What is the first thing you should do before inserting a nasopharyngeal airway?
Before inserting the airway, clear the mouth of secretions such as vomit, blood, or sputum using a suction catheter. Place the oral airway in the mouth with the curved end towards the hard palate or the roof of the mouth.
Which of the following is an advantage of using a nasopharyngeal airway?
Which of the following is an advantage of using a nasopharyngeal airway? It may be tolerated by many patients with a gag reflex. Your patient, in whom you have inserted an oropharyngeal airway, is beginning to regain consciousness and develop a gag reflex.
When would you use an oral or nasal airway?
In a deeply unresponsive/unconscious patient, an oropharyngeal airway is safe to use because the gag reflex will be depressed. Another advantage of the nasopharyngeal airway is that it can be used in patients with mouth trauma, where an oropharyngeal airway cannot or should not be used.
How is nasal airway measured?
Select the proper size airway by measuring from the tip of the patient’s earlobe to the tip of the patient’s nose. The diameter of the airway should be the largest that will fit. To determine this, select the size that approximates the diameter of the patient’s little finger.
What is the most serious potential complication of nasopharyngeal airway insertion?
Cribriform insertion is perhaps the most catastrophic complication of a nasopharyngeal airway, but it is also the least likely. Improper technique can cause the tube to enter the cribriform plate, causing soft tissue or skull damage, and potentially even penetrating the brain.
What type of patient requires oropharyngeal airway?
Oropharyngeal airways are indicated only in unconscious people, because of the likelihood that the device would stimulate a gag reflex in conscious or semi-conscious persons. This could result in vomit and potentially lead to an obstructed airway.
What is a disadvantage of a nasopharyngeal airway?
Aspiration The risk of regurgitation may be higher with a nasopharyngeal airway. This raises the risk of aspiration, which is a risk of all artificial airways. A nasopharyngeal airway may also trigger a nosebleed, further elevating the risk of aspiration, but careful monitoring of the patient can reduce this risk.
What are advantages and disadvantages of oral and nasal airways?
Abstract. Both nasal and oral route for intubation have advantages and disadvantages. Oral intubation is easier to perform, faster and less painful than nasal intubation under direct laryngoscopy, while blind nasal intubation represents a good alternative in conscious patient, without sedation.
What is a disadvantage of a nasal airway?
In which of the following patients would a nasopharyngeal airway be contraindicated?
Rationale: Nasopharyngeal (nasal) airways are contraindicated in patients with severe head or facial injuries and should be used with caution in patients who have delicate nasal membranes or are prone to nosebleeds. The nasal airway is better tolerated in patients who are semiconscious and/or those with a gag reflex.
What are the indications for an oral airway?
Indications for Oropharyngeal Airway
- Bag-valve-mask ventilation.
- Spontaneously breathing patients with soft tissue obstruction of the upper airway who are deeply obtunded and have no gag reflex.
What is the purpose of an airway adjunct quizlet?
What is an airway adjunct? A device that keeps the airway open.
Why is airway assessment vital during an emergency situation?
Amid an emergency—especially one with the potential to compromise the airway—every second counts. But airway assessments cannot be rushed. An airway assessment becomes even more important in emergency scenarios because difficult airways, secondary complications, trauma, and infection are more likely.
Why is airway assessment vital during an emergency situation quizlet?
Why is airway assessment vital during an emergency situation? The body can only survive a short period of time without oxygen. What is another term for an open airway?
Why is airway and breathing a priority?
Airway obstruction left untreated can rapidly lead to cardiac arrest, hypoxia, brain damage, or death. If the patient is unconscious, unresponsive, and is not breathing normally, CPR should be initiated according to the resuscitation guidelines.