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Ch 33 Egans, Persing 49-59

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Question
Answer
show AW compromise Respiratory failure Need to protect AW  
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Indications for emergency AW managment   show
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show Pt is a DNR  
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Hazards & Complications of Emergency AW managment   show
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show Pt inability to protect AW adequately (w*w/o respiratory distress) Partial or complete obstructed AW Apnea, maybe associated with cardiac arrest Hypoxemia, hypercarbia, or acidemia Respiratory distress  
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show Coma Lack of gag reflex inability to cough May or may not be associated with respiratory distress  
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show Ineffective pt effort to ventilate Paradoxial respiration stridor Use of accessory muscles PT pointing to neck choking motions Cyanosis and distress  
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show All listed for upper AW obstruction Wheezing  
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Completely obstructed AW signs   show
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show No respiratory efforts seen May be associated with Cardiac arrest  
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show Elevated RR High or low ventilatory volumes Signs of Sypathetics nervous system hyperactivity  
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Monitor Clinical signs during emergency management of AW   show
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show Vent frqy, VT, and AW pressure presence of CO2 in exhaled gas HR & Rhythm P/Ox ABG values CXS  
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show Bilateral BS Symmetric chest movement Absence or ventil sounds of epigastrium Condensate in tube, correlates with exhalation Visualization of tube through vocal cords Esophagel detector devices Capnometry endoscopic visualization  
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Generally a woman is intubated with what size?   show
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Generally a man is intubated with what size?   show
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show Size 2.5 mm, Length 6.5-8 cm  
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show Size 3.0 mm, Length 7-8 cm  
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show Size 3.5 mm, Length 8-9 cm  
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show Size 3.5-4.0 mm, Length 9-10 cm  
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ET tube size and distance from incisors for 6 months   show
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ET tube size and distance from incisors for 18 months   show
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show Size 4.5-5.0 mm, Length 12-14 cm  
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ET tube size and distance from incisors for 5 yrs   show
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show Size 5.5-6.0 mm, Length 14-16 cm  
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show Size 6.0-6.5 mm, Length 15-17 cm  
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ET tube size and distance from incisors for 12 yrs   show
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ET tube size and distance from incisors for 16 yrs or small woman   show
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show Size 7.5-8.0 mm, Length 19-21 cm  
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ET tube size and distance from incisors   show
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What blade is commonly used to intubate adults?   show
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Generally, where should the Orotracheal tube be initially inserted in men?   show
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show 19-21 cm mark at the teeth  
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Absolute contraindication for percutaneous dilation tracheostomy   show
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show Children <12 yrs poor landmarks secondary to body habitus, abnormal anatomy, or occluding thyroid mass PEEP> 15 cm h20 Coagulopathy Pulsating blood vessel of trach site Limited C-spine flex Hx diff intubation infection, burn, malignancy at trach si  
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