Ventilatory management - Adult (skills)
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| What is the maximum amount of time you can let lapse between ventilations before failing? | 30 seconds
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| At what rate should you ventilate your patient? | 10-12/min
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| What should you do IMMEDIATELY after inflating cuff of ET tube? | disconnect the syringe
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| Where should you auscultate for proper tube placement? | bilaterally and over the epigastrium
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| What is the maximum amount of time allowed to suction a patient? | 10 seconds
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| What are the first 3 steps of this skill? | BSI, Opens the airway, inserts OPA/NPA
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| 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.
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| 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.
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| How far should the ETT tube be advanced into the vocal cords? | Until the black line is no longer visible.
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| What should you do immediately after placing the ETT tube in the patient? | Inflate the cuff to the proper pressure and disconnect the syringe.
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| 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.
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| 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.
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| 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.
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| What kind of catheter should be used with an intubated patient? | A flexible suction catheter
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| What should you do directly before suctioning an intubated patient? | pre-oxygenate
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| 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.
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| After suctioning the intubated patient, what should be done next? | Ventilate/direct ventilation of the patient while the catheter is flushed with sterile water
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Created by:
hoylandhr
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