ACLS Review
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6 <strong>ACLS</strong> (Advanced Cardiac Life Support) <strong>Review</strong> ...<br />
❍ You are adequately ventilating a patient when , , and .<br />
The chest rises and falls with each ventilation, the rate is appropriate to the age, and the heart rate returns to normal.<br />
❍ Artificial ventilation is inadequate when , , and .<br />
The chest does not rise and fall with ventilation, the rate is too slow or too fast for the age of the patient, and the<br />
heart rate does not return to normal.<br />
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What is the most common technique for opening the airway?<br />
The head-tilt/chin-lift maneuver.<br />
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What technique would you use for opening the airway when you suspect spinal injury?<br />
The jaw-thrust maneuver.<br />
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After performing the head-tilt/chin-lift, you note secretions in the patient’s oropharynx. What do you do?<br />
Suction.<br />
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What is the purpose of suctioning?<br />
Remove blood, other liquids, and food from the airway.<br />
What kinds of things may suctioning prove inadequate to remove?<br />
Teeth, foreign bodies, food.<br />
You are bagging a patient and hear a gurgling sound with each ventilation. What should you do?<br />
Suction.<br />
What two types of portable suction devices are there?<br />
Electrical and hand operated.<br />
What two types of suction catheters are there?<br />
Hard or rigid (tonsil tip) and soft (French).<br />
How far should you insert a rigid catheter when suctioning?<br />
Only as far as you can see.<br />
When might you use a soft suction catheter rather than a rigid?<br />
To suction the nasopharynx, endotracheal tubes.<br />
How far should you insert a soft catheter into the pharynx?<br />
Only as far as the base of the tongue.
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