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Questions and Answers
When is intravenous sedation absolutely contraindicated?
When is intravenous sedation absolutely contraindicated?
- In the presence of foreign bodies
- When there is no suspicion of head injury
- During airway assessment
- In the unconscious patient with airway obstruction (correct)
What is a common sign of airway obstruction to watch for?
What is a common sign of airway obstruction to watch for?
- Increased blood pressure
- Snoring or gurgling (correct)
- Sudden fever
- Normal breathing sounds
What should be done if a patient with a suspected head injury needs endotracheal intubation?
What should be done if a patient with a suspected head injury needs endotracheal intubation?
- Avoid intubation
- Clear the airway first (correct)
- Move the patient as needed
- Administer oxygen
Which situation warrants consideration for advanced airway management techniques?
Which situation warrants consideration for advanced airway management techniques?
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What technique should be used if a patient requires oxygen and a self-inflating bag is available?
What technique should be used if a patient requires oxygen and a self-inflating bag is available?
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Which of these is NOT an indication for advanced airway management techniques?
Which of these is NOT an indication for advanced airway management techniques?
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Study Notes
Initial Assessment
- A patient who can speak clearly has a clear airway
- Airway obstruction by the tongue is a common problem in unconscious patients
Airway Management
- Assistance with airway and/or ventilation may be necessary for unconscious patients
- Protect the cervical spine during endotracheal intubation if head, neck, or chest injury is suspected
Oxygen Administration
- Give oxygen, if available, via self-inflating bag or mask
Airway Assessment
- Signs of airway obstruction:
- Snoring or gurgling
- Stridor or abnormal breath sounds
- Agitation (hypoxia)
- Using accessory muscles of ventilation/paradoxical chest movements
- Cyanosis
- Be alert for foreign bodies in the airway
- Intravenous sedation is contraindicated in this situation
Advanced Airway Management
- Indications for advanced airway management techniques:
- Persisting airway obstruction
- Penetrating neck trauma with expanding hematoma
- Apnea
- Hypoxia
- Severe head injury
- Chest trauma
- Maxillofacial injury
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