Module 3: Airway Management

Ch 9 & 10

What are the 4 sound names of a partially obstructed airway?

-Stridor

-Hoarseness

-Snoring/Wheezing

-Gurgling

How is the airway divided?

Upper Airway

Lower Airway

Oropharynx is what part? (upper, middle, or lower)

Upper Portion

Nasopharynx is what part? (upper, middle, or lower)

Middle Portion

Laryngopharynx is what part? (upper, middle, or lower)

Is the lower portion

True or False: Hoarseness is a talking airway obstruction sound

True

Obstructed Airway Breathing Sound of Stridor

is a high pitched sound

Obstructed Airway Breathing Sound of Gurgling

is the sound of fluid obstructing the airway (crackles)

Obstructed Airway Sound of Wheezing/Rhonchi

low-pitched snoring sound

What are the 2 Procedures for opening up the airway?

1) Head tilt-chin-lift

2) Jaw Thrust Maneuver

What opening airway procedure is used for a trauma patient?

Jaw Thrust (to avoid moving neck)

What is an airway Adjunct?

advices in aid in maintaining an open airway

What are the two airway adjuncts?

1) Oropharyngeal Airway

2) Nasopharyngeal Airway

What is ventilation:

air is moved into and out of the chest

What is diffusion?

the movement of gases from an area of high concentration to a lower concentration

What is pulmonary respiration?

the diffusion of oxygen & CO2 that takes place b/w the alveoli & circulating blood

what is cellular respiration?

the diffusion of oxygen & CO2 that takes place b/w the cells & circulating blood

what is respiration?

exchange gases between their cells and the environment to produce energy

what is hypoxia?

low levels of oxygen

What is hypercapnia?

High levels of CO2

True or false: Oxygen is a medication?

True

What are the 4 oxygen delivery devices?

-Nonrebreather Mask

-Nasal Cannula

-Venturi Mask

-Tracheostomy Mask

Nonrebreather Mask has a flow rate of what?

12-15 liters per minute

Nasal Cannula has a oxygen flow rate of what?

1-6 liters per minute

What is the oxygen flow rate of a Venturi Mask?

varied depending on device, up to 15liters/min

What is the tracheostomy mask oxygen flow rate?

8-10 liters per minute

What two body systems are involved in breathing?

• Respiratory System

• Cardiopulmonary System (Circultory system)

We suction for no more than how long?

No more than 10seconds at a time (for we won’t make the patient hypoxic)

True or False: it’s better for patient to be on side when suctioning

True (let gravity help you!)

What is tidal volume?

Amount of air moved in one breath

What is minute volume?

Volume of gas inhaled or exhaled in a minute

Shallow respiration means what (adequate or inaqeduate)

Inadequate (even if breathing rate is good)

How do we want the chest rise to look like?

Bilateral (even chest rise and fall)

Look for what in patients(when assessing breathing)

Rate, depth and chest rise & fall

Is belly breathing good or bad?

Bad breathing

Is oxygen saturation lower than 95% adequate?

No bc that’s lower than the normal oxygen saturation

Continuous Positive Airway Pessure (CPAP) assist with what?

Assists with breathing

For CPAP do patients have to be conscious & follow instructions?

Yes (in order to walk them, through it)

BVM: Bag Valve Mask provides what?

Ventilations for patients with shallow breathing or those who are in respiratory failure

Positive Pressure Ventilation: For an adult

10-12 times per minute

Positive Pressure Ventilation: For an child

12-20 times per minute

COPD: Chronic Obstructive Pulmonaru disease have what?

Severe difficulty breathing

Which of the following structures is found in the lower airway?

a) Uvula

b) Bronchi

c) Tonsils

d) Pharynx

Bronchi

What is the sound of the soft tissue of the upper airway creating impedance or partial obstruction to the flow of air?

a.Snoring

b.Stridor

c.Hoarseness

d.Gurgling

a) Snoring

During your assessment of a 54-year-old male patient, you find that he is not breathing. Your next step should be to:

a. begin providing artificial ventilations to the patient

b.check for a pulse and look for severe bleeding

c. begin chest compressions

d. confirm the airway is actually open

c. check for a pulse and look for severe bleeding

True or False: When opening an unconscious patient’s airway, you may need to insert your thumb into the patient’s mouth.

False

A 45-year-old is suffering from an acute asthma attack. You expect the patient to have:

a.increased dead space

b.decrease dead space

c.increased tidal volume

d.decreased tidal volume

d) decreased tidal volume

True or False: When a patient’s breathing stops completely, the patient is in respiratory failure

False

  A blue or gray color to the patient’s skin or nail beds is called ______ and is a sign of breathing difficulty.

a. cyanosis

b. paleness

c. Ashen

d. hypoxia

cyanosis

If oxygen is connected to a pocket face mask, the setting on the oxygen tank regulator should be set to:

a. 6 lpm

b. 10 lpm

c. 25 lpm

d. 15 lpm

15 lpm

The reduction of breathing to the point where oxygen intake or ventilation removal of carbon dioxide is insufficient to support life is called:

a. respiratory constriction 

b. respiratory compromise

c. respiratory arrest

d. respiratory failure

d. Respiratory Failure

A potential complication of ventilating the patient with a bag-valve mask is:

a. squeezing the bag completely

b. gastric distension

c. that the patient will wake up

d. maintaining an open airway

b. gastric distension

Oxygen cylinder sizes vary, but all are considered “full” when pressure is equal to:

a. 2,000 psi

b. 1,500 psi

c. 1,000 psi

d. 2,500 psi

a. 2,000 psi