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AIRWAY MANAGEMENT

AIRWAY MANAGEMENT. Respiration Adequate Breathing Inadequate Breathing Patient Assessment Techniques of Artificial Ventilation Mouth to Mask BVM Airway Adjuncts OP NP Suctioning Oxygen Therapy Oxygen Administration Hypoxia Oxygen Therapy Equipment Special Considerations.

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AIRWAY MANAGEMENT

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  1. AIRWAY MANAGEMENT

  2. Respiration • Adequate Breathing • Inadequate Breathing • Patient Assessment Techniques of Artificial Ventilation Mouth to Mask BVM • Airway Adjuncts OP NP • Suctioning • Oxygen Therapy Oxygen Administration Hypoxia Oxygen Therapy Equipment Special Considerations

  3. Nose/mouth – pharynx/oropharynx – Larynx – Trachea – Bronchi – Bronchioles – Lungs- Alveoli

  4. The intercostal muscles and the diaphragm contract, increasing the size of the thoracic cavity. The diaphragm moves slightly downward, the ribs move upward/outward and air flows into the lungs Inhalation Exhalation is the reverse ALL IS NORMAL BASED ON………

  5. Rate Rhythm Quality Depth 12-20 regular breath adequate sounds Skin is warm/pink/dry

  6. Minute Volume • The amount of air move through the lungs in one minute • The higher the Minute Volume the more CO2 is being released • And the opposite is true

  7. Normal Minute Volume 12bpm x 500 mL – 150 mL/bpm dead space= 4200mL/minute Dead space is air that does not take part in gas exchange

  8. INADEQUATE BREATHING • Respiratory Distress • Respiratory Failure • Respiratory Arrest

  9. Inadequate Breathing Defined Depth of breathing and rate fall outside normal limits

  10. Signs of Inadequate Breathing • Rate, rhythm, quality • Skin color Cyanosis • Use of Accessory Muscles • Abnormal sounds Rales, Ronchi, Stridor, Wheezes

  11. Considerations for Infants/Children • Retractions Above the clavicles and between & below the ribs • Nasal Flaring

  12. Respiratory Distress • Increased work of breathing • Sensation of shortness of breath

  13. Respiratory Failure • The reduction of breathing to the point where oxygen intake is not sufficient to support life

  14. Respiratory Arrest

  15. Patient Assessment Rate Rhythm Quality 12-20 Regular Depth (minute volume) None Too Fast Too Slow

  16. Airway management: • Unconscious Open Airway Airway Adjunct Breathe Mouth to Mask with O2 BVM with O2 Airway adjunct Airway Suction

  17. Airway Adjuncts Op airway Np airway

  18. Airway devices Combi Tube King Airway

  19. Suctioning

  20. Conscious Oxygen Therapy Nasal Canulae Non-Rebreather

  21. Oxygen Therapy (administration) Examples requiring O2 administration: • Respiratory or cardiac arrest • Heart attack • Stroke • Shock • Blood loss • Lung disease • Broken bones • Head injuries

  22. Hypoxia • An insufficiency of oxygen to the body’s tissues • Smoke Inhalation Emphysema Stoke Heart Attack

  23. Cyanosis • AMS Brain is deprived of oxygen Restlessness

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