Difficult Airway

A complete airway assessment is

• Completed by the charge RN

• Only completed if the patient has a history of pre-existing airway condition (s)

• Completed on all patients prior to receiving sedation medications by an MD or licensed professional

• Required to be completed by the physician during the procedure

Assessment that a patient has a difficult airway:

• Is identified when a patient's total score is 3 on the Modified Lemon Scoring System

• Notifies that the licensed professional that a physician is needed at bedside

• Only addresses the patient's immediate need for oxygen

• None of the above

Which of the following is the Modified Lemon System "point " criteria to identify when a patient has a difficult airway?

• Scoring system is based on a total of 10 points and the patients score is greater than or equal to 7

• Scoring system is based on a total of 9 points and the patients score is greater than or equal to 8

• Scoring system is based on a total of 8 points and the patients score is greater than or equal to 6

• Scoring system is based on a total of 8 points and the patients score is greater than or equal to 4

Early recognition of a difficult airway is a PRIORITY. In a matter of minutes, failure to secure and maintain a patent airway can result in hypoxia brain injury or death.

• True

• False

The Modified Lemon Score is based on the assessment of 5 topics and the acronym "LEMON" helps one to remember the following:

• Listen, Evaluate, Mallampati, Observe, Needs

• Look, Evaluate, Mallampati, Obstruction, Neck Mobility

• Look, External, Mallampati, Obstruction, Neck Mobility

• Listen, Evaluate, Mallampati, Oropharynx, Nasopharynx

As you assess your 40 year old patient, you observe that he has a receding chin and also is obese. Which letter/word in the acronym "LEMON" does this pertain to?

• Evaluate

• Look

• Obstruction

• Mallampati

When evaluating your patient, the measured items for the LEMON Scoring System include the :

• Mouth opening: Mouth to nose: Chin to chest

• Lower lip to chin, Chin to hyoid bone: Hyoid bone to thyroid cartilage

• Mouth opening: Chin to hyoid bone; Hyoid bone to thyroid cartilage

• Mallampati; Chin to thyroid cartilage; Thyroid cartilage to hyoid

In the acronym "LEMON", one of the letters has a total of 1 point allotted if the patient exhibits any one of the identified characteristics such as large tongue, or high arched palette, etc. Which letter/word in the acronym "LEMON" does this pertain to?

• External

• Neck

• Look

• Evaluate and Obstruction

In the acronym "LEMON" the "N" stands for Neck Mobility. One (1) point is allotted when the patient:

• has the ability to tilt their head from side to side

• has very limited range of motion

• is able to move their head back without pain

• none of the above

Mallampati refers to "M" in the acronym "LEMON" and refers to:

• Four classifications with Class IV identifying "only hard palette visible" and 4 points allotted

• Three classifications with Class III identifying "soft and hard palette and base of uvula visible and 2 points allotted.

• Four classifications with Classes I, II, III, IV each being allotted 1 point

• Four classifications with Class I allotted 2 points and Class II allotted 2 points