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NAVEL
- narcan - narcotic overdose
- atropine - bradycardia
- valium/versed - sedative
- epiniphrine - asystole
- lidocaine - PVC
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how much med do you give if you install NARCAN down the ETT
double the normal iv dose and flush with 10 ml saline
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complications of intubation
- infection
- cuff pressure
- largngospasm - most serious complication
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cuff pressure > 5 and >10 will have
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cuff pressusure >20 will have
necrosis
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hold laryngoscope in the ___ hand, ETT in ___ hand
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tip of the tube should be __ cm or ___ inch above the carina or at the _____
- 2 cm
- 1 inch
- aortic knob/notch
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curved blade fits into ____, raises the ____
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straight blade fits under the ____
epiglottis
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which blade is preferred for infant intubation
straight blade
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stylet is ONLY used to aid in
oral intubation
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magill forceps is ONLY used to aid in
nasal intubation
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formula to determine what size of ett to use
wt in kg / 10
weight in the 80's use a size 8, etc
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oral intubation should be apprx ___ cm mark at pts ___
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nasal intubation should be apprx ____ mark at pt ____
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high volume cuffs gives you what type of pressures?
low pressures, vice versa
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cuff pressure should not exceed _____cmh20
25 cm h20
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ventilates only one lung separately. right lung is messed up and left is normal.
surgery- lobectomy
lavaging one lung
double lumen tbe DLT or a Carlens tube
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tube that is an option for emergency airways management.
temp for transport
ETC esophageal tracheal combitube
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used in surgery to avoid intubation.
short term ventilation/
laryngeal mask airway LMA
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if you need to intubate a pt that has a LMA DO NOT
remove the LMA, use to guide
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tubes that allow cont aspiration of subglottic secreations that has a seperate suction port.
reduces VAP
hi lo evac tube
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when you extube and theres a SEVERE resp distress or marked (severe) ins stridor, what should u do?
reintubate
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when you extubate and theres a MODERATE distress/stridor what should u do
- o2
- cool aerosol
- racemic epi
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when you extubate and theres MILD distress/stridor what should u do
- provide humidity
- o2
- racemic as necessary
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the tracheostomy cuff should be DEFLATED when the pt
is not on a ventilator
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the tracheostomy cuff should be INFLATED when the pt is
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what should you do if the tube is obstructed
replace the tube
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what should u do if the trach tube is too small. (very high cuff pressure >20)
tube is too small, change to a larger tube
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device that maintains the stoma. used in some pts with sleep apnea
tracheal button
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trach tube with trachea stenosis
cuffless trach
metal, not for resuscitation or ppv
jackson
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foam filled cuff
kamen wilkinson foam / bivona
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clean the inner cannula by soaking it in a solution of
- hydrogen perozide
- water
- rinse w/ sterile water
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surgical removal of the pts larynx is
larynectomy
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laryngectomy tube will be removed after _____ weeks, then the pt will have a permanent ____
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does the laryngectomy tubes have a inflatable cuff?
NO
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pt laying face down
prone
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pt lying on spine (best for post craniotomy pts)
supine
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best postion for hypoxic pt, obese w/ dyspnea, post op abdominal pt, pt with pulm edema
- fowlers
- semi fowlers
- reverse trendelenburg
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best position for pts with very low blood pressure
trendelenburg
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if the bed is flat then you are working with
upper lobes
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bed is down 15'
mid lobes
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bed is down 30'
lower lobes
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whatever is up is whats being drain
t/f
true
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applying exp pos airway press using a ONE WAY INS valve and a ONE WAY EXP flow resistor
PEP therapy pos exp pressure
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use PEP for ____ min intervals ___ times a day
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combine pos exp pressure therapy with high freq oscillations at the airway
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breathing exercises utilized to improve mucus clearance, CF pts and bronchiectasis
autogenic drainage
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inflatable vest
hihg freq chest wall
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combonation of high freq pulse deliver or a sub tival vol and dense aerosol
intrapulm percussive vent IPV
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