Verifed Ace the Test
Airway types - ANSWER ✔✔-NPA: measured from tip of nose to ear,
indicated for OD w/o Narcan success
-Laryngeal Mask Airway: does NOT have to go through vocal cords
-OPA: measured from angle of jaw to corner of lip, must NOT have
active gag reflex, used in conjunction w/ ET tube to prevent biting
-Cricothyroidotomy: emergency airway procedure
-ET tube: inserted by provider or CCT nurse, indicated for trauma or TBI,
should transition to tracheostomy in 7 days, replace inner canula qday
,Intubation indications - ANSWER ✔✔-hypoxemic respiratory failure
(PaO2 <60)
-Inadequate ventilation (PaCO2 >55)
-Inability to protect airway (TBI, SCI, GCS <9)
Intubation preparation - ANSWER ✔✔-Sniff position
-sedate: versed, diazepam, etomidate, ketamine
-paralytic: vecuronreum, rocuronium
-Hyperoxygenate prior
-Emergency equipment: crash cart, suction, intubation kit, remove
headboard, BVM, RT on site
-If unsuccessful within 30 seconds, procedure is stopped and pt is
bagged
Nursing interventions post-intubation - ANSWER ✔✔-Help verify
placement: *CXR*, B/L breath sounds, equal chest rise and fall, tube
misting (condensation during ventilation), absent abdominal sounds
during ventilation, ambu co2 detector device (gold is good), continuous
waveform capnography
-NG tube to decompress abdomen
, -stabilize tube
-document: tube size, placement at lip, skin under site, confirmation of
placement (CXR for NG/ETT), cuff pressure
Types of Non-invasive ventilation (NIV) - ANSWER ✔✔-CPAP, BiPAP,
HFNC
Problems with bipap and cpap - ANSWER ✔✔tight fitting mask, can
not eat or drink (nasal prong on bipap helps pt eat), claustrophobia, skin
breakdown
NIV NI - ANSWER ✔✔-monitor resp status
-skin protection
-HOB 45
-monitor for leakage
-maintain nutrition and hydration
-oral care
-notify provider of deterioration
-assess for gastric distention, hypotension, pneumothorax
-ICU/DOU
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