Airway Management & Emergency Preparedness Flashcards
7 cards from real CSC practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Airway Management & Emergency Preparedness flashcards as text
A patient develops laryngospasm during recovery from conscious sedation. The INITIAL treatment is:
Answer: Firm jaw thrust with continuous positive airway pressure via tight-fitting mask
Laryngospasm 'notch' pressure (firm jaw thrust) combined with CPAP via tight-seal mask breaks mild-to-moderate laryngospasm before pharmacologic intervention is required.
Which of the following is a recognized risk factor for difficult bag-valve-mask ventilation during conscious sedation emergencies? (Use the MOANS mnemonic)
Answer: Presence of a beard
A beard (B in MOANS) prevents a proper mask seal, making BVM ventilation difficult; dentures, obesity, age >55, and snoring/stiff lungs are the other risk factors.
A sedated patient begins regurgitating gastric contents. The IMMEDIATE nursing response is:
Answer: Turn the patient to a lateral (recovery) position and suction the oropharynx
Lateral positioning uses gravity to drain vomitus away from the airway while suction clears the oropharynx, reducing aspiration risk.
When performing ventilation with a BVM during a sedation emergency, what tidal volume and rate should be targeted for an adult?
Answer: 500–600 mL at 10–12 breaths/min
Current BLS guidelines recommend 500–600 mL tidal volume (visible chest rise) at 10–12 breaths/min to minimize gastric insufflation and barotrauma.
Which patient presentation during conscious sedation most URGENTLY requires activating the emergency response system?
Answer: Unresponsiveness, absent breathing, and no palpable pulse
Unresponsiveness with absent breathing and no pulse constitutes cardiac arrest and mandates immediate emergency response activation and CPR.
The 'sniffing position' used to optimize airway alignment for mask ventilation in adults combines:
Answer: Atlanto-occipital extension with slight cervical flexion
The sniffing position aligns the oral, pharyngeal, and tracheal axes by extending the atlanto-occipital joint while mildly flexing the lower cervical spine on a pillow.
Crash cart equipment verification during a sedation unit's daily safety check should ALWAYS include confirming the presence of:
Answer: A functioning defibrillator with charged pads, ACLS drugs, and intubation equipment
The crash cart must contain a working defibrillator, ACLS medications (epinephrine, amiodarone, atropine), and intubation supplies for life-threatening emergencies.