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17 Cards in this Set

  • Front
  • Back
What is a tracheotomy?
An incision into the trachea for the purpose of establishing an airway.
What is a tracheostomy?
A stoma that results from the tracheotomy.
What are the indications for a tracheostomy?
*Bypass an upper airway obstruction
*Facilitate removal of secretions
*Permit long-term mechanical ventilation
What is the purpose of the obturator?
To ease insertion.
Who would use a tracheostomy tube with an inflated cuff?
Patients at risk for aspiration or needs mechanical ventilation.
With a tracheostomy, when is the first tube change and who does it?
No sooner than 7 days and it is done by the MD.
If a tracheostomy tube is dislodged, what should the nurse do?
Attempt to replace it.
After the first tube change, when should a tube be changed for a tracheostomy?
Once a month.
For a patient with a tracheostomy, what should be kept at the bedside incase of an emergency?
The obturator, a new tube of the same size and one one size smaller.
What can lead to hypoxia?
*Poor coronary circulation
*Decreased cardiac output
*Blood alterations
*Lifestyle choices
What is the most commonly used oxygen administration device?
Nasal Cannula
Should a patient with COPD have a partial rebreathing mask?
No.
Which mask can deliver precise high flow rates of o2?
Venturi mask.
What are signs of hypoxia?
*Rapid pulse
*Rapid shallow respriations and dyspnea
*Increase restlessness or light headedness
*Flaring of the nare
*Substernal or intercostal reactions
*Cyanosis
*Confusion
What are some primary indications of respiratory compromise?
*Abnormal breath sounds
*Accessory muscle use
*Cyanosis
*Clubbing
Which o2 mask is going to give the highest concentration of o2?
Nonrebreater mask.
Should the suction be set to continuous or intermittent when suctioning?
Continuous.