Shared Flashcard Set

Details

Airway Management
Harlem Roscoe Paramedic Class
73
Medical
Not Applicable
09/27/2009

Additional Medical Flashcards

 


 

Cards

Term
Pneumothorax
Definition
The presence of gas or air in the plural cavity
Term
Causes of Airway Obstruction
Definition
Tongue
Foreign Bodies
Trauma
Laryngeal Spasm and Edema
Aspiration
Term
Extubation
Definition
Removing a tube from a body opening
Term
Paradoxical Breathing
Definition
assymetrical chest wall movement that lessens res
Term
Flail Chest
Definition
Defect in the chest wall that allows a segment to move freely causing paradoxical chest wall motion
Term
Cyanosis
Definition
Bluish discoloration
Term
dyspnea
Definition
an abnormality of breathing rate, pattern or effort
Term
Hypoxia
Definition
oxygen deficiency
Term
Anoxia
Definition
the absence or near absence of oxygen
Term
Pulsus paradoxus
Definition
drop in blood pressure fo greater than 10 torr during inspiration
Term
Snoring
Definition
results from partial obstruction of the upper airway by the tongue
Term
Gurgling
Definition
results from the accumulation of blood, vomitus or other secretions in the upper airway
Term
Stridor
Definition
a harsh, high pitched sound heard on inhalation, associated with laryngeal edema or constriction
Term
Wheezing
Definition
a musical, squesking, or whistling sound heard in inspiration and/or expiration, associated with bronchiolar constriction
Term
Quiet
Definition
Dimished or absent breath sounds are an ominous finding and indicate a serious problem with the airway, breathing or both
Term
Crackles
Definition
a fine, bubbling sound heard on inspiration, associated with fluid in the smaller bronchioles
Term
Rhonchi
Definition
a course, rattling noise heard on inspiration, associated with inflammation, mucus, or fluid in the bronchioles
Term
Compliance
Definition
the stiffness or flexibility of the lung tissue
Term
Pulse Oximetry
Definition
a measurement of hemoglobin oxygen saturation in the peripheral tissues
Term
SpO2
Definition
Oxygen saturation percentage
the saturation of arterial blood with oxygen as mesured by pulse oximetry.
Term
Capnography
Definition
a recording or display of the measurement of exhaled carbon dioxide concentrations
Term
Nasopharyngeal airway
Definition
uncuffed tube that follows the notural curve of the nasopharynx, passin through the nose and extending from the nostril to the posterior pharynx
Term
French
Definition
unit of measurement approximately equal to one-third millimeter
Term
Oropharyngeal airway
Definition
semicircular device that follows the palate's curvature
Term
Endotracheal Intubation Equipment
Definition
Laryngoscope
Endotracheal tube
10ml syringe
stylet
Bag Valve mask
Suction device
Bite block
Magill forceps
tape or tube holding device
Term
Laryngoscope
Definition
instrument for lifting the tongue and epiglottis in order to see the vocal cords
Term
Stylet
Definition
plastic covered metal wire used to bend the ETT into a J or hockey stick shape
Term
Magill Forceps
Definition
scissor-style clamps with circular tips
Term
ET Intubation Indicators
Definition
Respiratory or cardiac arrest, unconsciousness or obtusion without gag reflex, risk of aspiration, obstruction due to trauma, burns, or ananphylaxis, Pneumothorax, hemopneumpthorax with respiratory difficulty
Term
ET Intubation Complications
Definition
Equipment malfunction
teeth breakage and soft tissue laceration
hypoxia
esophageal intubation
endobronchial intubation
tension pneumothorax
Term
Insufflate
Definition
To blow into
Term
Rapid Sequence Intubation (RSI)
Definition
giving medication to sedate and temporarily paralyze a patient and then performing orotracheal intubation
Term
Apena
Definition
Temporary stop in breathing
Term
nasotracheal route
Definition
through the nose and into the trachea
Term
Esophageal Tracheal CombiTube (ETC)
Definition
dual lumen airway with a ventilation port for each lumen
Term
Lumen
Definition
the tunnel through a tube
Term
Intubation Devices
Definition
Endotracheal Tube (ETT)
Esophageal ConbiTube (ETC)
Pharyngo-tracheal Lumen Ariway (PtL)
Laryngeal Mask Airway (LMA
Esophageal Gastric Tube (EGTA)
Esophageal Obturator Airway (EOA)
Term
Needle Cricothyrotomy
Definition
surgical airway technique that inserts a 14 gauge needle into a trachea and the cricothyroid membrane
Term
Open Cricothyrotomy
Definition
Surgical airway technique that places an ETT or Trach Tube directly into the trachea through a surgical incision at the cricothyroid membrane
Term
Stenosis
Definition
narrowing or constriction
Term
Barotrauma
Definition
injury caused by pressure within an enclosed space
Term
Stoma
Definition
opening in the anterior neck that connects the trachea with ambient air
Term
Suction
Definition
to remove with a vacuum type device
Term
Nasal cannula
Definition
catheter placed at the nares
Term
Therapy regulator
Definition
pressure regulator used for delivering oxygen to patients
Term
Nonrebreather mask
Definition
a mask that has one sided ports with a reservoir bag to hold oxygen ready to inhale
Term
Bag Valve Mask
Definition
ventilation device consisting of a self inflating bag with two one-way valves and a transparent face mask
Term
Flow rate for a Nasal Cannula
Definition
1-6 L/min Cannula delivers up to 40% at 6 L/min
Term
Flow rates for Nonrebreather
Definition
12-15 L/min and can deliver 85% to 95%
Term
What are the 2 types of ETT tubes
Definition
Endotrol and Oratrachea
Term
What is the Sellick Maneuver
Definition
Appling gentle pressuer posteriorly and the anterior cricoid cartilage to help when tubing
Term
What are the four medications that can go down the ETT tube
Definition
Lidocane
Epinephrine
Atropine
Naloxalone
Term
How long does the brain last with no oxygen?
Definition
4-6 mins there is viability
over 6 is death
Term
What is a Venturi mask
Definition
A high flow face mask that uses a Venturi system to deliver precise oxygen conecntrations regardless of the PT's rate and depth of breathing
Term
Simple Face Mask
Definition
6 L/min - 10 L/min 40%-60% at the max rate
Term
What device measures SpO2?
Definition
a Pulse oximeter
Term
What are some of the problems with Pulse ox readings?
Definition
High co2 in the blood, high intensity lighting, or hemoglobin abnormalities
Term
Contraindications of the Combi Tube
Definition
Esopheal Varasis
Pediatric Patients
Gag Reflex
Ingestion of caustic substance
Term
What is the Glasgow Coma Scale
Definition
it is an Assessment tool
Eye Opening 1-4
Best Verbal Response 1-5
Best Motor Response 1-6

