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Hangin
Hangin
Cognitive Objectives
(1 of 5)
2-1.1 Name and label the major structures of the respiratory system on a diagram.
Cognitive Objectives
(2 of 5)
2-1.7 State the importance of having suction ready for immediate use when providing emergency care.
2-1.10 Describe the steps in performing the skill of artificially ventilating a patient with a bag-valve-mask device while using the jaw-thrust maneuver.
Cognitive Objectives
(3 of 5)
2-1.11 List the parts of the bag-valve-mask system. 2-1.12 Describe the steps in performing the skill of artificially ventilating a patient with a bag-valve-mask device for one and two rescuers. 2-1.13 Describe the signs of adequate artificial ventilation using the bag-valve-mask device. 2-1.14 Describe the signs of inadequate artificial ventilation using the bag-valve-mask device. 2-1.15 Describe the steps in ventilating a patient with a flow-restricted oxygen-powered ventilation device.
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Cognitive Objectives
(4 of 5)
2-1.16 List the steps in performing the actions taken when providing mouth-to-mouth and mouth-to-stoma ventilation. 2-1.17 Describe how to measure and insert oropharyngeal (oral) airway. 2-1.18 Describe how to measure and insert a nasopharyngeal (nasal) airway. 2-1.19 Define the components of an oxygen delivery system.
2-1.20 Identify a nonrebreathing face mask and state the oxygen flow requirements needed for its use.
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Cognitive Objectives (5 of 5)
2-1.21 Describe the indications for using a nasal cannula versus a nonrebreathing face mask. 2-1.22 Identify a nasal cannula and state the flow requirements needed for its use.
Affective Objectives
2-1.23 Explain the rationale for basic life support, artificial ventilation, and airway protective skills taking priority over most other basic life support skills. 2-1.24 Explain the rationale for providing adequate oxygenation through high inspired oxygen concentrations to patients who, in the past, may have received low concentrations.
Psychomotor Objectives (1 of 4)
2-1.25 Demonstrate the steps in performing the head tiltchin lift maneuver. 2-1.26 Demonstrate the steps in performing the jawthrust maneuver. 2-1.27 Demonstrate the techniques of suctioning. 2-1.28 Demonstrate the steps in providing mouth-tomouth artificial ventilation with body substance isolation (barrier shields). 2-1.29 Demonstrate how to use a pocket mask to artificially ventilate a patient.
Psychomotor Objectives (2 of 4)
2-1.30 Demonstrate the assembly of a bag-valve-mask unit. 2-1.31 Demonstrate the steps in performing the skill of artificially ventilating a patient with a bag-valve-mask device for one and two rescuers. 2-1.32 Demonstrate the steps in performing the skill of artificially ventilating a patient with a bag-valve-mask device while using the jaw-thrust maneuver. 2-1.33 Demonstrate artificial ventilation of a patient with a flow-restricted, oxygen-powered ventilation device.
Psychomotor Objectives (3 of 4)
2-1.34 Demonstrate how to artificially ventilate a patient with a stoma. 2-1.35 Demonstrate how to insert an oropharyngeal (oral) airway. 2-1.36 Demonstrate how to insert a nasopharyngeal (nasal) airway. 2-1.37 Demonstrate the correct operation of oxygen tanks and regulators. 2-1.38 Demonstrate the use of a nonrebreathing face mask and state the oxygen flow requirements needed for its use.
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Psychomotor Objectives (4 of 4)
2-1.39 Demonstrate the use of a nasal cannula and state the flow requirements needed for its use. 2-1.40 Demonstrate how to artificially ventilate the infant and child patient. 2-1.41 Demonstrate oxygen administration for the infant and child patient.
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Additional Objectives*
1. Describe how to perform the Sellick maneuver (cricoid pressure). 2. Explain the rationale for applying cricoid pressure. 3. Demonstrate how to perform the Sellick maneuver (cricoid pressure).
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Anatomy Review
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Gas Exchange
Inhalation delivers oxygenrich air to alveoli. Oxygen diffuses into the blood. Breathing is primarily adjusted by the level of carbon dioxide in the blood.
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Hypoxia
Not enough oxygen for metabolic needs Develops when patient is: Breathing inadequately Not breathing
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Signs of Hypoxia
Nervousness, irritability, and fear Tachycardia Mental status changes Use of accessory muscles for breathing
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Shock
Lung disease Asthma Premature birth
Stroke
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Jaw-Thrust Maneuver
Kneel above patients head. Place fingers behind angle of jaw. Use thumbs to keep mouth open.
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4. With the bevel turned toward the septum, insert the airway.
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Suctioning Equipment (1 of 2)
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Suction Equipment (2 of 2)
Suctioning Technique (1 of 2)
Check the unit and turn it on. Select and measure proper catheter to be used. Open the patients mouth and insert tip. Suction as you withdraw the catheter.
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Suctioning Technique (2 of 2)
1 2
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Recovery Position
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Supplemental Oxygen
All patients in cardiac arrest should get oxygen. Any patient with a respiratory or cardiac emergency needs oxygen. Never withhold oxygen from anyone who may benefit from it.
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Oxygen Flowmeters
Pressure-compensated flowmeter Affected by gravity; must be kept upright Bourdon-gauge flowmeter Not affected by gravity; can be used in any position
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Hazards of Oxygen
Oxygen supports combustion. Keep possible ignition sources away from the area. Oxygen tanks are under high pressure.
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Methods of Ventilation
Mouth to mask Two-person BVM device Flow restricted, oxygen powered device One-person BVM device
Bag-valve-mask
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Bag-valve-mask
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Mouth-to-Mask Technique (1 of 2)
Kneel at patients head and open airway. Place the mask on the patients face. Take a deep breath and breathe into the patient for 1 1/2 to 2 seconds. Remove your mouth and watch for patients chest to fall.
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Mouth-to-Mask Technique (2 of 2)
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Bag-Valve-Mask Device
Can deliver more than 90% oxygen Delivers less tidal volume than mouth-to-mask Requires practice to be proficient May be used with advanced airways
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Bag-Valve-Mask Components
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Sellick Maneuver
Use on unconscious patients to prevent gastric distention.
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Gastric Distention
Artificial ventilation fills stomach with air. Occurs if ventilations are too forceful or too frequent or when airway is blocked May cause patient to vomit
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Recognizing an Obstruction (1 of 2)
Obstruction may be partial or complete.
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Removing an Obstruction (2 of 2)
Perform Heimlich maneuver. Use suction if needed. If attempts to clear the airway are unsuccessful, transport rapidly.
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