Airway, Respiration, and Ventilation Quiz
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Questions and Answers

Match the following anatomical parts of the airway with their descriptions:

Cricoid cartilage = Only complete ring around the trachea Epiglottis = Prevents food from entering the trachea Larynx = Located at the entrance of the windpipe Pharynx = Common pathway for both air and food

Match the types of airway obstruction with their causes:

Snoring = Upper airway obstruction Gurgling = Fluid in upper airway Cyanosis = Inadequate oxygenation Wheezing = Lower airway constriction

Match the airway maneuver to its appropriate context:

Head-tilt/chin-lift = Used in non-trauma patients Jaw-thrust = Indicated in suspected spinal injury Inline stabilization = To prevent further damage to cervical spine Suctioning = For clearing fluid from the airway

Match the lung sounds to their indications:

<p>Stridor = Indicates upper airway obstruction Wheezing = Indicates lower airway constriction Rhonchi = Suggests mucus in the lungs Crackles/Rales = Indicates fluid in alveoli</p> Signup and view all the answers

Match the signs of inadequate breathing with their descriptions:

<p>Bradypnea = Abnormally slow breathing rate Tachypnea = Abnormally rapid breathing rate Accessory muscle use = Indicates difficulty in breathing Unequal shallow chest expansion = Suggests possible lung pathology</p> Signup and view all the answers

Match common factors that affect pulse oximetry accuracy with their impacts:

<p>Nail polish = Can cause false low readings CO poisoning = Can lead to falsely high oximetry readings Hypovolemia = Can reduce blood flow readings Peripheral vasoconstriction = Affects peripheral circulation measurements</p> Signup and view all the answers

Match the breathing sound to its characteristics:

<p>Stridor = Brassy, high-pitched crowing sound Wheezing = High-pitched whistling sound during exhalation Rhonchi = Low-pitched, noisy sounds during exhalation Crackles/Rales = Wet cracking sounds indicative of fluid</p> Signup and view all the answers

Match the ventilation concepts with their definitions:

<p>Airway obstruction = Prevents airflow to the lungs Adventitious breath sounds = Abnormal sounds heard in breathing Accessory muscle use = Recruiting additional muscles for breathing Cyanosis = Bluish discoloration indicating lack of oxygen</p> Signup and view all the answers

Match the airway anatomy to its location:

<p>Nasopharynx = Upper airway region behind the nose Oral cavity = Mouth area involved in respiration and digestion Trachea = Windpipe below the larynx Bronchi = Branches leading into the lungs</p> Signup and view all the answers

Match the type of abnormal breathing pattern with its description:

<p>Irregular rhythm = Breathing that varies in pattern Retractions = Indication of effort in breathing Diminished breath sounds = Indicates reduced airflow Cool moist skin = May signify poor oxygenation or shock</p> Signup and view all the answers

Match the following oxygen delivery methods with their characteristics:

<p>Nasal Cannula = 1-6 LPM, 24-44% oxygen, not for suspected hypoxia Non-Rebreather Mask = 10-15 LPM, 90-95% oxygen for suspected hypoxia Bag-Valve Mask = 100% oxygen with reservoir at 10-15 LPM Mouth-to-mask device = 55% oxygen with 15 LPM supplemental oxygen</p> Signup and view all the answers

Match the following early signs of hypoxia with their descriptions:

<p>Restlessness = An inability to remain calm, often fidgeting Tachycardia = Increased heart rate, often above normal ranges Apprehension = Feeling anxious or fearful about a potential risk Retractions = Inward movements of the chest wall during breathing</p> Signup and view all the answers

Match the following late signs of hypoxia with their definitions:

<p>Cyanosis = Bluish discoloration of the skin due to lack of oxygen Altered mental status = Changes in awareness or cognitive function Bradycardia = Decreased heart rate, often below normal ranges Weak pulse = Pulse that is difficult to detect, often thready</p> Signup and view all the answers

Match the following airway management techniques with their indications:

<p>Abdominal Thrusts = To clear airway obstruction in conscious patients CPAP = For respiratory distress and pulmonary edema OPA = To maintain airway patency in unconscious patients NPA = Used in semi-conscious patients with gag reflex</p> Signup and view all the answers

Match the following cardiovascular terms with their definitions:

<p>Perfusion Triangle = Heart, blood vessels, and blood Tricuspid Valve = Valve between right atrium and right ventricle Bicuspid Valve = Valve between left atrium and left ventricle Pulse Assessment - Quality = Describes the strength of the pulse</p> Signup and view all the answers

