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Airway Management Flashcards

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  1. A patient in status epilepticus requires airway management. After establishing BVM ventilation, which RSI induction agent is MOST appropriate?

    Answer: Ketamine

    Ketamine provides induction, analgesia, and has anticonvulsant properties, making it particularly appropriate for seizure patients requiring RSI.

  2. After inserting an oropharyngeal airway (OPA), the patient begins to gag and vomit. What is the CORRECT action?

    Answer: Remove the OPA immediately and place patient in recovery position

    An OPA triggering a gag reflex indicates the patient has protective airway reflexes and the device should be removed to prevent aspiration.

  3. What is the PRIMARY advantage of using video laryngoscopy over direct laryngoscopy?

    Answer: Improved glottic visualization without requiring direct line of sight

    Video laryngoscopy provides a magnified, indirect view of the glottis on a screen, improving visualization especially in difficult airways.

  4. A patient has severe trismus from a seizure and cannot open the mouth. Which airway device is MOST appropriate?

    Answer: Nasopharyngeal airway

    A nasopharyngeal airway (NPA) can be inserted through the nose without requiring mouth opening, making it ideal when trismus prevents oral access.

  5. During BVM ventilation of a cardiac arrest patient, which rate is recommended for ventilation after an advanced airway is placed?

    Answer: 1 breath every 6 seconds (10/min)

    Once an advanced airway is secured during CPR, ventilations should be delivered at 10 breaths/min (1 every 6 seconds) without pausing compressions.

  6. Which is the MOST common complication of prolonged bag-valve-mask ventilation without a gastric tube?

    Answer: Gastric distension and aspiration risk

    Positive pressure from BVM ventilation frequently forces air into the stomach, causing distension that elevates the diaphragm and increases aspiration risk.

  7. A patient requiring rapid sequence intubation is hypertensive and tachycardic with head trauma. Which induction agent is RELATIVELY contraindicated?

    Answer: Ketamine

    Ketamine increases intracranial pressure via sympathomimetic effects, making it relatively contraindicated in isolated head trauma with elevated ICP.