Podcast
Questions and Answers
Match the following anatomical parts of the airway with their descriptions:
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:
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:
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:
Match the lung sounds to their indications:
Match the signs of inadequate breathing with their descriptions:
Match the signs of inadequate breathing with their descriptions:
Match common factors that affect pulse oximetry accuracy with their impacts:
Match common factors that affect pulse oximetry accuracy with their impacts:
Match the breathing sound to its characteristics:
Match the breathing sound to its characteristics:
Match the ventilation concepts with their definitions:
Match the ventilation concepts with their definitions:
Match the airway anatomy to its location:
Match the airway anatomy to its location:
Match the type of abnormal breathing pattern with its description:
Match the type of abnormal breathing pattern with its description:
Match the following oxygen delivery methods with their characteristics:
Match the following oxygen delivery methods with their characteristics:
Match the following early signs of hypoxia with their descriptions:
Match the following early signs of hypoxia with their descriptions:
Match the following late signs of hypoxia with their definitions:
Match the following late signs of hypoxia with their definitions:
Match the following airway management techniques with their indications:
Match the following airway management techniques with their indications:
Match the following cardiovascular terms with their definitions:
Match the following cardiovascular terms with their definitions:
Match the following CPR indications with the criteria for action:
Match the following CPR indications with the criteria for action:
Match the following medications with their characteristics:
Match the following medications with their characteristics:
Match the following target oxygen saturation levels with their conditions:
Match the following target oxygen saturation levels with their conditions:
Match the following hypoxia symptoms with their categorization as early or late signs:
Match the following hypoxia symptoms with their categorization as early or late signs:
Match the following delivery methods with their flow rates and oxygen concentrations:
Match the following delivery methods with their flow rates and oxygen concentrations:
Flashcards
Cricoid cartilage
Cricoid cartilage
The narrowest point in a child's airway, formed by the only complete ring around the trachea.
Stridor
Stridor
A high-pitched crowing sound during inhalation, indicating upper airway obstruction.
Wheezing
Wheezing
A high-pitched whistling sound, typically during exhalation, indicating lower airway constriction.
Rhonchi
Rhonchi
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Crackles/Rales
Crackles/Rales
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Head-tilt/chin-lift
Head-tilt/chin-lift
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Jaw-thrust
Jaw-thrust
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Ventilation
Ventilation
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Oxygenation
Oxygenation
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Pulse oximetry
Pulse oximetry
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Early Signs of Hypoxia
Early Signs of Hypoxia
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Late Signs of Hypoxia
Late Signs of Hypoxia
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Nasal Cannula
Nasal Cannula
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Non-Rebreather Mask (NRB)
Non-Rebreather Mask (NRB)
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Bag-Valve Mask (BVM)
Bag-Valve Mask (BVM)
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Sniffing Position
Sniffing Position
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Abdominal Thrusts (Heimlich Maneuver)
Abdominal Thrusts (Heimlich Maneuver)
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Continuous Positive Airway Pressure (CPAP)
Continuous Positive Airway Pressure (CPAP)
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Oropharyngeal Airway (OPA) & Nasopharyngeal Airway (NPA)
Oropharyngeal Airway (OPA) & Nasopharyngeal Airway (NPA)
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Perfusion Triangle
Perfusion Triangle
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Study Notes
Airway, Respiration, and Ventilation
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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.
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Airway Obstruction: Causes include foreign bodies, tongue swelling, and secretions. Snoring indicates upper airway obstruction, gurgling suggests fluid in the upper airway requiring suction.
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Airway Maneuvers:
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Head-tilt/chin-lift: Used for non-trauma patients; tilt head back and lift chin. Avoid if possible spinal injury is involved.
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Jaw-thrust: Used for suspected spinal injury; move jaw forward using fingers behind the jaw's angle. Ensure inline stabilization of the cervical spine.
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Signs of Inadequate Breathing:
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Adventitious breath sounds (e.g. stridor, wheezing, rhonchi, crackles/rales)
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Abnormal respiratory rate (bradypnea, tachypnea)
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Irregular breathing rhythm
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Unequal chest expansion
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Accessory muscle use
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Cyanosis (bluish discoloration)
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Cool, moist skin
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Retractions (inward pulling of the chest)
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Lung Sounds:
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Stridor: High-pitched, crowing sound during inhalation; indicates upper airway obstruction.
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Wheezing: High-pitched whistling sound during exhalation; indicates lower airway constriction (e.g., asthma, COPD).
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Rhonchi: Low-pitched, noisy sounds during exhalation; signifies mucus in the lungs (e.g., COPD, pneumonia).
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Crackles/Rales: Wet, cracking sounds; signify fluid in alveoli (e.g., CHF, pulmonary edema).
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Oxygenation: Pulse oximetry can be inaccurate in certain situations (nail polish, CO poisoning, hypovolemia, peripheral vasoconstriction).
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Hypoxia:
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Early signs: Restlessness, irritability, apprehension, tachycardia, retractions.
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Late signs: Altered mental status, weak/thready pulse, cyanosis, bradypnea, altered level of consciousness (LOC).
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Oxygen Delivery:
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Nasal Cannula: 1-6 LPM, 24-44% oxygen; not appropriate for suspected hypoxia.
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Non-Rebreather Mask (NRB): 10-15 LPM, up to 90-95% oxygen; for suspected/confirmed hypoxic patients.
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Bag-Valve Mask (BVM): 100% oxygen with a reservoir and supplemental oxygen at 10-15 LPM; for inadequate breathing.
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Mouth-to-mask: 55% oxygen with supplemental oxygen at 15 LPM
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Special Techniques:
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Sniffing Position: For optimal ventilation and intubation; head and chin thrust slightly forward.
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Abdominal Thrusts: For airway obstruction in conscious patients.
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CPAP: Used for respiratory distress, pulmonary edema, hypoxia, COPD, and immersion incidents; contraindicated in hypoventilation, hypotension, altered mental status, and chest trauma.
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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
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Perfusion Triangle: Heart, blood vessels, blood.
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Valves: Tricuspid (right atrium to right ventricle), Bicuspid (left atrium to left ventricle).
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Pulse Assessment:
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Quality: Thready, weak, strong, bounding
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Rhythm: Regular or Irregular
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Location: Central (carotid, femoral), Peripheral (brachial, radial, posterior tibial, dorsalis pedis). Brachial for infants, carotid for older children/adults.
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CPR: Initiated for pulseless patients or children with a pulse below 60 bpm.
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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.
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Target Oxygen Saturation:
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ACS: 90%
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Stroke: 95-98%
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Post-cardiac arrest: 92-98%
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Medications:
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Aspirin: Antiplatelet; contraindicated in patients with GI bleeding or allergy.
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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.