Transcript 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
Nose/mouth – pharynx/oropharynx – Larynx –
Trachea – Bronchi – Bronchioles – LungsAlveoli
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………
Rate
Rhythm Quality
Depth
12-20regular
breath
adequate
sounds
Skin is warm/pink/dry
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

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
INADEQUATE BREATHING
 Respiratory Distress
 Respiratory Failure
 Respiratory Arrest
Inadequate Breathing Defined
Depth of breathing and rate fall outside normal
limits
Signs of Inadequate Breathing
 Rate, rhythm, quality
 Skin color
Cyanosis
 Use of Accessory Muscles
 Abnormal sounds
Rales, Ronchi, Stridor, Wheezes
Considerations for Infants/Children
 Retractions
Above the clavicles and between & below
the ribs
 Nasal Flaring
Respiratory Distress
 Increased work of breathing
 Sensation of shortness of breath
Respiratory Failure
 The reduction of breathing to the point where
oxygen intake is not sufficient to support life

Respiratory Arrest
Patient Assessment
Rate
Rhythm
Quality
12-20Regular
Depth (minute volume)
None
Too Fast
Too Slow
Airway management:
 Unconscious
Open Airway
Airway Adjunct
Breathe
Mouth to Mask with O2
BVM with O2
Airway adjunct
Airway
Suction
Airway Adjuncts
Op airway
Np airway

Airway devices
Combi Tube
King Airway


Suctioning
Conscious
Oxygen Therapy
Nasal Canulae
Non-Rebreather

Oxygen Therapy (administration)
Examples requiring O2 administration:
 Respiratory or cardiac arrest
 Heart attack
 Stroke
 Shock
 Blood loss
 Lung disease
 Broken bones
 Head injuries
Hypoxia
 An insufficiency of oxygen to the body’s tissues
 Smoke Inhalation
Emphysema
Stoke
Heart Attack


Cyanosis
AMS
Brain is deprived of oxygen
Restlessness