EMERGENCY CARE IN THE STREETS
9TH EDITION BY NANCY L! RATED A+
tonsil-tip catheter
A hard or rigid suction catheter; also called a Yankauer catheter
Good option for suctioning the oropharynx in adults.
whistle-tip catheters
Soft plastic, nonrigid catheters; also called French catheters.
Good for use oropharynx or nasopharynx or down an ET tube.
Brainpower
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oropharyngeal (oral) airway
Airway adjunct inserted into the mouth of an unresponsive patient to keep the tongue
from blocking the upper airway and to facilitate suctioning the airway, if necessary.
OPA indications and contraindications
Indications:
- Maintain airway patency
- Bite block for intubated patients
Contraindications:
- Responsive patients and patients with a gag reflex
nasopharyngeal (nasal) airway
Airway adjunct inserted into the nostril of an unresponsive patient, or a patient with an
altered level of consciousness who is unable to maintain airway patency independently.
NPA indications and contraindications
Indications:
- Unresponsive patients and patients with an altered mental status who have an intact
, gag reflex
Contraindications:
- Patient intolerance; presence of facial (specifically, nose) fracture or skull fracture
tongue
most common airway obstruction
laryngospasm
the sudden spasmodic closure of the larynx
laryngeal edema
swelling as a result of fluid accumulation in the soft tissues of the larynx
The universal sign of choking.
D Cylinder O2 tank contains...
350 L
M cylinder O2 tank contains...
3,000 L
nonrebreathing mask
administer high-flow oxygen to significantly hypoxemic patients who are otherwise
breathing adequately @ 12-15 L/min.
nasal cannula
delivers oxygen via two small prongs that fit into the patient's nostrils @ 1-6L/min.
nonrebreathing mask contraindications
apnea and poor respiratory effort.
nasal cannula contraindications
same as Nonrebreather contraindications
Continuous positive airway pressure (CPAP)
A method of ventilation that delivers a single pressure; used primarily in the treatment of
critically ill patients with respiratory distress and can prevent the need for endotracheal
intubation.
Bilevel positive airway pressure (BPAP)
A form of noninvasive positive pressure ventilation that delivers two pressures (a higher
inspiratory positive airway pressure, and a lower expiratory positive airway pressure).
gastric distention
Inflation of the stomach caused when excessive pressures are used during artificial
ventilation and air is directed into the stomach rather than the lungs.
Advanced Airway Management
One of the most common mistakes with respiratory or cardiac arrest is to
proceed with advanced airway management too early, forsaking the basic
techniques of establishing and maintaining a patent airway in a hypoxic patient.
-Establish and maintain a patent airway with basic techniques and maneuvers.