0
How should an oropharyngeal airway be inserted in an adult patient?
Wiki User
∙ 11y ago
upside down and turned 180 degrees over the tongue
Wiki User
∙ 11y ago
Add your answer:
Earn +20 pts
How to measure a Guedel's airway to ensure it is correct size for the patient?
Place the oropharyngeal airway (Guedel) on patient's face to check for correct size - tubing should extend from the corner of the mouth to the tip of the earlobe.
When do you insert an oropharyngeal or nasopharyngeal airway?
In a pre-hospital emergency situation, someone who will most likely require the insertion on an OPA (oralpharyngeal airway) will be a patient who is unable to keep their airway open themselfs, don't have a gag reflex, and don't have any maxiofacial damage. The whole prodecure is quite short and simple. First, establish the patients gag reflex. This can be accomplished brushing the eyelashes since they operate on the same nerve. If the patient "flinches" the a gag reflex is present, if not then one may continue with the OPA. The OPA is inserted "backwards" then turned 180 degrees, forcing the touge out of the airway and ending the with flange resting on the teeth. Typically the patient is then assisted with respirations via a bag valve mask.
Should you maintain an open airway for an fracture?
If there is no other chest or abdominal injury, and the patient is awake and conscious there is no need to worry about the airway
Why should medical control be consulted before inserting a nasal airway?
Because even though it is recommended for an unconscious patient, if the patient has sustained to severe of a trauma the nasal airway could damage the patient more than help them.
Do you check for a pulse in an unresponsive choking patient?
If the patient is choking, the first priority is to clear the airway, not check the pulse. The airway should be cleared first, and then once the rescue breaths go in, check for a pulse.
What is the most common cause of airway obstruction in an unconscious supine patient?
The most common cause of airway obstruction in any patient - supine or not - is the tongue. This is why the first maneuver that should be performed on a patient not breathing is the head-tilt/chin-lift or the jaw thrust. This is to help clear the tongue from the airway and may allow the person to breathe again.
How should you properly measure a nasopharyngeal airway adjunct?
Place the NPA on the patient's cheek and it should reach from his nose to his earlobe.
In cpr if the airway is open and the patient was given rescue breaths and the air is not goin in?
In CPR, if the airway is open and the patient was given rescue breaths and the air is not going in, there may be something lodged in the patients throat, and the Heimlich maneuver should be performed.
Why should the nasopharyngeal airway not be used if there is evidence of the clear fluid coming from the nose?
A nasopharyngeal airway is contraindicated in the following situations:- Evidence of Battle's Sign (bruising behind the ear)- Severe facial of cranial injuries.- Signs of cerebro-spinal fluid (CSF) or raccoon eyes.NB: the clear fluid coming out of the patient's nose or ears is most likely CSF. CSF protects and insulates the brain, and can leak from the skull if there is head trauma.The above situations indicate the possibility of a traumatic brain injury (previously termed 'head injury'). The risk of the nasopharyngeal airway intruding with the brain is fairly high so as a precaution, an alternative airway is used. An oropharyngeal airway would be a better alternative in a patient with suspected traumatic brain injury.A nasopharyngeal airway, (aka NPA or a nasal trumpet), is a tube inserted into the nasal passageway of an unconscious victim to provide an open airway (when unconscious the jaw muscles relax and the tongue to falls back obstructing the airway).NPA is contraindicated (not used) in patients with severe head or facial injuries, or a basilar skull fracture (Battle's sign, raccoon eyes, cerebrospinal fluid/blood from ears, etc.) due to the possibility of direct contact with brain tissue.
If you have an unconscious patient who does not have a possibility of spinal injury and who is breathing adequately what is the best position for transporting the patient?
Hi. I would transport the patient in the lateral position, making sure they are facing you should you need to suction their airway or perform other procedures. In regards to airway and breathing, it all depends on whether the patient is maintaining their own airway or not. A patient can quickly obstruct their airway with their tongue, or can slowly aspirate secretions or vomits down their trachea should they be left in the supine position.
When connected properly to a victim an AED device will advise you to do what?
It will first advise that it will analyze (in which case nobody should touch the patient). Next, it will advise if a shock is or isn't required.
After opening an unconscious patient's airway what should you do?
If the patient is in the recovery position and the airway is open do this: 1.put your ear to the mouth and nose area while looking at their chest 2. If they are breathing you should be able to hear and feel the air coming out of their nose and mouth aswell as seeing their chest moving up and down in time. 3.If the patient isn't breathing (after checking) then you will need to get an experienced person to do CPR - if you are unexperienced DO NOT TRY as you could injure the patient-call for help
