Airway Care Cornell Notes – Course Note – samantha2017
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Airway Care Cornell Notes
samantha2017
Upper Airway or Glottic Obstruction Most Common issues is Soft Tissue of upper airway due to decrease LOCLoss of Muscle Tone –  – Usually evidence of decrease  LOCSwelling –Common Allergic reaction Glottic vs Sub-glotticFirst Thing- While walking in the room..- Look at pt take in their color, WOB Is there any rise & fall of the chest?First thing you do is open airway -Do head tilt chin and lift open airway If they don’t have any do not have any respiratory effort begin bag mask ventilation  Common SituationsWorking in E.R taking high amount of pain med-Over Dose-Extreme alcohol intoxication-Basic to remember when soft tissue damage go back to CPR -airway, breathing and circulationSymptoms of upper airway obstruction or glottis obstruction-Increase WOB-Retractions & Accessory -Muscle Use -B/S Diminished or absent flowTreatment: Open of the airwayDo head chin and lift to open airway quickly asses do you have adequate depth of respirations?Often in pts in overdose won’t have adequate respirations! You cannot do head tilt chin lift when pt has: Cervical spine injury Must do jaw thrust maneuver Foreign SubstancesMostly in pediatric ptsEspecially in decrease LOC -Increase likely hood of obstruction or aspiration do hemlock maneuver TRY TO GET OUT OF AIRWAY Use of FORCEPTS TreatmentNeck Extension & Chin Manipulation1st TX of choiceSide Lying Enhances Removal of Foreign BodyOropharyngeal AirwayOPAHelps ensure Patency Between Tongue and PharynxCOMOTOSE PATIENTS ONLYAlso used as bite block in comatose intubated patientsCorner of mandible to corner of mouth to find correct fit! J-Shaped Hook-Pull pts tongue forward position so that the pts airway remains openOPANPA: Soft, longer intended to go through the NairDoesn’t guarantee ventilation or breath  Nasopharyngeal AirwayNPABetter tolerated in the semicomatose patient Used also to facilitate nasotracheal suctionSafety pin and tape will prevent aspiration (because if pt has a high WOB) can inhale really hard then it can  obstruct their airwayExample: Pts coming from O.R to pacu To measure: Know if you have right size-From tragus of the ear all the way around to the nosePut the flange (top part) to the pts nose What are the indications for Artificial Airway? Relief of Airway ObstructionProtection of Airways primary reason we do thisReflexes Obtunded (lose) from Top downPharyngeal – Laryngeal-Tracheal- Carinal reflexes Facilitate SuctioningSupport VentilationLose LOC Increase risk of colonization of the mouth not be able to sustain ventilation Suction thru e.t tube One of the most common reason to put in airway is for Ventilation, or protect airway All protect airway, none guarantee ventilation! Have to reassess! Hazards of Artificial AirwaysMostly endotracheal tube Bypasses normal defense mechanisms    ColonizationRemoves cough effectivenessRemoves vocal communicationLoss of personal dignityIncrease RAW if too small of tube Damage to AirwayAny bacteria in mouth or in ventilator can colonize and grow so can Increase risk of pneumoniaIf pt can’t cough Increase risk of atelectasis and retained secretionIf increase RAW in turn will  Increase WOB If tube is too large cause damage to vocal cords Jamming it in can cause damage to mucus layer, bleeding and or swelling
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By: samantha2017
Submitted: April 15, 2017
Essay Length: 1,010 Words / 5 Pages
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