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This is the procedure for inserting the nasopharyngeal airway:

  • Is the nasal canal clear? Make sure nose is not broken and remove any obstructions.
  • Can you rule out basal skull fracture?
  • Measure victim for size needed and select the appropriate airway. Measure the NPA from the corner of the nare to the tip of the earlobe to get the correct size. an NPA that is too large may obstruct the airway, and one which is too small may not be effective.
  • Apply water-based lubricant. There should be lubricant packed with the airway
  • Insert airway into R nostril: starting at 90 degrees, use a twisting motion as you move down to a 45 degree angle.
  • Ventilate the victim.
NOTE: nasopharyngeal airways are CONTRAINDICATED in severe head or facial injuries (bruising behind the ears, raccoon eyes, blood or clear fluid leaking out of the ears or nose), patients on anticoagulants, patients with nasal infections, and patients with nasal deformities.
Lubricate the outside of the tube with a water-based lubricant.
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Q: What are the steps before the insertion of the nasopharyngeal airway?
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What steps should you follow to when preforming the jaw-thrust airway technique on a suspected head neck or spinal injury victim?

(The nasopharyngeal airway device is another method to insure the airway is open.) Grasp the angles of the victim's lower jaw and lift with both hands, one on each side, displacing the jaw forward and up. Your elbows should rest on the surface where the victim is lying. If the lips close, the lower lip can be opened with your thumb. If mouth-to-mouth is necessary, close the nostrils by placing your cheek against them. The victims head should be carefully supported without tilting it backwards or turning it from side to side. If this is unsuccessful, the head should be tilted back very slightly. The jaw-thrust is the safest approach to opening the airway of a victim who has a possible neck injury because it can be accomplished without extending the neck.