
    oral intubation
  12. magill forceps is ONLY used to aid in
    nasal intubation
  13. formula to determine what size of ett to use
    wt in kg / 10

    weight in the 80's use a size 8, etc
  14. oral intubation should be apprx ___ cm mark at pts ___
    • 21-25 cm
    • lips
  15. nasal intubation should be apprx ____ mark at pt ____
    • 26-29 cm
    • nare
  16. high volume cuffs gives you what type of pressures?
    low pressures, vice versa
  17. cuff pressure should not exceed _____cmh20
    25 cm h20
  18. ventilates only one lung separately. right lung is messed up and left is normal.

    surgery- lobectomy

    lavaging one lung
    double lumen tbe DLT or a Carlens tube
  19. tube that is an option for emergency airways management.

    temp for transport
    ETC esophageal tracheal combitube
  20. used in surgery to avoid intubation.

    short term ventilation/
    laryngeal mask airway LMA
  21. if you need to intubate a pt that has a LMA DO NOT
    remove the LMA, use to guide
  22. tubes that allow cont aspiration of subglottic secreations that has a seperate suction port.

    reduces VAP
    hi lo evac tube
  23. when you extube and theres a SEVERE resp distress or marked (severe) ins stridor, what should u do?
  24. when you extubate and theres a MODERATE distress/stridor what should u do
    • o2
    • cool aerosol
    • racemic epi
  25. when you extubate and theres MILD distress/stridor what should u do
    • provide humidity
    • o2
    • racemic as necessary
  26. the tracheostomy cuff should be DEFLATED when the pt
    is not on a ventilator
  27. the tracheostomy cuff should be INFLATED when the pt is
    • eating
    • on a vent
  28. what should you do if the tube is obstructed
    replace the tube
  29. what should u do if the trach tube is too small. (very high cuff pressure >20)
    tube is too small, change to a larger tube
  30. device that maintains the stoma. used in some pts with sleep apnea
    tracheal button
  31. trach tube with trachea stenosis

    cuffless trach

    metal, not for resuscitation or ppv
  32. foam filled cuff
    kamen wilkinson foam / bivona
  33. clean the inner cannula by soaking it in a solution of
    • hydrogen perozide
    • water
    • rinse w/ sterile water
  34. surgical removal of the pts larynx is
  35. laryngectomy tube will be removed after _____ weeks, then the pt will have a permanent ____
    • 3-6 weeks
    • stoma
  36. does the laryngectomy tubes have a inflatable cuff?
  37. pt laying face down
  38. pt lying on spine (best for post craniotomy pts)
  39. best postion for hypoxic pt, obese w/ dyspnea, post op abdominal pt, pt with pulm edema
    • fowlers
    • semi fowlers
    • reverse trendelenburg
  40. best position for pts with very low blood pressure
  41. if the bed is flat then you are working with
    upper lobes
  42. bed is down 15'
    mid lobes
  43. bed is down 30'
    lower lobes
  44. whatever is up is whats being drain

  45. applying exp pos airway press using a ONE WAY INS valve and a ONE WAY EXP flow resistor
    PEP therapy pos exp pressure
  46. use PEP for ____ min intervals ___ times a day
    • 15-20 min
    • 3-4 times a day
  47. combine pos exp pressure therapy with high freq oscillations at the airway
    • flutter
    • acapella
    • quake
  48. breathing exercises utilized to improve mucus clearance, CF pts and bronchiectasis
    autogenic drainage
  49. inflatable vest
    hihg freq chest wall
  50. combonation of high freq pulse deliver or a sub tival vol and dense aerosol
    intrapulm percussive vent IPV