Ch. 20 Critical Thinking.txt

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1. Why is water-soluble lubricant used for inserting a nasal airway?
- � Lubricant is needed to ease insertion.
- � Also, water-soluble lubricant is used because petroleum gels can cause a toxic reaction when they come in contact with mucosa.
2. What complications might arise from the use of a nasopharyngeal airway?
- � Adhesion to nasal mucosa
- � Epistaxis (nose bleeding)
- � Sinusitis
- � Airway obstruction
- � Gagging if improperly sized.
3. What complications might arise from an improperly sized oropharyngeal
- � May gag and vomit
- � Airway obstruction
- � Laryngospasm
4. What complications might arise from an improperly sized nasopharyngeal airway?
- � Airway obstruction
- � Gagging and vomiting
- � Septal Perforation
5. For each of the following scenarios, indicate what type of airway should be used. State your rationale.
- a. Semiconscious patient in the room:
- � Nasopharyngeal airway
- b. An elderly, nonintubated patient who requires frequent suctioning
- � Nasopharyngeal airway (or nasal trumpet if patient can maintain own airway)
- c. A patient in cardiac arrest in the emergency room receiving basic life support (BLS)
- � Oropharyngeal airyway until intubation can be performed
6. A patient is brought into the emergency room with an Esophageal-Tracheal Combitube (E.T.C.) in place. What is the proper sequence of actions for replacing the E.T.C.?
- � Suction the pharynx
- � Expose vocal cords with laryngoscope
- � Intubate patient with endotracheal tube
- � Insure proper placement of endotracheal tube and inflate cuff
- � Deflate Esophageal-Tracheal Combitube cuff and remove the tube
- � Be prepared to suction if the patient vomits
7. You are called to the recovery room to administer 40% oxygen to a patient with laryngeal airway in place. Describe the equipment setup you would employ, including all connectors and adaptors needed.

� Large Volume Nebulizer (LVN) set at 40% FIO2, with corrugated tubing and water trap to a Briggs T-adapter. Attach to the 15mm adapter of the LMA (Laryngeal mask airway).
8. The patient in question 7 has regained consciousness and the laryngeal airway has been removed. What should you do with the device at this time?
- � Non-disposable � Place in biohazard bag, label it, and send it to central supply for sterilization (autoclave).
- � Disposable � just throw it in the trash.

Author

coreygloudeman

119229

Card Set

Ch. 20 Critical Thinking.txt

Description

Crafton Hills College RESP 131 Ch. 20 Crit. Thinking

Updated

11/27/2011, 10:40:51 PM

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