DAANCE module 5 Exam Questions With 100% Correct Answers

DAANCE module 5 Exam Questions With 100% Correct Answers Hypoxia - answerDeficiency of oxygen Can result in cardiac dysrhythmia, cardiac arrest, neurologic or brain damage, and ultimately death Will occur more rapidly in children secondary to a diminished respiratory reserve Signs of an airway obstruction and treatment - answerchoking, gagging, suprasternal notch retraction, labored breathing and rapid pulse initially followed by decreased pulse, respiratory arrest and cardiac arrest TX: 1. 100% O2 2. Trendelenburg position/pack off the surgical site 3. Digital traction of the tongue with gauze, tongue forceps, hemostat or tongue suture 4. Suction oropharynx If the tongue continues to fall back 5. nasopharyngeal airway in conscious/semiconscous patient 6. oropharyngeal airway for unconscous 7. Consider using LMA or other supraglottic airway 8. Endotracheal tube Cricothyrotomy - answerOnly used when all other methods have failed. Quickest, easiest way for surgical airway Made between the thin cricothyroid membrane between the cricoid and thyroid cartilages of the larynx. TX: a. cleanse overlying skin b. locate cricothyroid membrane by palpation c. utilize the emergency cricothyrotomy needle/ cannula or large gauge to enter the trachea beneath the vocal cords through the cricothyroid membrane d. attach the tube of the crycothyrotomy device to an oxygen source such as an anesthesia machine or ambu bag and ventilate 100% O2 Tracheostomy - answerSurgical airway below the level of the larynx into the trachea. Usually performed in a hospital setting Laryngospasm.. what, prevention and how to fix - answerWHAT? Protective relfex of the vocal cords Crowing sounds and labored respiratory efforts Characterized by cessation of crowing sounds, suprasternal retraction and paradoxical chest movement ("rocking" pattern of the chest and abdomen) Prevention: Proper pack placement or throat partition, changing packs and partitions when necessary, adequate suctioning, control of secretions and adequate anesthesia levels. TX: a. 100% O2 b. proper head position/maintain airway c. pack off surgical site d. suction oral cavity and oropharynx with tonsil suction e. postive pressure-100% O2 w/mask f. administer Succs until spontaneous respiration has resumed. Succinylcholine - answerCan trigger MH Can lead to bradycardia in peds patients In children, atropine should be administered concomitantly with succinylcholine to prevent bradycardia and life threatening dysrhythmias May cause cessation of breat