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resp 2.4

Oral and Nasal Airways and ET tubes review

QuestionAnswer
Most common cause of upper airway destruction tongue
What are the ones called for the oropharyngeal airways I-beam and Guedel
How to check placement for oropharyngeal corner of mouth to ear
What do you use on a unconscious patient oropharyngeal
What will happen if it is to small It will push the tongue against glottis and cause obstruction
Advantages of nasopharygeal airway easier to tolerate, use on conscious patient, better for oral hygiene
Which one do use on emergency patients oropharyngeal (faster)
Indications for intubation relieve airway obstruction, prevent aspiration, mech venilate, help with removal of secretions
What are the complications of endotracheal bronchospasm, soft tissue damage, vagus stimulation which causes bradycardia, TE fistula, bronchial or esophagus intubation, hypertension, vocal cord destuction
What is the murphy eye it assures gas flow in cause of infusion
How to verify tube placement? listen to stomach first then left lung then right lung. Look at markings on tube
What are the common markings for male 21-23 cm
What are the common markings for female 19-21
What is the purpose of the cuff prevent leaks, provide closed system
What is the common pressure for the cuff 20-25 ml or 25-30 cmH20 (low pressure, high volume)
Purpose of the pilot inflate/deflate cuff, check pressure
What is different for the neonate they don't have cuff, because the smallest part in the body is the cricoid which provides seal so no cuff)
Where is the landmark for ET tube on a x ray 2-4 vertebrae
What equipment do you need for intubation laryngoscope, blade, suction bag, ET tube, baling wire, 10 ml syringe, bagill forceps, CO2 detector
Advantages of nasal airway oral hygiene, less gagging
bradycardia is caused by vagus stimulation
What is the medication (short acting paralytic) sux; succulycholine
MLT inject air into cuff until no leak is heard then withdraw the air until a small leak is heard on inspiration
Miller blade straight, directly lifts epiglottis
Macintosh blade curved, indirectly lifts epiglottis
Created by: TnJFarrington12