Airway Management & Emergency Preparedness Flashcards
7 cards from real CSC practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Airway Management & Emergency Preparedness flashcards as text
A patient receiving moderate sedation develops stridor and paradoxical chest movement. The FIRST intervention should be:
Answer: Perform a jaw thrust maneuver
Jaw thrust opens the airway by displacing the tongue anteriorly and is the first-line maneuver for airway obstruction in a sedated patient.
Which capnography waveform pattern indicates a completely obstructed airway during conscious sedation?
Answer: Flat (absent) ETCO2 waveform
A flat, absent ETCO2 waveform indicates no CO2 is being exhaled, consistent with complete airway obstruction or apnea.
During conscious sedation, a patient's SpO2 drops from 99% to 88% over 2 minutes. After repositioning the airway, what is the next priority action?
Answer: Apply supplemental oxygen via face mask
Supplemental oxygen corrects hypoxemia rapidly while the cause is assessed; reversal agents are reserved for opioid/benzodiazepine-induced respiratory depression.
The maximum recommended time a sedation team should attempt bag-valve-mask ventilation before escalating to advanced airway management is:
Answer: 2–3 minutes
If BVM ventilation fails to maintain adequate oxygenation after 2–3 minutes, advanced airway intervention (LMA or intubation) is indicated.
A patient with a Mallampati Class IV airway is scheduled for a procedure requiring moderate sedation. The most important pre-procedure action is:
Answer: Ensure an anesthesiologist or provider skilled in advanced airway management is immediately available
Mallampati Class IV indicates a difficult airway; having advanced airway-skilled personnel present is the critical safety measure.
Flumazenil reverses benzodiazepine-induced respiratory depression but carries the risk of:
Answer: Re-sedation after its short duration wears off
Flumazenil has a shorter half-life than most benzodiazepines, so re-sedation can occur after 45–90 minutes, requiring continued monitoring.
Which of the following is the MOST reliable indicator that bag-valve-mask ventilation is effective during an emergency?
Answer: Visible bilateral chest rise and rising SpO2
Bilateral chest rise combined with improving pulse oximetry confirms adequate lung ventilation rather than gastric insufflation.