NF3 Module 10: Management and Care of an
Established Tracheostomy Exam with Correct
Answers
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Terms in this set (21)
· Congenital - cysts
· Infective
· Malignancy - tumors
· Trauma - chemical, inhalation, corrosive fluid,
gunshot, knife wounds, spinal injury above C5 might
why patients may require a
need one, above C2 will need
tracheostomy tube
· Vocal cord paralysis
· Foreign body
· Neuromuscular disease
· Anaphylaxis
Can be permanent or temporary
· To ensure airway patency by keeping the tube free
Goals of care with a from mucus buildup
tracheostomy tube · Maintain mucous membrane and skin integrity
· Prevent infectionProvide psychological support
· Respiratory rate
· Gurgling (secretions)
· Adventitious sounds
Assessment for a client
· Sp02
with a tracheostomy tube
· Restlessness
· Coughing without clearing expectorations
· Cyanosis
, · Bleeding
· Pneumothorax
· Atelectasis
· Subcutaneous Emphysema
Possible complications
· Respiratory Arrest
within 72 hours:
· Airway Obstruction
· Tracheitis
· Cuff herniation
· Cuff over inflation
· Infection - most common
· Tube displacement
Possible Complications · Tracheal damage
· Aspiration
· Accidental de-cannulation
To improve O2 and CO2 exchange in the lungs by
removing excessive mucous secretions. Use sterile
Suctioning:
technique: Avoid introducing pathogens into the
airway
· Explain procedure thoroughly
· Communication tool/technique with patient
· Sterile catheter/clean gloves/sterile solution
· Attach suction catheter & test before initial suction
· Position patient semi or high Fowler's
Suctioning a tracheostomy · Clear the airway with the least amount of tracheal
tube irritation
· Limit suction time to total of 10-15 seconds
· Set suction 100-150 mm Hg (adults)
· Occlude suction port ON WAY OUT
· Twisting/rolling motion as exiting and suctioning
· At least 30 seconds between suction attempts
Established Tracheostomy Exam with Correct
Answers
Save
Terms in this set (21)
· Congenital - cysts
· Infective
· Malignancy - tumors
· Trauma - chemical, inhalation, corrosive fluid,
gunshot, knife wounds, spinal injury above C5 might
why patients may require a
need one, above C2 will need
tracheostomy tube
· Vocal cord paralysis
· Foreign body
· Neuromuscular disease
· Anaphylaxis
Can be permanent or temporary
· To ensure airway patency by keeping the tube free
Goals of care with a from mucus buildup
tracheostomy tube · Maintain mucous membrane and skin integrity
· Prevent infectionProvide psychological support
· Respiratory rate
· Gurgling (secretions)
· Adventitious sounds
Assessment for a client
· Sp02
with a tracheostomy tube
· Restlessness
· Coughing without clearing expectorations
· Cyanosis
, · Bleeding
· Pneumothorax
· Atelectasis
· Subcutaneous Emphysema
Possible complications
· Respiratory Arrest
within 72 hours:
· Airway Obstruction
· Tracheitis
· Cuff herniation
· Cuff over inflation
· Infection - most common
· Tube displacement
Possible Complications · Tracheal damage
· Aspiration
· Accidental de-cannulation
To improve O2 and CO2 exchange in the lungs by
removing excessive mucous secretions. Use sterile
Suctioning:
technique: Avoid introducing pathogens into the
airway
· Explain procedure thoroughly
· Communication tool/technique with patient
· Sterile catheter/clean gloves/sterile solution
· Attach suction catheter & test before initial suction
· Position patient semi or high Fowler's
Suctioning a tracheostomy · Clear the airway with the least amount of tracheal
tube irritation
· Limit suction time to total of 10-15 seconds
· Set suction 100-150 mm Hg (adults)
· Occlude suction port ON WAY OUT
· Twisting/rolling motion as exiting and suctioning
· At least 30 seconds between suction attempts
