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WorksheetsEMSE 2021 EXAM 1 REVIEW (PART 2)
Total questions: 50
Worksheet time: 27mins
This is the most superior part of the airway. The septum divides the right and left.
Formed by the cheeks, hard and soft palate, and tongue.
Muscular tube that extends vertically from the back of the soft palate to the superior aspect of the esophagus.
Nasal cavity
Oral cavity
Upper most region of the pharynx, extends from the back of the nasal opening to the plane of the soft palate.
Hypopharynx
This part of the pharynx extends posteriorly from the hyoid bone to the esophagus and anteriorly to the larynx.
Hypopharynx
This part of the pharynx extends from the plane of the soft palate to the hyoid bone
Complex structure that joins the pharynx with the trachea.
Microscopic air sacs where most oxygen and carbon dioxide gas exchange takes place.
Tubes from the trachea into the lungs
Membranous connective tissue covering the lungs
10-12 cm long tube that connects the larynx to the mainstem bronchi
bronchi
treachea
alveoli
plesura
This is arranged in two pulmonary lobules that from the anatomic division of the lungs. These are further organized into lobes.
Pleura
Lung parenchyma
Placement in which a supine patients head is elevated to the point where the ear and sternal notch are horizontally aligned.
Ear- to-sternal-notch position
Ear- to-sternal-notch position for airway management in the obese patient.
incline position
ramped position
sniffing position
smelling position
Ear- to-sternal-notch position for airway management in the non obese patient.
incline position
ramped position
sniffing position
smelling position
Performed by placing one hand on the patients forehead tilting the head back and two fingers of the other hand under the bony part of the chin and lifting the jaw anteriorly.
Head-tilt/Chin-lift maneuver
Jaw thrust method
Lifting the jaw by using two fingers behind the mandibular angles, not tilting the head if cervical spine injury is suspected.
This device follows the natural curvature of the nasopharynx, passing through the nose and extending from the nostril to the posterior pharynx just below the base of the tongue.
Nasopharyngeal airway
Oropharyngeal airway
Non rebreather
Nasal cannula
Indications for the use of the NPA include
obtunded patients
intact gag reflex
no gag reflex
unconscious
The tip of the patients nose to the earlobe is how to properly measure
OPA
nasal cannula
NPA
ET tube
When inserting an NPA the bevel should be facing:
away from the septum
towards the septum
This device holds the base of the tongue away from the posterior oropharynx; thus preventing it from obstructing the glottis.
NPA
I- Gel
OPA
ET tube
The OPA is indicated for use in patients
With an intact gag reflex
No gag reflex
To measure for insertion of this device the flange is placed beside the patients cheek parallel to the front of the teeth. If properly sized it will extend from the patients mouth to the angle of the jaw.
NPA
OPA
ET tube
Flexible suction device
This type of suction device is lightweight, portable, inexpensive, and is simple to operate, however it has a limited volume and is manually powered.
Hand powered
oxygen powered
battery operated
mounted
This type of suction device is lightweight, and small however it has limited suction power and uses much oxygen.
Hand powered
oxygen powered
battery operated
mounted
This type of suction device is lightweight, portable, has excellent suction power however its battery memory decreases with time.
Hand powered
oxygen powered
battery operated
mounted
This type of suction device has a strong suction, adjustable vacuum power, and a disposable fluid container, however it is not portable.
Hand powered
oxygen powered
battery operated
mounted
We should limit each suctioning attempt to how many seconds?
The hard/rigid catheter
Has large tube with or without multiple holes at the distal end
can suction large volumes of fluid rapidly
comes in various sizes
removes large particles
Soft catheters:
have long flexible tube
cannot remove large volumes of fluid rapidly
comes in a standard size
can be placed in the oropharynx, nasopharynx, or down an ET tube.
Complications from suctioning related to hypoxemia is from
suctioning all of the oxygen from the lungs
prolonged suctioning attempts without proper ventilation or oxygenation
incorrect catheter use
too much pressure from suction device
When the vagus nerve is stimulated during suctioning it could cause the following
bradycardia
hypotension
hypoxia
altered mental status
Stimulating the cough reflex while suctioning the patient can also cause an increase in
ICP
When determining the depth of the suction catheter insertion measure from
Tip of the patient's earlobe to the lips
Basic maneuvers that are appropriate to the patients age and mental status for a patient with an FBAO include:
abdominal thrust
back blows
chest thrust
Magill forceps use
This is a dual lumen airway that has a ventilatory port for each lumen. It has two inflatable cuffs. If ventilation through tube 1 is unsuccessful then ventilate through the shorter tube.
Esophageal Tracheal Combitube
King LT
LMA
iGel
This airway device is a two tube system. The first tube is short with a large diameter. A large cuff encircles the tubes lower 3rd. when inflated the cuff seals off the entire oropharynx. The second tube can be inserted blindly into either the trachea or esophagus. when inflated the distal cuff seals off which ever anatomical structure the tube has entered.
Combitube
LMA
PtL
LMA Supreme
These types devices are inserted blindly into the airway to facilitate oxygenation and ventilation via a self inflating bag or transport ventilator but do not enter the glottis.
Extraglottic airway devices
This subcategory of EGAs sit behind the vocal cords
retroglottic airways
supraglottic airways
This subcategory of EGAs sit above the vocal cords
retroglottic airways
supraglottic airways
This airway device i a single lumen retroglottic airway. This device has a large pharyngeal balloon and smaller esophageal balloon like other retroglottic airways, but both balloons are inflated through a single port with a single syringe.
King LT
LMA
iGel
Combitube
This supraglottic device has a rigid design that makes insertion easy without the need to place fingers in the mouth. It offers a very good seal against aspiration and facilitates gastric decompression through a separate channel. Does not offer many pediatric options.
King LTD
iGel
LMA
ET tube
This is a laryngeal mask that comes in a variety of sizes including multiple pediatric sizes. It has a built in bite block and a passageway that allows for gastric tube insertion.
LMA
iGel
Combitube
King LTD
Endotracheal Intubation Indications include which of the following
Respiratory arrest
Respiratory failure
cardiac arrest
Airway swelling
These are used to lift the soft tissue if the tongue and epiglottis out of the way to allow the practitioner to directly visualize the vocal cords
Direct Laryngoscope
This type of blade is deigned to fit into the vallecula and put pressure on the hyoepiglottic ligament that connects the epiglottis to the base of the tongue. This allows you to see the glottic opening
Macintosh
straight blade
curved blade
Miller
This style of blade fits under the epiglottis and manually lifts it out of the way
Miller
Philips
Wisconsin
Straight blade
This type of endotracheal intubation is the most widely used path because it allows visualization of the vocal cords and the ETT's passage through them.
Orotracheal intubation
This type of ETT has a proximal O-shaped ring attached to a plastic wire that runs the length of the tube and terminates distally. This is often used during nasotracheal intubation
Macintosh
Endotrol
Styletless tube
Bougie
