DAANCE Module 5
Study online at https://quizlet.com/_hyy317
1. What is hypoxia?: lack of oxygen
2. what is the cause of complete or partial airway obstruction during anesthe-
sia?: posterior positioning of the tongue
3. what are signs of airway obstruction?: choking, gagging, suprasternal notch retraction, labored
breathing and rapid pulse followed by decreased pulse, respiratory arrest and cardiac arrest
4. what is early treatment of airway obstruction?: 100% oxygen via nasal mask; place patient
in Trendelenburg position and pack off surgical site; Digital traction of the tongue; Suction
5. how do you do a cricothyrotomy?: cleanse the overlying skin; locate the cricothyroid membrane by
palpation; utilize the emergency cricothyrotomy needle/cannula kit or a large gauge to enter the trachea beneath the
vocal cords through the cricothyroid membrane; Attach the tube of the cricothyrotomy device to an oxygen source and
ventilate with 100% oxygen
6. what object can cause airway obstruction that is not the tongue?: foreign bodies
7. what is the treatment for foreign body obstruction?: removal of foreign body only if well
visualized; chest compressions if no airflow during ventilation with patient in supine position; remove foreign body with
forceps or suction using a laryngoscope for visualization; cricothyrotomy only if foreign body cannot be removed and
severe obstruction persists
8. laryngospasm: spasm of the laryngeal muscles, causing a constriction
9. Laryngospasm Treatment: • 100% Oxygen
• Suction all blood and foreign material with yankauer suction
• Pack surgical site to prevent further bleeding into the hypopharynx
• Depress patient's chest and listen for a rush of air to indicate patency
• If obstruction persists, break spasm with positive pressure via 100% O2 and full-face mask with good seal (appropri-
ately sized for child vs. adult
patient.)
10. bronchospasm: involuntary contraction of the bronchus
11. Bronchospasm treatment: Albuterol 2 puffs (90 mcg/puff) prn
O2 6-10L/min
If unresponsive to albuterol:
Epinephrine SC (1:1000) 0.1-0.3 mL (0.1-0.3 mg) OR
Epinephrine IV (1:10,000) 1-3 mL (0.1-0.3 mg) (especially if hypotensive)
Up to 1 mg epinephrine maximum
1/7
, DAANCE Module 5
Study online at https://quizlet.com/_hyy317
12. Hyperventilation: ventilation of the lungs beyond normal body needs
13. Angina treatment: Sublingual nitroglycerin, treatment of underlying condition
14. myocardial infarction treatment: Aspirin, CPR is unconscious, defibrillation, anticoagulant medica-
tion, immediate emergency protocol
15. MONA acronym: M-morphine
O-oxygen
N-nitrates
A-aspirin
16. what is the actual order for MONA?: O- oxygen
N- nitroglycerin
A- aspirin
M- morphine
17. supraventricular dysrhythmias treatment- symptomatic bradycardia: terminate
procedure
100% O2
establish iv
atropine (.5mg, repeat until 3mg
transport to ER
18. supraventricular dysrhythmias treatment- supraventricular tachycardia: pa-
tient in supine position
adenosine -6mg rapid iv push over 1 to 3 seconds
follow with 20cc saline flush
adenosine- 12mg after 1 to 2 minutes
repeat flush
3rd dose of adenosine in 1 to 2 minutes if needed
19. PVC treatment: None if infrequent, lidocaine/amiodarone if frequent
20. V tach treatment: •100% oxygen
•Amiodarone- 150mg IV over 10mins. max dose 2.2gms in 24 hrs
•prepare for synchronous cardioversion
21. V-fib treatment: •check lead placement, confirm, call 911
•first sequence
•second sequence
2/7
Study online at https://quizlet.com/_hyy317
1. What is hypoxia?: lack of oxygen
2. what is the cause of complete or partial airway obstruction during anesthe-
sia?: posterior positioning of the tongue
3. what are signs of airway obstruction?: choking, gagging, suprasternal notch retraction, labored
breathing and rapid pulse followed by decreased pulse, respiratory arrest and cardiac arrest
4. what is early treatment of airway obstruction?: 100% oxygen via nasal mask; place patient
in Trendelenburg position and pack off surgical site; Digital traction of the tongue; Suction
5. how do you do a cricothyrotomy?: cleanse the overlying skin; locate the cricothyroid membrane by
palpation; utilize the emergency cricothyrotomy needle/cannula kit or a large gauge to enter the trachea beneath the
vocal cords through the cricothyroid membrane; Attach the tube of the cricothyrotomy device to an oxygen source and
ventilate with 100% oxygen
6. what object can cause airway obstruction that is not the tongue?: foreign bodies
7. what is the treatment for foreign body obstruction?: removal of foreign body only if well
visualized; chest compressions if no airflow during ventilation with patient in supine position; remove foreign body with
forceps or suction using a laryngoscope for visualization; cricothyrotomy only if foreign body cannot be removed and
severe obstruction persists
8. laryngospasm: spasm of the laryngeal muscles, causing a constriction
9. Laryngospasm Treatment: • 100% Oxygen
• Suction all blood and foreign material with yankauer suction
• Pack surgical site to prevent further bleeding into the hypopharynx
• Depress patient's chest and listen for a rush of air to indicate patency
• If obstruction persists, break spasm with positive pressure via 100% O2 and full-face mask with good seal (appropri-
ately sized for child vs. adult
patient.)
10. bronchospasm: involuntary contraction of the bronchus
11. Bronchospasm treatment: Albuterol 2 puffs (90 mcg/puff) prn
O2 6-10L/min
If unresponsive to albuterol:
Epinephrine SC (1:1000) 0.1-0.3 mL (0.1-0.3 mg) OR
Epinephrine IV (1:10,000) 1-3 mL (0.1-0.3 mg) (especially if hypotensive)
Up to 1 mg epinephrine maximum
1/7
, DAANCE Module 5
Study online at https://quizlet.com/_hyy317
12. Hyperventilation: ventilation of the lungs beyond normal body needs
13. Angina treatment: Sublingual nitroglycerin, treatment of underlying condition
14. myocardial infarction treatment: Aspirin, CPR is unconscious, defibrillation, anticoagulant medica-
tion, immediate emergency protocol
15. MONA acronym: M-morphine
O-oxygen
N-nitrates
A-aspirin
16. what is the actual order for MONA?: O- oxygen
N- nitroglycerin
A- aspirin
M- morphine
17. supraventricular dysrhythmias treatment- symptomatic bradycardia: terminate
procedure
100% O2
establish iv
atropine (.5mg, repeat until 3mg
transport to ER
18. supraventricular dysrhythmias treatment- supraventricular tachycardia: pa-
tient in supine position
adenosine -6mg rapid iv push over 1 to 3 seconds
follow with 20cc saline flush
adenosine- 12mg after 1 to 2 minutes
repeat flush
3rd dose of adenosine in 1 to 2 minutes if needed
19. PVC treatment: None if infrequent, lidocaine/amiodarone if frequent
20. V tach treatment: •100% oxygen
•Amiodarone- 150mg IV over 10mins. max dose 2.2gms in 24 hrs
•prepare for synchronous cardioversion
21. V-fib treatment: •check lead placement, confirm, call 911
•first sequence
•second sequence
2/7
