Trauma Nursing Core Course (TNCC) - 9th Edition, Exams of Nursing

Download Trauma Nursing Core Course (TNCC) - 9th Edition and more Exams Nursing in PDF only on Docsity! Trauma Nursing Core Course (TNCC)- 9th Edition Rated A+ 2024 Can an oropharyngeal airway be used in someone with a gag reflex? - ANSWER-No ETCO2 level indicating effective ventilation - ANSWER-35-45 mm (Greater than 50 signifies depressed ventilation How do you assess breathing? - ANSWER-Expose the patient's chest and inspect for the following: Spontaneous breathing Symmetrical chest rise and fall Depth, pattern and rate of resps Work of breathing (accessory muscles, pursed lip, diaphragmatic breathing) Skin colour Contusions, abrasions, deformities Open pneumothorax JVD Signs of inhalation injuries How to assess for proper placement of a definitive airway (3 steps) - ANSWER-1. Attach CO2 detector (assess for presence of CO2 after 5-6 breaths) 2. Adequate rise/fall of chest with assisted ventilation 3. Auscultate for gurgling over epigastrium and presence of bilateral breath sounds. If an airway is patent, what is the goal? - ANSWER-Focusing efforts at maintaining and supporting a patent airway (Pt may be allowed to assume position that facilitates better air exchange so long as no CSI is suspected) In a patient who is unable to open their mouth or unresponsive, how do we assess the airway? - ANSWER-Jaw- thrust maneuver is performed to open airway and mouth to assess for obstruction List some conditions or situations that would require definitely secured airway - ANSWER-Apnea GCS of 8 or less Severe maxillofacial fractures Evidence of inhalation injury Laryngeal or tracheal injury or neck hematoma High risk of aspiration and patient unable to protect airway Compromised or ineffective ventilation