"8" we intubate
Dead Person gets a 3 total.
Term
What is a flail segment
Definition
the inability to create negitive pressure in the lungs to get O2 in.
Term
What is the glottic opening
Definition
the opening where you place the ET tube through....(vocal cords)
Term
What is the one patient that you do not want to intubate?
Definition
A person with epiglotitus.
Term
What is epiglotitus
Definition
It is a bacterial infection of the epiglotis
Term
What is the order of ETT intubation
Definition
Place through the cords
Listen to Stomach
Inflate the cuff
Listen to the lungs
Secure the tube
Term
What iis the average ETT depth for men and women?
Definition
Men - 23 cm
Women - 21 cm
Term
What are the 2 manual maneuvers to open an airway
Definition
Head Tilt/Chin Lift
Jaw-Thrust
Term
What happens with you poke the ETT tube or laryngascope on the back of the throat
Definition
Bradacardia
Term
What happens when you have a very low ETCO2 reading in a patient
Definition
Cardiac arrest
Term
kussmaul respirations
Definition
deep, slow or rapid, gasping breathing commonly found in diabetic ketoacidosis
Term
Cheyne Stokes Respirations
Definition
progressively deeper, faster breation alternating gradually with shallow, slower breathing indicating brainstem injury
Term
Biot's respirations
Definition
irregular pattern of rate and depth with sudden, periodic episodes of apnea, indicating increased intercrainial pressure
Term
Central neurogenic hyperventilation
Definition
deep, rapid respirations indicating increased intercrainial pressure
Term
Agonal respirations
Definition
shallow, slow, or infrequent breathing indicating brain anoxia
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