SUCTION IT UP!
AIRWAY ANATOMY
TUBES AND CUFFS
TROUBLE IN THE AIRWAY
RT DECISIONS
100

This is the primary reason an RT performs tracheal suctioning.

What is removal of retained airway secretions?

100

This artificial airway enters through the mouth and ends in the trachea.

What is an orotracheal tube?

100

This component of an ETT helps the clinician assess cuff inflation and pressure.

What is the pilot balloon?

100

This complication occurs when an artificial airway becomes blocked by thick secretions

What is mucus plugging?

100

Should an RT suction a patient because two hours have passed and the order says to?

What is no- suction only when assessment indicates a need?

200

According to chapter 37, suction should be applied for less than this many seconds.

What is 15 seconds?
200

This pharyngeal airway prevents the tongue from obstructing the airway in an unconscious patient. 

What is an oropharyngeal airway (OPA)?

200

This is the recommended cuff pressure range for a tracheal airway.

What is 20-30cm H2O?

200

This monitoring method measures exhaled CO2 to help confirm tracheal tube placement. 

What is capnography?

200

This is the main reason patients with artificial airways require additional humidification

What is bypassing the upper airway's natural heating and humidification?

300

This oxygen concentration is recommended for preoxygenating adults before suctioning.

What is 100% oxygen?

300

This airway can reduce nasal trauma when frequent nastotracheal suctioining is needed.

What is a nasopharyngeal airway (NPA)?

300

This is the purpose of the stylet used during intubation.

What is adding shape and rigidity to help guide ETT insertion?

300

After intubation, the capnogram shows almost no exhaled CO2. You should suspect this tube placement problem.

What is esophageal intubation?

300

Before removing an ETT, this inflatable part must be completely deflated.

What is the cuff?

400

A patient develops a sudden arrhythmia during suctioning. This is what an RT should do immediately.

What is stop suctioning and administer oxygen?

400

This is the name for the surgically created opening in the neck leading into the trachea.

What is a tracheostomy?

400
The ETT tip should be positioned approximately this far above the carina. 
What is 3-6cm above the carina?
400

This is the reason cuff pressures that are too high can cause tracheal injury

What is impaired tracheal mucosa blood flow/

400

A patient needs an artificial airway for an extended period. What procedure may be indicated?

What is a tracheostomy?

500

An intubated patient has an 8.0mm ETT. Using the formulas given in chapter 37, calculate the suction catheter size in French units.

What is a 14Fr? (8x3 /2=12; choose the next larger available french size)

500

During a traditional surgical tracheotomy, the incision into the trachea is typically made at this location.

What is through or between the second and third tracheal rings?

500

A ventilated patient suddenly has a lower delivered tidal volume, and you suspect a cuff leak. You should investigate these things.

What are the cuff, pilot balloon, and pilot valve?

500

A ventilated patient has suddenly diminished breath sounds and airflow, and air is escaping through the mouth. You expect this airway emergency.

What is partial or accidental extubation (ETT displacement)?

500

During extubation, name four important steps the RT should complete before and after removing the tube.

-Suctioning ETT and oropharynx, oxygenating, deflating the cuff, removing the tube, applying appropriate oxygen/humidity, and reassessing the patient