Final answer:
Immediately after inserting an OPA or NPA, check for proper placement, signs of improved airway patency, correct sizing, and for any signs of distress. Continuous monitoring of ABCs is essential for ensuring the safety and effectiveness of the airway adjunct.
Step-by-step explanation:
After the insertion of an OPA (oropharyngeal airway) or NPA (nasopharyngeal airway), it is crucial to immediately check for proper placement and patient response. This includes monitoring for signs of improved airway patency, such as reduced snoring or gurgling sounds, and observing for any signs of gagging or distress with an OPA in conscious patients. In addition, verifying that the OPA or NPA does not cause obstruction itself and checking for correct sizing are of high importance.
For an OPA, ensure the device is seated with the flange resting against the patient's lips and no evidence of airway obstruction. For an NPA, confirm that the flared end is outside the nostril, and that there's no bleeding or injury caused by insertion. Lastly, continuous monitoring of the patient's airway, breathing, and circulation (ABCs) is essential to ensure ongoing efficacy and safety of the airway adjunct.
It is also important to reassess the patient's need for the airway device as their condition evolves. Any changes in the patient's level of consciousness or airway status may require readjustment or removal of the device.