Complications of using an OP airway in a semiconscious patient with a gag reflex
What are bradycardia vomiting and laryngospasm?
The correct rate for ventilating a patient in respiratory arrest without an advanced airway is
What is 10 – 12 bpm?
The longest period of time you would suction for
What is 10 seconds
The three size KING tubes we carry
What are a 2, 3, and 4
The size tube you would use for someone who is 4 feet 8 inches tall
What is a size 3?
Contraindications for a KING tube
What are caustic ingestion, esophageal disease and an intact gag reflex?
Procedure for inserting a KING tube
Choose correct size of King. Test cuff inflation system, remove all air. Apply water based lubricant to posterior aspect of the tube. Avoid the ventilatory openings! Pre-oxygenate with 100% 02 for at least 1 min. Place the head in neutral or “sniffing”position. Hold the tube in your dominant hand. With non-dominant hand, hold mouth open and apply chin lift. With the King placed laterally so the blue line is at the corner of the mouth, introduce the tip into the mouth and advance behind the base of the tongue. Do not force the tube into position. As tube passes under the tongue, rotate the tube back to midline. Without excessive force, advance KING until proximal colored end is aligned with teeth or gums. 12. With a syringe, inflate cuffs with enough volume to seal the airway at the peak ventilatory pressure (just sealed volume) Attach the BVM to the King While gently bagging the patient to assess ventilation, simultaneously withdraw the airway until ventilation is easy and free flowing. (Large tidal volume with minimal airway pressure).
Where the balloons of the KING tube set in the airway
What are the oropharynx and the esophagus?
The indications for CPAP
Acute respiratory distress associated with CHF, Asthma, COPD and submersion incident
Contraindications for use of CPAP
What are: BP < 90 mmHg Altered mental status Inability to maintain airway or aspiration risk Inability to get a good seal Acute MI Under 18 Pregnant?
What you would do if your patient’s SBP on CPAP drops below 90
What is titrate PEEP down, reassess patient
The dose of Nitro for the CHF patient.
What is 0.4mg sublingual every 3 – 5 minutes as needed as long as patient’s SBP remains above 90. No dose limit
The maximum amount of PEEP allowed
What is 10cm of PEEP?
The normal EtCO2 range
What is ?
The three systems monitored by EtCO2
What is the respiratory, cardiovascular and metabolic systems?
What an EtCO2 level of 49 represents
What is hypoventilation?
The cause of a decreasing EtCO2 during a full arrest
What is inadequate compressions?
The EtCO2 you would expect a patient with DKA to have
What is below 35?
True or False When using with a BVM you only need to maintain a tight seal during ventilations
What is False
Where a ResQPod is placed in the respiratory circut
What is between the mask or KING tube and the ambu bag?
The preferred location for EtCO2 and in-line nebulizer when using a ResQPOD
What is: EtCO2 – between ResQpod and ambu bag In-line neb – between the mask or KING tube and the ResQPod?
True or False Once secretions get into a ResQPod it needs to be disposed of
What is False?
The advantages of using a ResQPod during resuscitation
What is it increases the negative pressure in the thoracic cavity, increasing blood return to the heart and coronary artery blood flow