FISDAP AIRWAY PREP | STUDY GUIDE
Dyspnea relieved by a change in
position, SLEEPING UPRIGHT with
Orthopnea
pillows, usually CHF pulmonary
edema problem.
Characterized by prolonged
inspirations unrelieved by attempts
Apneustic breathing
to exhale, which indicates trauma to
the pons.
Care that will improve, rather than simply stabilize, a patient's
Definitive Care
condition (surgery or other care provided in a hospital)
- Used to treat Tension pneumothorax:
- Insert 14g needle through the 2nd/3rd intercostal space
Pleural Decompression along the midclavicular line directly above the rib
- "Rush of air"?
- Remove needle, leave catheter, one-way flutter valve, secure
catheter
-When gurgling is heard over the epigastrum
-Pt becomes conscious
Indications for removal of a
dual lumen airway
-Pt is able to maintain airway
-On-line medical directs you to do so
, - Trauma to the mouth, teeth, and upper airway
- Over-inflation of the cuff may impede blood flow
Complications of ET tube - Over-inflation of the lungs may cause a pneumothorax
placement (to name a few) (especially pt's with other diseases eg: COPD,
emphysema)
- Too deep of placement may cause accidental endobronchial
intubation
- Esophageal placement may result in gastric distention, vomiting, and
aspiration
-Airway edema obstruction
-Discolored or deformed landmarks
Complications of intubating a
-Tape may not adhere to burned skin
burn patient
-In peds, swelling occurs much faster
- Lowered C02 can lead to respiratory acidosis
- Barotrauma results from rapid pressure changes in the
Complications of
hyperventilation lungs (especially with pt's who have underlying lung
pathology)
- Pneumothorax or gastric distention which could lead to vomiting and
aspiration
- Genetic disease that affects mostly the lungs, but also
the liver, pancreas, and kidneys
- Characterized by a change in the functioning chemistry of
the glands that create thicker than normal secretions
Characteristics of Cystic Fibrosis
which usually lead to chronic infections (typically
pulmonary)
- Presents similarly to COPD or pneumonia and is treated in the same
way
-Kids with CF may have a salty "frosting" on their skin that looks like
small crystals
See diagram:
Continuous Quantitative
ETCO2 Waveforms
Oxygenation pathways All the masks, cannulas, BVM's, tubes, etc...
The failure of the heart to pump efficiently, leading to
excessive blood or fluids in the lungs, the body, or both.
Congestive heart failure (CHF)
- Left sided pump failure leads to pulmonary edema
- Right sided failure leads to pitting edema and JVD
Airway management
Dyspnea relieved by a change in
position, SLEEPING UPRIGHT with
Orthopnea
pillows, usually CHF pulmonary
edema problem.
Characterized by prolonged
inspirations unrelieved by attempts
Apneustic breathing
to exhale, which indicates trauma to
the pons.
Care that will improve, rather than simply stabilize, a patient's
Definitive Care
condition (surgery or other care provided in a hospital)
- Used to treat Tension pneumothorax:
- Insert 14g needle through the 2nd/3rd intercostal space
Pleural Decompression along the midclavicular line directly above the rib
- "Rush of air"?
- Remove needle, leave catheter, one-way flutter valve, secure
catheter
-When gurgling is heard over the epigastrum
-Pt becomes conscious
Indications for removal of a
dual lumen airway
-Pt is able to maintain airway
-On-line medical directs you to do so
, - Trauma to the mouth, teeth, and upper airway
- Over-inflation of the cuff may impede blood flow
Complications of ET tube - Over-inflation of the lungs may cause a pneumothorax
placement (to name a few) (especially pt's with other diseases eg: COPD,
emphysema)
- Too deep of placement may cause accidental endobronchial
intubation
- Esophageal placement may result in gastric distention, vomiting, and
aspiration
-Airway edema obstruction
-Discolored or deformed landmarks
Complications of intubating a
-Tape may not adhere to burned skin
burn patient
-In peds, swelling occurs much faster
- Lowered C02 can lead to respiratory acidosis
- Barotrauma results from rapid pressure changes in the
Complications of
hyperventilation lungs (especially with pt's who have underlying lung
pathology)
- Pneumothorax or gastric distention which could lead to vomiting and
aspiration
- Genetic disease that affects mostly the lungs, but also
the liver, pancreas, and kidneys
- Characterized by a change in the functioning chemistry of
the glands that create thicker than normal secretions
Characteristics of Cystic Fibrosis
which usually lead to chronic infections (typically
pulmonary)
- Presents similarly to COPD or pneumonia and is treated in the same
way
-Kids with CF may have a salty "frosting" on their skin that looks like
small crystals
See diagram:
Continuous Quantitative
ETCO2 Waveforms
Oxygenation pathways All the masks, cannulas, BVM's, tubes, etc...
The failure of the heart to pump efficiently, leading to
excessive blood or fluids in the lungs, the body, or both.
Congestive heart failure (CHF)
- Left sided pump failure leads to pulmonary edema
- Right sided failure leads to pitting edema and JVD
Airway management