Match the following CPR indications with the criteria for action:

<p>Initiate for pulseless patients = Start CPR for any patient without a pulse Initiate for children below 60 bpm = Start CPR for pediatric patients with a low pulse Use AED for unresponsive patients = Indicated for patients who are pulseless and unresponsive Shockable rhythms = Effective for V-fib and V-tach</p> Signup and view all the answers

Match the following medications with their characteristics:

<p>Aspirin = Antiplatelet, contraindicated with GI bleeding Nitroglycerin = Vasodilator, contraindicated with low SBP Oxygen therapy = Used to increase oxygen saturation in hypoxia CPAP = Uses pressure to keep alveoli open during distress</p> Signup and view all the answers

Match the following target oxygen saturation levels with their conditions:

<p>ACS = Target saturation of 90% Stroke = Target saturation of 95-98% Post-cardiac arrest = Target saturation of 92-98% General hypoxia = Should aim for higher saturation levels</p> Signup and view all the answers

Match the following hypoxia symptoms with their categorization as early or late signs:

<p>Early: Tachycardia = Increased heart rate indicating early distress Late: Bradypnea = Decreased breathing rate indicating severe hypoxia Early: Anxiety = Feeling restless or apprehensive in early hypoxia Late: Altered LOC = Changes in level of consciousness in severe cases</p> Signup and view all the answers

Match the following delivery methods with their flow rates and oxygen concentrations:

<p>Nasal Cannula = 1-6 LPM, 24-44% oxygen Bag-Valve Mask = 100% oxygen at 10-15 LPM Non-Rebreather Mask = 10-15 LPM, up to 90-95% oxygen Mouth-to-mask device = 55% oxygen at 15 LPM</p> Signup and view all the answers

Flashcards

Cricoid cartilage

The narrowest point in a child's airway, formed by the only complete ring around the trachea.

Stridor

A high-pitched crowing sound during inhalation, indicating upper airway obstruction.

Wheezing

A high-pitched whistling sound, typically during exhalation, indicating lower airway constriction.

Rhonchi

Low-pitched, noisy sounds during exhalation, indicating mucus in the lungs.

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Crackles/Rales

Wet cracking sounds indicating fluid in the alveoli.

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Head-tilt/chin-lift

A maneuver used to open the airway in non-trauma patients, achieved by tilting the head back and lifting the chin.

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Jaw-thrust

A maneuver used in suspected spinal injury, achieved by moving the jaw forward using fingers behind the angle of the lower jaw.

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Ventilation

The process of moving air into and out of the lungs.

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Oxygenation

The process of getting oxygen into the blood stream.

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Pulse oximetry

A device that measures the oxygen saturation of blood.

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Early Signs of Hypoxia

Early signs include restlessness, irritability, apprehension, tachycardia, and retractions.

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Late Signs of Hypoxia

Late signs include altered mental status, weak pulse, cyanosis, bradypnea, and altered LOC.

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Nasal Cannula

Delivers 24-44% oxygen at 1-6 LPM. Not appropriate for suspected hypoxia.

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Non-Rebreather Mask (NRB)

Delivers up to 90-95% oxygen at 10-15 LPM. Used for suspected or confirmed hypoxia.

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Bag-Valve Mask (BVM)

Delivers 100% oxygen with a reservoir bag and supplemental oxygen at 10-15 LPM. Provides ventilations for inadequate breathing.

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Sniffing Position

A technique used to maintain optimal airway patency during ventilation and intubation. The patient sits upright with their head and chin thrust slightly forward.

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Abdominal Thrusts (Heimlich Maneuver)

A procedure used to clear airway obstruction in a conscious patient. It involves forceful abdominal thrusts.

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Continuous Positive Airway Pressure (CPAP)

A non-invasive ventilation technique that delivers continuous positive airway pressure to keep alveoli open and reverse atelectasis. It's used for respiratory distress, pulmonary edema, hypoxia, COPD, and submersion incidents.

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Oropharyngeal Airway (OPA) & Nasopharyngeal Airway (NPA)

Oropharyngeal airways (OPAs) are used to maintain airway patency in unconscious patients but are contraindicated in conscious patients. Nasopharyngeal airways (NPAs) are used in semi-conscious or unconscious patients with a gag reflex but are contraindicated in severe head injury or nasal trauma.

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Perfusion Triangle

The heart, blood vessels, and blood work together to deliver oxygen and nutrients to the body.

