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While treating an Airman with a suspected head injury, you decide to use the nasopharyngeal device Before inserting the nasopharyngeal airway, you will need to?
lubricate the outside of the tube with a water-based lubricant
What is the definition of 'nasopharyngeal airway'?
Airway adjunct that is a plastic tube with a flange on the end passed through the nostrils into your airway, so you can be ventilated if you have stopped breathing and access is limited via the mouth, for example in facial trauma. The nasopharyngeal airway is used if there are complications to having a patent airway.
What should you lubricate the nasopharyngeal tube with?
You should use a lubricate gel. Purchase them from a medical supplier. SP Services, boundtree etc.
What should you lubricator the nasopharyngeal airway with before inserting it?
The nasopharyngeal airway is a piece of equipment used in healthcare for unconscious patients. The airway should be lubricated with a water based lubricant before insertion. Any kind of surgical lubricant (like SurgiLube) will work. Don't have any on hand? Use the patient's saliva. You should lubricate the outside of the tube with a water-soluble gel to decrease irritation to the nasal passage and to ease insertion. They don't have to be lubricated it just makes insertion easier. Any kind of sterile lubricant will work. In an emergency you would use whatever you can - such as water or the patient's saliva.
What do you do when a nasopharyngeal tube is too long?
Ideally, get a shorter airway. But if no shorter airway is available, you can cut it to the right size, cutting at an angle, using some trauma shears. But be sure to check your local protocols or with your medical director on this matter- some may not allow you to do that.
When would you not use nasopharyngeal airway when it seems to be indicated?
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).If your patient presents with one or more of the following, you would NOT use a nasopharyngeal airway:severe maxillofacial trauma,periorbital echymosis,retroauricular echymosis,significantly deformed nares or septum.NOTE: nasopharyngeal airways are CONTRAINDICATED in severe head or facial injuries (bruising behind the ears, raccoon eyes, blood or clear fluid leaking out of the ears or nose), patients on anticoagulants, patients with nasal infections, and patients with nasal deformities.This may indicate a brain injuryThis may indicate a brain injury.
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.
Why should the nasopharyngel airway not be used if there is evidence of clear fluid coming from the nose?
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.
Why should the nasopharyangeal airway not be used if there is evidence of clear fluid coming from the nose or ears?
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.
What are the steps before the insertion of the nasopharyngeal airway?
This is the procedure for inserting the nasopharyngeal airway:Is the nasal canal clear? Make sure nose is not broken and remove any obstructions.Can you rule out basal skull fracture?Measure victim for size needed and select the appropriate airway. Measure the NPA from the corner of the nare to the tip of the earlobe to get the correct size. an NPA that is too large may obstruct the airway, and one which is too small may not be effective.Apply water-based lubricant. There should be lubricant packed with the airwayInsert airway into R nostril: starting at 90 degrees, use a twisting motion as you move down to a 45 degree angle.Ventilate the victim.NOTE: nasopharyngeal airways are CONTRAINDICATED in severe head or facial injuries (bruising behind the ears, raccoon eyes, blood or clear fluid leaking out of the ears or nose), patients on anticoagulants, patients with nasal infections, and patients with nasal deformities.Lubricate the outside of the tube with a water-based lubricant.
Why does the stomach increase in size when performing CPR?
If the stomach is increasing in size, you are likely using an advanced airway such as an EMT or Paramedic uses.This should not be happening. It means your airway leads into the stomach, not the lungs. If you're using a Combitube, switch from your current tube to your secondary. If you're using a King or other airway, you may need to remove the tube and try again.Beware, the victim may vomit.
What is a tracheostomy tube?
A tube which is inserted into an incision in the trachea (tracheostomy) to relieve upper airway obstruction.
