Unit 1 Airway Management Lesson 1 Airway Assessment 13 Demonstrate concepts and skills of the following in a clinicallab setting a Patient Positioning b Transfers and Ambulation including ID: 770423
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Unit 1: Airway Management Lesson 1: Airway Assessment
13) Demonstrate concepts and skills of the following in a clinical/lab setting: a. Patient Positioning b. Transfers and Ambulation (including injury prevention and body mechanics) c. O2 Assessment and Administration (including fire safety) d. BLS (Basic Life Support)11) Outline the gross normal structure and function of all body systems and summarize appropriate medical text(s) in order to relate signs and symptoms of common diseases and disorders associated with each. c. cardiovascular and respiratory systems Standard
Lesson 1 – Airway Assessment Importance of Airway Assessment First item to be assessedApnea – patient cannot breathePatent – open
Lesson 1 – Airway Assessment The Respiratory System Bring oxygen into the bodyRemove carbon dioxideVentilation, respiration, oxygenationPrimary organ is the lungs
Lesson 1 – Airway Assessment Airway Assessment Use senses of sight, sound and touchTwo areas of assessmentEvaluate patient’s airwayEvaluate patient’s ability to breathe
Lesson 1 – Airway Assessment Evaluate the Airway Physically examine patient’s mouth and throatClear the airway of obstructionsForeign body airway obstruction (FBAO)Something within the body
Lesson 1 – Airway Assessment Evaluate the Airway (continued) Clear FBAOFinger sweepAbdominal thrusts (Heimlich maneuver)Clear blockages by:Suctioning (fluids)Airway adjuncts (swollen tissue)
Lesson 1 – Airway Assessment Abnormal Airway Sounds Use sense of hearing to identify airway obstructionsSounds indicating airway obstruction:SnoringStridorWheezingGurglingCrowing Rales
Lesson 1 – Airway Assessment Evaluate Breathing LookChest rising?Normal skin color?ListenHear air entering and exiting nose & mouth?Free from abnormal or labored sounds?FeelPatent airway
Unit 1: Airway Management Lesson 2: Opening the Airway
13) Demonstrate concepts and skills of the following in a clinical/lab setting: a. Patient Positioning b. Transfers and Ambulation (including injury prevention and body mechanics) c. O2 Assessment and Administration (including fire safety) d. BLS (Basic Life Support)11) Outline the gross normal structure and function of all body systems and summarize appropriate medical text(s) in order to relate signs and symptoms of common diseases and disorders associated with each. c. cardiovascular and respiratory systems Standard
Lesson 2 – Opening the Airway Open Airway Immediately Manual methodsHead-tilt, chin-lift maneuverJaw-thrust maneuverAirway adjuncts or suctioning may be neededAirway adjuncts
Lesson 2 – Opening the Airway Head-Tilt, Chin-Lift Maneuver Most effective means of opening airwayUseful when airway blocked by tongueUse for patients who are:ApneicUnresponsiveUnable to maintain own airway
Lesson 2 – Opening the Airway Head-Tilt, Chin-Lift Maneuver (continued) Do not use on patients with head/neck injuriesAvoid use on elderly Special consideration for pediatric patients
Lesson 2 – Opening the Airway Jaw-Thrust Maneuver Used when head/neck injury suspectedNot as effective as head-tilt, chin-liftUse on patients who are:ApneicUnresponsiveUnable to maintain airway
Unit 1: Airway Management Lesson 3: Suctioning the Upper Airway
13) Demonstrate concepts and skills of the following in a clinical/lab setting: a. Patient Positioning b. Transfers and Ambulation (including injury prevention and body mechanics) c. O2 Assessment and Administration (including fire safety) d. BLS (Basic Life Support)11) Outline the gross normal structure and function of all body systems and summarize appropriate medical text(s) in order to relate signs and symptoms of common diseases and disorders associated with each. c. cardiovascular and respiratory systems Standard
Lesson 3 – Suctioning the Upper Airway Suctioning Removes fluids and small objectsManual or mechanical deviceShould be performed when:Gurgling sounds are heard in airwayVisible fluid is seen in airway
Lesson 3 – Suctioning the Upper Airway Suctioning Devices All devices consist of:TubingCatheter or tipCollection containerSuction sourceTwo categoriesMounted suctioning units Portable suctioning units
Lesson 3 – Suctioning the Upper Airway Portable Suctioning Units MechanicalBatteryElectricityOxygenRemoves watery liquidsManualHand-poweredRemoves larger chunks
Lesson 3 – Suctioning the Upper Airway Suction Catheter Placed into patient’s mouth or noseTwo primary types:RigidNon-flexible plasticStraight or curvedSoftSoft, flexible plastic tubingGenerally used through nose
Lesson 3 – Suctioning the Upper Airway Suctioning Precautions Infection controlFace masks/HEPA mask, eyewear, glovesVacuum strength AdultPediatricVentilation Monitor pulse
Unit 1: Airway Management Lesson 4: Airway Adjuncts
13) Demonstrate concepts and skills of the following in a clinical/lab setting: a. Patient Positioning b. Transfers and Ambulation (including injury prevention and body mechanics) c. O2 Assessment and Administration (including fire safety) d. BLS (Basic Life Support)11) Outline the gross normal structure and function of all body systems and summarize appropriate medical text(s) in order to relate signs and symptoms of common diseases and disorders associated with each. c. cardiovascular and respiratory systems Standard
Lesson 4 – Airway Adjuncts Airway adjunct is device used to maintain a patent airway Two primary types:Oropharyngeal airway – inserted through mouthNasopharyngeal airway – inserted through nose
Lesson 4 – Airway Adjuncts Gag Reflex May be stimulated by oropharyngeal airway insertionMay cause patient to retch or vomitUsually not present if patient unconscious
Lesson 4 – Airway Adjuncts Oropharyngeal Airways Hook-shaped, hard plasticVarious sizesInserted in mouth to keep tongue from blocking airway
Lesson 4 – Airway Adjuncts Oropharyngeal Airways (continued) Guidelines for useNever use if gag reflex presentOpen airway firstMake sure airway cleared of obstructionsDon’t push tongue into pharynxBe prepared to suction
Lesson 4 – Airway Adjuncts Alternative Methods for Oropharyngeal Airways Insert airway sideways then rotate 90 degreesUse tongue blade to depress tongue & insert right-side up
Lesson 4 – Airway Adjuncts Nasopharyngeal Airways Flexible tubingInserted into nostril through nasopharynxSecondary choice useful for patients with:Gag reflexTrauma to jawClenched jawConvulsions
Lesson 4 – Airway Adjuncts Nasopharyngeal Airways (continued) Guidelines for use:Never use on patients with skull fracture, nasal injury, facial traumaOpen airway manually firstBe prepared to suction