Question

How does one properly measure for placement of a Nasopharyngeal airway (NPA)?

Answer 1

To properly measure for placement of a Nasopharyngeal airway (NPA), follow these steps: gather equipment, position the head, select the appropriate size, lubricate the NPA, insert gently, check for proper placement, secure in place, monitor patient's condition.

Step-by-step explanation:

To properly measure for placement of a Nasopharyngeal airway (NPA), several steps should be followed:

1. Gather the necessary equipment, including an appropriately sized NPA, water-soluble lubricant, and a suction device.
2. Position the patient's head in a neutral position with the neck slightly extended. This helps align the airway passage for easy insertion.
3. Select the appropriate size of NPA based on the patient's age and size. The NPA should be measured from the nostril to the tragus of the ear or from the nostril to the earlobe.
4. Lubricate the NPA with the water-soluble lubricant to facilitate smooth insertion. Avoid using petroleum-based lubricants as they can deteriorate the NPA material.
5. Gently insert the NPA into the patient's nostril, directing it towards the back of the throat. Rotate the NPA as you insert, following the natural curve of the nasal passage.
6. Continue inserting the NPA until the flange rests against the patient's nostril.
7. Check for proper placement by ensuring that the NPA is not obstructed by any nasal structures and that it allows for appropriate airflow.
8. Secure the NPA in place using tape or a securing device to prevent dislodgement during patient movement.
9. Monitor the patient's condition and ensure that the NPA remains in the correct position throughout the duration of its use.