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Study Notes

Airway, Respiration, and Ventilation

  • Anatomy: The airway comprises the upper (nasopharynx, oral cavity, pharynx, larynx) and lower (trachea, bronchi) airways. The cricoid cartilage is the only complete tracheal ring and the narrowest part of a child's airway. The epiglottis prevents food from entering the trachea during swallowing.

  • Airway Obstruction: Causes include foreign bodies, tongue swelling, and secretions. Snoring indicates upper airway obstruction, gurgling suggests fluid in the upper airway requiring suction.

  • Airway Maneuvers:

  • Head-tilt/chin-lift: Used for non-trauma patients; tilt head back and lift chin. Avoid if possible spinal injury is involved.

  • Jaw-thrust: Used for suspected spinal injury; move jaw forward using fingers behind the jaw's angle. Ensure inline stabilization of the cervical spine.

  • Signs of Inadequate Breathing:

  • Adventitious breath sounds (e.g. stridor, wheezing, rhonchi, crackles/rales)

  • Abnormal respiratory rate (bradypnea, tachypnea)

  • Irregular breathing rhythm

  • Unequal chest expansion

  • Accessory muscle use

  • Cyanosis (bluish discoloration)

  • Cool, moist skin

  • Retractions (inward pulling of the chest)

  • Lung Sounds:

  • Stridor: High-pitched, crowing sound during inhalation; indicates upper airway obstruction.

  • Wheezing: High-pitched whistling sound during exhalation; indicates lower airway constriction (e.g., asthma, COPD).

  • Rhonchi: Low-pitched, noisy sounds during exhalation; signifies mucus in the lungs (e.g., COPD, pneumonia).

  • Crackles/Rales: Wet, cracking sounds; signify fluid in alveoli (e.g., CHF, pulmonary edema).

  • Oxygenation: Pulse oximetry can be inaccurate in certain situations (nail polish, CO poisoning, hypovolemia, peripheral vasoconstriction).

  • Hypoxia:

  • Early signs: Restlessness, irritability, apprehension, tachycardia, retractions.

  • Late signs: Altered mental status, weak/thready pulse, cyanosis, bradypnea, altered level of consciousness (LOC).

  • Oxygen Delivery:

  • Nasal Cannula: 1-6 LPM, 24-44% oxygen; not appropriate for suspected hypoxia.

  • Non-Rebreather Mask (NRB): 10-15 LPM, up to 90-95% oxygen; for suspected/confirmed hypoxic patients.

  • Bag-Valve Mask (BVM): 100% oxygen with a reservoir and supplemental oxygen at 10-15 LPM; for inadequate breathing.

  • Mouth-to-mask: 55% oxygen with supplemental oxygen at 15 LPM

  • Special Techniques:

  • Sniffing Position: For optimal ventilation and intubation; head and chin thrust slightly forward.

  • Abdominal Thrusts: For airway obstruction in conscious patients.

  • CPAP: Used for respiratory distress, pulmonary edema, hypoxia, COPD, and immersion incidents; contraindicated in hypoventilation, hypotension, altered mental status, and chest trauma.

  • OPA/NPA: Oropharyngeal airways (OPA) for conscious patients and nasopharyngeal airways (NPA) for semi-conscious or unconscious patients with a gag reflex; contraindicated in severe head injury or nasal trauma.

Cardiovascular Emergencies

  • Perfusion Triangle: Heart, blood vessels, blood.

  • Valves: Tricuspid (right atrium to right ventricle), Bicuspid (left atrium to left ventricle).

  • Pulse Assessment:

  • Quality: Thready, weak, strong, bounding

  • Rhythm: Regular or Irregular

  • Location: Central (carotid, femoral), Peripheral (brachial, radial, posterior tibial, dorsalis pedis). Brachial for infants, carotid for older children/adults.

  • CPR: Initiated for pulseless patients or children with a pulse below 60 bpm.

  • AED: Indicated for unresponsive patients with no pulse; effective for ventricular fibrillation (V-fib) and ventricular tachycardia (V-tach). Asystole and pulseless electrical activity (PEA) are not shockable.

  • Target Oxygen Saturation:

  • ACS: 90%

  • Stroke: 95-98%

  • Post-cardiac arrest: 92-98%

  • Medications:

  • Aspirin: Antiplatelet; contraindicated in patients with GI bleeding or allergy.

  • Nitroglycerin: Vasodilator; contraindicated in patients with low systolic blood pressure (SBP).

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Description

Test your knowledge on the anatomy of the airway, techniques for assessing and managing airway obstruction, and signs of inadequate breathing. This quiz covers essential maneuvers like head-tilt/chin-lift and jaw-thrust, crucial for patient care.

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