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Airway obstruction
Airway obstruction positioning of tongue/Foreign body
| Question | Answer |
|---|---|
| Airway obstruction positioning of tongue step #1 | 100%O2 |
| Airway obstruction positioning of tongue step #2 | Place Pt. in trendelenburg and pack off surgical site |
| Airway obstruction positioning of tongue step #3 | Digital traction of the tongue with gauze,tongue forceps,a hemostat or tongue suture |
| Airway obstruction positioning of tongue step#4 | Suction oropharynx |
| Airway obstruction positioning of tongue: tongue continues to occlude airway step #1 | A nasapharyngeal airway can be used in a conscious or semiconscious pt |
| Airway obstruction positioning of tongue: tongue continues to occlude airway step # 2 | In an unconscious pt. an oropharyngeal airway can be used |
| Airway obstruction positioning of tongue: tongue continues to occlude airway step # 3 | Consider using an LMA, igel or other supraglottic (above the level of vocal cords) airway |
| Airway obstruction positioning of tongue: tongue continues to occlude airway step # 4 | Endotracheal intubation |
| Airway obstruction positioning of tongue : All other options have failed, Cricothyrotomy step #1 | Cleanse the overlying skin |
| Airway obstruction positioning of tongue: All other options have failed, Cricothyrotomy step #2 | Locate the cricothyroid membrane by palpation |
| Airway obstruction positioning of tongue: All other options have failed, Cricothyrotomy step #3 | Utilize the emergency cricothyrotomy needle/ cannula kit or large gauge to enter the trachea beneath the vocal cords through the cricothyroid membrane |
| Airway obstruction positioning of tongue: All other options have failed, Cricothyrotomy step #4 | Attach the tube of the cricothyrotomy device to an oxygen source such as an anesthesia machine or ambu bag and ventilate with 100% O2 |
| Airway obstruction of : foreign body step 1 | Digital removal of foreign body only if it can be well visualized, do not attempt blind finger sweep that may push object farther down the airway |
| Airway obstruction of : foreign body step 2 | Chest compressions if no airflow during ventilation with PT. in supine. Chest compression s over abdominal thrusts. Heimlich if Pt. is upright |
| Airway obstruction of : foreign body step 3 | Direct laryngoscopy for visualization and retrieval of foreign body with forceps or suction |
| Airway obstruction of : foreign body step 4 | If foreign body cannoy be removed and severe obstruction persists, a cricothrotomy may be necessary |
Created by:
Oliverhart
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