What does it mean when a patient is protecting their airway?

It is endangered by blood, secretions, vomitus, inflamed tissue, or a foreign body. If you insert a tube from the outside to the inside to open up the upper airways and the patient doesn’t need supplemental oxygen or increased ventilation, then that is airway protection.

How would you assess if a patient is protecting airway?

PATENCY is assessed through the presence/absence of obstructive symptoms (stridor, secretions, snoring, etc.), or findings suggesting an airway that may become obstructed (singed nasal/facial hair, carbonaceous sputum, stab to neck with risk of expanding hematoma).

How does the nurse know when a patient’s airway needs to be protected?

Check your patient’s level of consciousness as a measure of airway patency. A patient with a Glasgow Coma Scale (GCS) score of less than or equal to 8 is someone you should be more aggressive with, because the patient has an inability to protect their own airway.

Why is it important to protect the airway?

The airway is the most important priority in the management of the severely injured patient. It is essential to open and clear the airway to allow free access of air to the distal endobronchial tree.

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Which of the following is an example of an advanced airway?

Advanced Airway

Examples are supraglottic devices (laryngeal mask airway, laryngeal tube, esophageal-tracheal) and endotracheal tube.

How do you assess a difficult airway?

A large mandible can also attribute to a difficult airway by elongating the oral axis and impairing visualization of the vocal cords. The patient can also be asked to open their mouth while sitting upright to assess the extent to which the tongue prevents the visualization of the posterior pharynx.

What is the main problem with positive pressure ventilation?

Positive pressure ventilation causes decreased cardiac output by decreasing venous return (worsened with high PEEP). PPV also compresses the pulmonary vasculature leading to reduced right ventricular output. This in turn leads to reduced left cardiac output.

Why record keeping is important in nursing?

It also ensures that the professional and legal standing of nurses are not undermined by absent or incomplete records, if they are called to account at a hearing. Good record-keeping promotes better communication as well as continuity, consistency, and efficiency, and reinforces professionalism within nursing.

What are the signs of a patent airway?

If the patient responds in a normal voice, then the airway is patent. Airway obstruction can be partial or complete. Signs of a partially obstructed airway include a changed voice, noisy breathing (eg, stridor), and an increased breathing effort.