NURS 5355 Final Exam With Solution

NURS 5355 Final Exam With Solution Determine difficult intubation with? - ANSWER LEMONS size of tongue to oral cavity? - ANSWER Mallampati Classification Score absolute CI in endotracheal intubation? - ANSWER total upper airway obstruction or loss of oropharyngeal landmarks from trauma or burns pressure on cricoid cartilage to compress esophagus to prevent regurg during intubation? - ANSWER Sellick's Maneuver insert blade with ? hand on ? of the mouth? - ANSWER left hand & on right side of the mouth to displace tongue to the left aligns the oral, pharyngeal, and laryngeal axes? - ANSWER sniffing position for intubation goal of preoxygenation? - ANSWER maximize arterial PaO2 & denitrogenation of functional residual capacity maximizes time for intubation w/o O2 desaturation (7-9 min in healthy adult) Room Air is? - ANSWER primarily 21% oxygen and 78% nitrogen rapid onset and short duration paralytic? - ANSWER Succinylcholine: 30-45 sec; 5-10 mins Increases K levels rescue breaths during CPR? - ANSWER less important; interrupts chest compressions and increases intrathoracic pressure see base of the uvula? - ANSWER Class III Mallampati soft palate not visible? - ANSWER Class IV Mallampati difficult BVM ventilation? - ANSWER MOANS oxygenation versus ventilation? - ANSWER O2 to blood and tissues versus air in and out of the lungs precludes apneic patient requiring crash airway? - ANSWER RSI steps to RSI? - ANSWER prepare, assess (LEMONS) & preoxygenate (MOANS), medications Crash intubation? - ANSWER no RSI in unconscious or apneic patient due to cardiac arrest occurs with inspiratory effort- inspiratory stridor? - ANSWER Laryngospasm- force d glottic closure but with inspiration induce amnesia, reduces autonomic reflex activity, no analgesia? - ANSWER Sedatives Mimics Acetylcholine? (depolarizing) - ANSWER Succinylcholine- allows sodium to rush in and potassium out