Advanced Airway Management and Emergency Intervention Quiz
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Questions and Answers

What is a potential intervention for upper airway obstruction caused by food or vomitus?

  • Suctioning and turning the head to the side (correct)
  • Steroids implementation
  • Nasal packing
  • Emergency cricoidectomy

In the worst case scenario of upper airway obstruction, which emergency procedure may be required?

  • Intubation (correct)
  • Nasal packing
  • Surgical intervention
  • Epi administration

When managing blood clots in the upper airway, what intervention may be necessary?

  • Suctioning and turning the head to the side
  • Emergency cricoidectomy (correct)
  • Epi administration
  • Pepcid administration

What is the primary purpose of using nasal packing in the context of upper airway obstruction?

<p>To control bleeding (B)</p> Signup and view all the answers

Which condition may lead to upper airway obstruction due to enlargement of tissues and angioedema?

<p>Stroke (B)</p> Signup and view all the answers

What is a potential intervention for upper airway obstruction caused by pressure from a tumor or infection?

<p>Surgical intervention (D)</p> Signup and view all the answers

What is the purpose of using sedative before putting in an oral airway?

<p>To decrease the gag reflex (D)</p> Signup and view all the answers

What are two indicators of using an oral airway?

<p>Anesthetized with no gag reflex and biting on ETT (B)</p> Signup and view all the answers

What is the role of the nurse during endotracheal tube (ETT) placement?

<p>Ensuring all equipment is available (D)</p> Signup and view all the answers

What is the purpose of positive end expiratory pressure (PEEP) in ventilator management?

<p>To keep alveoli open and use less oxygen (A)</p> Signup and view all the answers

What are the complications of using positive end expiratory pressure (PEEP)?

<p>Barotrauma and pneumothorax (C)</p> Signup and view all the answers

What is the purpose of sedation in ventilator management?

<p>To reduce agitation and decrease the work of breathing (C)</p> Signup and view all the answers

What is the primary role of the nurse during endotracheal tube (ETT) insertions?

<p>Monitoring pulse oximetry (C)</p> Signup and view all the answers

Why is a tracheostomy considered more stable than an endotracheal tube (ETT)?

<p>It bypasses the upper airway (C)</p> Signup and view all the answers

What is a significant advantage of using a fenestrated tracheostomy tube?

<p>Allows the patient to eat and drink when stable (B)</p> Signup and view all the answers

What is the main purpose of the inner cannula in a fenestrated tracheostomy tube?

<p>To remove mucus plugs (B)</p> Signup and view all the answers

What is a common adult size of tracheostomy tube?

<p>Adult 8 (D)</p> Signup and view all the answers

Which complication is NOT associated with tracheostomy?

<p>Pneumothorax (D)</p> Signup and view all the answers

What should be included in the early nursing interventions for tracheostomy care?

<p>Maintaining HOB at 30 degrees (A)</p> Signup and view all the answers

What does the nurse primarily monitor and assess in a patient with a tracheostomy?

<p><code>Respiratory status</code> (A)</p> Signup and view all the answers

Flashcards

Upper airway obstruction by food or vomit

Suctioning and turning the head to the side can help clear the airway of food or vomit.

Emergency procedure for worst-case upper airway obstruction

Intubation is a procedure where a tube is placed into the trachea to establish an airway.

Blood clots in upper airway

An emergency cricoidectomy may be necessary to open the airway in cases of blood clots blocking the upper airway.

Nasal packing purpose

Nasal packing is used to control bleeding in the nasal passages, which may be a source of upper airway obstruction.

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Upper airway obstruction from stroke

Stroke can cause enlargement of tissues and angioedema, which can lead to upper airway obstruction.

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Upper airway obstruction from pressure

Surgical intervention may be needed to remove a tumor or treat an infection that is causing pressure on the airway.

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Purpose of sedative before oral airway

A sedative can decrease the gag reflex, making it easier to insert an oral airway.

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Indicatations for oral airway

An oral airway is used for patients who are anesthetized and have no gag reflex, or who are biting on the endotracheal tube (ETT).

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Nurse's role during ETT placement

The nurse plays a crucial role in ensuring that all necessary equipment is readily available for the endotracheal tube (ETT) placement procedure.

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PEEP purpose

Positive end expiratory pressure (PEEP) keeps the alveoli open during exhalation, reducing the need for excess oxygen.

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PEEP complications

Barotrauma (lung injury) and pneumothorax (collapsed lung) are potential complications associated with using positive end expiratory pressure (PEEP).

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Sedation during ventilator management

Sedation helps to reduce agitation and decrease the work of breathing, making ventilator management more effective.

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Nurse's role during ETT insertion

The nurse's primary role during endotracheal tube (ETT) insertion is to monitor pulse oximetry, a critical indicator of oxygen levels.

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Tracheostomy vs ETT

A tracheostomy bypasses the upper airway, making it more stable and less prone to displacement compared to an endotracheal tube (ETT).

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Fenestrated tracheostomy tube advantage

A fenestrated tracheostomy tube allows the patient to eat and drink when they are stable, as it provides a channel for airflow.

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Inner cannula purpose in fenestrated tracheostomy tube

The inner cannula in a fenestrated tracheostomy tube is removable for cleaning and to remove mucus plugs that can obstruct the airway.

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Common adult tracheostomy tube size

An 8mm size tracheostomy tube is a common size for adult patients.

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Tracheostomy complication

Pneumothorax (collapsed lung) is NOT directly associated with tracheostomy.

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Early nursing interventions for tracheostomy care

Maintaining the head of bed at 30 degrees is an important early intervention for tracheostomy care, as it helps with drainage and breathing.

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Primary assessment for tracheostomy

The nurse primarily monitors and assesses the respiratory status of a patient with a tracheostomy, as this is crucial to their well-being.

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