flight paramedic advanced airway management exam a
flight paramedic advanced airway management
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FLIGHT PARAMEDIC ADVANCED AIRWAY
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FLIGHT PARAMEDIC ADVANCED AIRWAY
MANAGEMENT EXAM ACTUAL EXAM 200 QUESTIONS
AND CORRECT DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED A+
Extraglottic airway (EGA) devices: - ANSWER: airway device that does not enter the
glottis
Retroglottic airways: - ANSWER: extraglottic airway devices that are placed in the
esophagus (behind the vocal cords) with inflation of two balloons along its length
that seal off the esophagus and the oropharynx; air exits and enters the device
through a laryngeal inlet between two balloons.
Supraglottic airways: - ANSWER: extraglottic airway devices that are placed above
the vocal cords (above the glottis)
Retroglottic airway devices: - ANSWER: Esophageal tracheal combitube (ETC),
Pharyngeal Tracheal Lumen (PTL), King airway, and laryngeal masks
Combitube: - ANSWER: available in two sizes for patients over 4ft tall
tube #1 - the blue tube, longer tube - try ventilation through this tube first.
Tube #2 - clear - esophageal position allows for gastric decompression through this
tube
Two inflatable cuffs (100mL and 15mL)
Lipp maneuver: - ANSWER: to preshape a combitube (like a hockey puck) to help
reduce airway trauma.
King airway: - ANSWER: supplied in three sizes - less than 5'1", 5'1" - 5'11", taller
than 5'11"
It has a large pharyngeal balloon and a smaller esophageal balloon which are inflated
through a single port
Laryngeal mask (LMA): - ANSWER: laryngeal airway that seals off airway, allows for
gastric decompression, built in bite block, and generates high airway pressure when
necessary.
LMA Fastrach: - ANSWER: LMA that facilitates blind ET intubation with a special tube
or regular tube reverse loaded. Can fit an 8.0 mm ETT
Risks of ET intubation: - ANSWER: prolonged scene times, potential airway trauma,
aspiration, peri-intubation hypoxia, bradycardia, hypotension, cardiac arrest
, NAVEL: - ANSWER: medications that can be given through ET tube: naloxone,m
atropine, vasopressin, epinephrine, and lidocaine
ET intubation indicators: - ANSWER: respiratory arrest, respiratory failure (hypoxic or
hypercapnic), cardiac arrest, airway swelling (anaphylaxis; airway burns)
Advantages of ET intubation: - ANSWER: isolates trachea and permits complete
control of the airway.
impeded gastric distention by channeling air directly into trachea.
eliminates the need to maintain mask seal.
offers a direct route for suctioning of the respiratory passages.
Disadvantages of ET intubation: - ANSWER: requires considerable training and
experience.
requires specialized equipment.
requires visualization of the vocal cords.
bypasses the upper airways' function of warming, filtering, and humidifying the
inhaled air.
time consuming and distracts from other critical interventions.
associated with many potential complications including esophageal intubation
aspiration, hypoxemia, hypotension, bradycardia, airway trauma, ICP, and cardiac
arrest.
it has not been shown to improve survival.
ET intubation equipment: - ANSWER: laryngoscope (direct or videa), appropriate-size
ETT with stylet, a 10 mL syringe, a BVM, a suction device with large-bore cath, a bite
block, magill forceps, waveform capnography, tube tamer. Should also have
introducer and backup airways ready.
Laryngoscope: - ANSWER: an instrument for visualizing the larynx and vocal cords.
Direct laryngoscope: - ANSWER: instrument used to move the tongue and epiglottis
out of the way to allow direct visualization of the vocal cords. Macintosh -curved
blade. Miller - straight blade. Sizes range from 00 - 4
Which side of the mouth do you insert the laryngoscope blade? - ANSWER: right
Epiglottoscopy: - ANSWER: Identifying the epiglottis before intubating
Steps to visualizing epiglottis: - ANSWER: 1. choose appropriate blade and blade size
2.insert blade into right side of patient's mouth
3. gradually work down the tongue in progressive steps; lifting the tongue and
reassessing position with each step
4. identify the epiglottis
5. curved blade - insert the blade on top of the tip of the epiglottis into the vallecula
and press back up and on the hyoepiglottic ligament to lift the epiglottis and visualize
the vocal cords. Straight - gently lift the epiglottis with direct pressure.
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