Airway
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| ______ forms the posterior portion of the oral cavity. | Oropharynx
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| How many adult teeth are in the mouth in a normal adult | 32
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| ________ is a small horseshoe shaped bone to which the jaw, apiglottis and thyroid cartilage attach as well | hyoid bone
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| what is the superior border of the glotic opening called | epiglottis
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| What is the anatomic space or ''pocket'' located between the base of the tongue and the epiglottis called | vallecula
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| a sheild shaped structure formed by 2 plates that join in a v-shape to form tha adams apple is called | thyroid cartilage
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| What forms the lowest portion of the larynx | cricoid cartilage
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| the site for emergency surgical access to the airway is called | cricothyroid membrane
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| A spasmodic closure of the vocal cords, which seals of the airway is called | laryngospasm
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| An et tube that is inserted to far will often come to lie in the right mainstem bronchus. Why? | Because the right bronchus is somewhat shorter and streighter then the left bronchus
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| All of the blood vessels and bronchi enter each lunc at the | hilum
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| The right lung has how many lobes | 3
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| the left lung has how many lobes | 2
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| what is the name of the lining that lines the inside of the thoracic cavity. | Parietal pleura
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| What is the name of the outer lining of the lungs | visceral pleura
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| Alveoli are lined with a proteinaceous substance known as | Surfactant
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| If the amount of pulmonary surfactant is decreased or the alveoli are not inflated, they will collapse. A condition known as | atelectasis
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| what 2 types of motor nerves effect breathing | Phrenic nerves, intercoastal nerves
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| The exchange of gases between the lungs and the blood cells in the pulmonary capillaries is referred to as | External respiration
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| The exchange of gases between the blood cells and the tissues is referred to as | Internal respiration
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| Gas exchange in the body occurs by _______ a process in which a gas moves from an area of higher concentration to an area of lower concentration | diffusion
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| ~ how much of the bodies total oxygen is bound to the hemoglobin | 97 %
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| Carbon Monoxide has a much greater affinity for hemoglobin then oxygen. How much greater | 250 times
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| A deficiency of red blood cells, that results in a chronically decreased ability of the blood to carry oxygen. Name the desease | Anemia
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| If CO2 production exceeds the body's ability to eliminate it by ventiliation th co2 rises causeing a condition known as | hypoventilation
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| When co2 elimination exceeds co2 production this causes a condition known as | Hyperventilation
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| What is hypercarbia | a co2 build up in the blood
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| what is hypocarbia | a low level of co2 in the blood
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| What is dyspnea | difficulty breathing
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| what is hypoxemia | a decrease in arterial o2 levels
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| what is hypoxia | a lack of oxygen to the body's cells and tissues.
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| What is anoxia | an absence of oxygen resulting in cellular and tissue death
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| What is orthopnea | positional dyspnea
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| Name some protective reflexes of the airway | coughing, sneezing, and gagging
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| Name a fairly reliable indicator of a gag reflex | eyelash reflex
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| What does sighing do to the alveoli | it hyperinflates the lungs, therby reexpanding atelectatic alveoli
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| What is carboxyhemoglobin | hemoglobin with carbon monoxide attached
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| What is oxyhemoglobin | hemoglobin with oxygen attached
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| What position would you place a patient with a decreased LOC but able to maintain their own spontaneous airway and breathing adequately | recovery position
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| Airway obstructions cause by larngeal spasm or edema MAY be relieved by what? | Aggressive ventilation, a forceful upward pull of the jaw to reposition the airway, and certain cases muscle relaxants.
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| Aspiration significantly increases | mortality
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| What is the maximum suction time in an adult | 15 seconds.
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| A nonrebreather delivers what % oxygen | 90-100%
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| A nasal cannula is to be set at ___ delivering what % o2 | 1-6L 24-44%
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| ventilation rate in an apneic adult patient with a pulse | 10-12 breaths a minute
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| ventilation rate in an apneic adult patient without a pulse | 8-10 breaths a minute
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| ventilation rate in an apneic pediatric patient with a pulse | 12-20 breaths a minute
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| ventilation rate in an apneic pediatric patient without a pulse | 8-10 breaths a minute
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| Name one of the most common mistakes in proceeding with advanced airway management | proceeding with advanced management without first trying bls airway
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| How long should you ventilate before attempting intubation | 2-3 minutes with 100% O2
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| What size ET tube will the normal adult female require | 7.0 - 8.0mm
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| What size ET tube will the normal adult male require | 7.5 - 8.5mm
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| What can you use as a good approximation of the diameter of the glottic opening | the internal diameter of a nostril
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| What is the streight blade called | miller
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| what is the curved blade called | macintosh
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| Medications that can be given via the ET tube follow what numonic? | LEAN Lidocain, Epinephrine, Atropine, Narcan
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| Meds given via the et tube should be given how many times their standard dose | 2-2.5 times
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| When attempting intubation don't allow your O2 sat to drop below _____ | 95%
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| Before intubating always check that your bulb on your blade is ______ | Bright, White, Steady and Tight
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| What is the BURP maneuver | Backward Upward Rightward Pressure
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| Immediately after successful intubation you should hyperventilate your patient for how long, and why | 30 sec - 1 minute to eliminate any accumulated Carbon Dioxide
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| capnography may be inaccurate in what patients | Patients in cardiac arrest, who are severly acidotic, or patients eliminating minimul carbon dioxide
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| How much smaller should the ET tube being inserted into a nostril be, then the nostril it is going into | 1-1.5mm
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| What is the first rule to remember about tracheobronchial suctioning | Don't do it if you don't have to
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| You should use uncuffed et tubes in the field untill the patient reaches what age | 8-10 years
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| Trouble shooting acute deterioration of and intubated patient uses what mnemonic | DOPE = Displacement Obstruction Pneumothorax Equipment failure
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| A multilumen tube is indicated in what size range patient | 5-7 ft
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| A small adult combitube can be used on patients as short as | 4ft
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| What do analgesics do | Decrease the perception of pain
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| What do sedative-hypnotics do | induce sleep and decrease anxiety
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| For a patient to be hemodynamically stable they should have a bp greater then | 90mm hg
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| An open cric is contraindicated in patients less then | 8 years old
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| What size et tube do you use in a cric | 6.0mm
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| What size needle do you use in a needle cric | 14-16 gauge
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Created by:
klindley
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