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Ventilatory mngmt

Ventilatory management - Adult (skills)

What is the maximum amount of time you can let lapse between ventilations before failing? 30 seconds
At what rate should you ventilate your patient? 10-12/min
What should you do IMMEDIATELY after inflating cuff of ET tube? disconnect the syringe
Where should you auscultate for proper tube placement? bilaterally and over the epigastrium
What is the maximum amount of time allowed to suction a patient? 10 seconds
What are the first 3 steps of this skill? BSI, Opens the airway, inserts OPA/NPA
After examiner informs candidate that no gag reflex is present and patient accepts the adjuct, what is the next step in the skill? ventilate the patient with a BVM attached to high flow oxygen (12-15 lpm) at a rate of 10-12/min with appropriate volume.
The examiner states medical direction has ordered intubation. What are the next steps? Pre-oxygenate the patient, select proper equipment for intubation, check the cuff for leaks and make sure the laryngoscope light is tight, bright, and white.
How far should the ETT tube be advanced into the vocal cords? Until the black line is no longer visible.
What should you do immediately after placing the ETT tube in the patient? Inflate the cuff to the proper pressure and disconnect the syringe.
After placement of the ETT tube and inflation of cuff, what should you do to ensure proper tube placement? Auscultate breath sounds epigastric and bilaterally over each lung.
What are the different ways to determine proper tube placement? Auscultate breath sounds, colometric meter, see humidity, watch the tube pass through the vocal cords.
If you have proper tube placement, what should you expect to hear when auscultating epigastric and bilateral lung sounds? Nothing epigastrically and equal breath sounds bilaterally.
What kind of catheter should be used with an intubated patient? A flexible suction catheter
What should you do directly before suctioning an intubated patient? pre-oxygenate
How do you determine the maximum length of the suction catheter? Around the ear to the bottom of the chin OR from the mouth to the sternum.
After suctioning the intubated patient, what should be done next? Ventilate/direct ventilation of the patient while the catheter is flushed with sterile water
Created by: hoylandhr