Airway Management Word Scramble

Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.

Normal Size Small Size show me how

Question	Answer
What is the primary indication for tracheal suctioning?	ineffective coughing
What is the most common complication of suctioning?	hypoxemia
Complications of tracheal suctioning include all of the following:	bronchospam, mucosal trauma and elevated intracranial prssure
How often should patients be suctioned?	when physical findings support the need
What is the normal range of negative pressure to use when suctioning an adult patient?	-100 to -120mm Hg
What is the normal range of negative pressure to use when suctioning children?	-80 to -100mm Hg
You are about to suction a 10-year-old patient who has a 6-mm (internal diameter) endotracheal tube in place. What is the maximum size of catheter that you would use in this case?	10 Fr. You times diameter of endotracheal tube x 2, then go down a size
You are about to suction a female patient who has an 8-mm (internal diameter) endotracheal tube in place. What is the maximum size of catheter you would use in this case?	14 Fr.
To prevent hypoxemia when suctioning a patient, the respiratory care practitioner should initially do which of the following?	Preoxygenate the patient with 100% oxygen
To maintain positive end-expiratory pressure (PEEP) and high FIO2 when suctioning a mechanically ventilated patient, what would you recommend?	Une a closed-system multiuse suction catheter.
Total application time for endotracheal suction in adults should not exceed which of the following?	10 to 15 seconds
While suctioning a patient, you observe an abrupt change in the electrocardiogram wave form being displayed on the cardiac monitor. What action would be most appropriate?	Stop suctioning and immediately administer oxygen.
What methods can help to reduce the likelihood of atelectasis due to tracheal suctioning?	Limit the amount of neg pressure used. Hyperinflate pt. before and after procedure. Suction for as short a period of time as possible.
What can help to minimize the likelihood of mucosal trauma during suctioning?	Rotate the catheter while withdrawing. Limit the amount of neg pressure.
Absolute contraindication for nasotracheal suctioning includes which of the following?	epiglottitis and croup
What equipment is NOT needed to perform nasotracheal suctioning?	laryngosocope with MacIntosh and Miller blades.
After repeated nasotracheal suctioning over 2 days, a patient with retained secretions develops minor bleeding through the nose. Which of the following actions would you recommend?	stop the bleeding and use a nasopharyngeal airway for access
Before the suctioning of a patient, auscultation reveals coarse breath sounds during both inspiration and expiration. After suctioning, the coarseness disappears, but expiratory wheezing is heard over both lung fields. What is most likely the problem?
What general condition requires airway management?	airway compromise, respiratory failure, and the need to protect the airway
Which conditions require emergency tracheal intubation?	upper airway or laryngeal edema, loss of protective relexes, cardiopulmonary arrest and traumatic upper airway obstruction
Which autonomic or protective neural responses represent potential hazards of emergency airway management?	hypotension, bradycardia, cardiac arrhythmias, and laryngospasm
All of the following indicate an inability to adequately protect the airway except:	wheezing, coma, lack of gag reflex or inability to cough Ans: Wheezing
Which types of artificial airways are inserted through the larynx?	nasotracheal tubes and orotracheal tubes
The advantages of oral intubation include all of the following:	reduced risk of kinking, easier suctioning and less traumatic insertion.
Compared with the oral route, the advantages of nasal intubation include all of the following:	less retching and gagging, less accidental extubation and greater long-term comfort.
Compared with translaryngeal intubation, the advantages of tracheostomy include all of the following except:	decreased frequency of aspiration
What is the standard size for endotracheal or tracheostomy tube adapters?	15mm external diameter
What is the purpose of the additional side port (Murphy eye) on most modern endotracheal tubes?	ensure gas flow if the main port is blocked
What is the purpose of a cuff on an artificial tracheal airway?	seal off and protect the lower airway
What is the purpose of the pilot balloon on an endotracheal or a tracheostomy tube?	protect the airway agnaist aspiration
Which of the following features incorporated into most modern endotracheal tubes assist in verifying proper tube placement?	length markings on the curved body of the tube, imbedded radiopaque indicator near the tube tip and an additional side port (Murphy eye) near the tube tip
The removable inner cannula commonly incorporated into modern tracheostomy tubes serves which of the following purposes?	aid in routine tube cleaning and tracheostomy care and provide a patent airway should it become obstructed.
What is the purpose of a tracheostomy tube obturator?	minimize trauma to the tracheal mucosal during insertion.
In the absence of neck or facial injuries, what is the procedure of choice to establish a patent tracheal airway in an emergency?	orotracheal intubation
While checking a crash cart for intubation equipment, you find the following: suction equipment, oxygen apparatus, two laryngoscopes and assorted blades, five tubes, Magill forceps, tape, lubricating gel, and local anesthetic. What is missing?	syringe, resuscitator bag or mask and tube stylet
Before beginning an intubation procedure, the practitioner should check and confirm the operation of which of the following?	laryngoscope light source, endotracheal tube cuff and the suction equipment
While checking a Miller and a MacIntosh blade on an intubation tray during an emergency intubation, you find that the Miller blade “lights” but the MacIntosh blade does not. What should you do now?	Check and replace the bulb in the MacIntosh blade
What size endotracheal tube would you select to intubate a 3-year-old child?	4.5 to 5.0 mm
What size endotracheal tube would you select to intubate a 1500-g newborn infant?	3.0 mm
What size endotracheal tube would you select to intubate an adult female?	8.0 mm
What is the purpose of an endotracheal tube stylet?	adds rigidity and shape to ease insertion
To make oral intubation easier, how should the patient’s head and neck be positioned?	neck flexed, with head supported by towel and tilted back
What should be the maximum time devoted to any intubation attempt?	30 seconds.

Created by: ldrozd