Question

What is the first thing you should do before inserting a nasopharyngeal airway?

A. Make sure the patient does not have a gag reflex.
B. Look up the nose to make sure the nostrils are large enough for a nasopharyngeal airway.
C. Select the correct size.
D. Tilt the head back, lube the airway, and insert it into the nostril.

Answer 1

Before inserting a nasopharyngeal airway, the first step is to select the correct size by measuring from the nostril to the earlobe. This ensures proper fitting and patient safety. Assess for contraindications and follow up with lubrication and correct insertion technique.

Step-by-step explanation:

The first thing you should do before inserting a nasopharyngeal airway (NPA) is to select the correct size. This is critical to ensure the airway fits properly and is safe for the patient. Choosing the correct size involves measuring from the patient's nostril to the earlobe, which gives the approximated length of the airway needed. This step precedes testing for a gag reflex (to decide between an oral or nasopharyngeal airway), ensuring the nostrils are large enough, and lubricating the airway for a smooth insertion.

It is also essential to assess the patient's ability to maintain an open airway and to ensure they do not have any conditions or injuries that would contraindicate the use of an NPA, such as a basal skull fracture. Only after the correct size has been chosen, and contraindications have been ruled out, should one proceed with lubrication and insertion of the nasopharyngeal airway, following established medical procedures.