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37 Cards in this Set
- Front
- Back
Patent Airway
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passage from nose or mouth that is open and clear and will remain open and clear.
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The Larynx is protected by what?
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Cartilage. The thyroid cartilage protects the front of the larynx and froms the Adam's Apple. The Cricoid ring forms the lower aspect of the larynx and provides structure to the proximal trachea.
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The Trachea is protected by ____ rings of Cartilage.
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16
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what do Burns, blunt trauma and certain infections cause in the Glottic Opening?
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They most often cause swelling of the tissues in and around the opening.
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What does a change in internal diameter of the airway cause?
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it can cause significant increase to air flow and can seriously impact the patient's ability to move air.
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Bronchoconstriction
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is a common disease like Asthma. It is the constriction of muscle that lines the bronchial passages that results in a decreased internal diameter of the airway and increased resistance to air flow.
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In patient assessment, what two questions should an EMT ask considering the patient's airway?
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1. Is the airway open?
2. Will the airway stay open? |
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Stridor
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High pitched sound generated from partially obstructed air flow in the upper airway.
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A sign of an inadequate airway
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There are no signs of breathing or air movement
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A sign of an inadequate airway
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There is evidence of foreign bodies in the airway including blood, vomit or objects like broken teeth.
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A sign of an inadequate airway
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No air can be felt or heard at the nose, mouth, ao the amount of air exchanged is below normal.
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A sign of an inadequate airway
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Patient is unable to speak, or has difficulty speaking
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A sign of an inadequate airway
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The PT has an unusual hoarse or raspy quality to his or her voice.
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A sign of an inadequate airway
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Chest movements are absent, minimal, or uneven.
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A sign of an inadequate airway
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movement associated with breathing is limiyed to the abdomen
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A sign of an inadequate airway
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Breath sounds are diminished or absent.
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A sign of an inadequate airway
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noises such as wheezing, crowing, stridor, snoring, gurgling, or gasping are heard during breathing.
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A sign of an inadequate airway
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In children, there may be retractions above the clavicles and between and below the ribs. Nasal Flaring may be present also.
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Airway and breathing have priority over protection of the spine because...
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Maintaining an open airway can be a critical factor of the patient's chance of survival.
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Three Indications that an unresponsice patient has a possibility of a head, neck or spinal injury are:
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1. MOI is that of the head, neck, or spine.
2. Injury at or above the level of the shoulders 3. Family or bystanders provide you with information that indicates an injury to the head, neck or spine. |
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You must open and maintain an airway for what kind of patients?
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Patients with Altered mental status, unconscious, and who are in respiratory or cardiac arrest.
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When the head of the patient flexes forward what can happen with the tongue?
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The tongue can slide into the airway, causing the epiglottis to obstruct the airway
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What are two procedures for opening the airway?
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Head Tilt, Chin Lift manuever and the Jaw Thrust method(used with a suspected sppinal injury).
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Types of Airway Adjuncts:
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Oropharyngeal Airway: inserted through the pt's mouthinto the pharynx.
nasopharyngeal Airway: inserted through the nose into the the pharynx. |
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#1 Rule for an Airway Adjunct
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only use an OPA on patients who do not exhibit a gag reflex. Use an NPA if possible.
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#2 Rule for an Airway Adjunct
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open the airway manually before inserting the airway adjunct
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#3 Rule for an Airway Adjunct
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Have suction ready prior to inserting the airway adjunct
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#4 Rule for an Airway Adjunct
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Do not continue inserting the airway adjunct if the patient begins to gag.
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#5 Rule for an Airway Adjunct
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When the adjunct is in place, maintain the head tilt, chin lift manuever or the jaw thust manuever and monitor the airway.
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#6 Rule for an Airway Adjunct
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When the adjunct is in place, continue to be ready to provide suction if the gag reflex returns.
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#7 Rule for an Airway Adjunct
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if the pt regains conciousness or develops a gag reflex remove the adjunct immediately.
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#8 Rule for an Airway Adjunct
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Use infection control practices while maintaining the airway.
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Proper and effective equipment for suctioning:
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Tubing
suction tips suction catheters collection container container of clean or sterile water |
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To be effective, suction devices must furnishan air intake and generate a vacuum of...
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30 Liters per minute and 300 mmHg
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#1 rule for suctioning
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Always use appropriate infection control ractices while suctioning
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Rule #2 for suctioning
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Try limiting the suctioning to no longer than 10 sec at a time.
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Rule #3 for suctioning
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Place the tip or catheter where you want to begin the suctioning and suction on your way out.
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