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21 Cards in this Set
- Front
- Back
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CARE OF TRACHEOSTOMY
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Manage secretions with sterile suctioning
Oxigenate first |
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PHARMACOLOGY
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oxigen
antibiotics and antivirals bronchodilators mast cell inhibitors corticosteroids diuretics antihistamines |
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TRACHEA CARE
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Assess pt regularly for excess secretions and suctioning as necesary
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TRACHEA CARE II
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assess pt for sanguineous exudante, edema, and respiratory obstruction
position pt n semi flower position |
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TRACHEA CARE III
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ascultate lungs.
pour clean solution in one basin, secon basin normal saline maximun suction is 10sec. |
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CHEST TUBES
PNEUMOTHORAX |
spontaneous
trauma open /c;lose tension |
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CHEST TUBES
WARTER SEAL CHAMBER |
allows air to escape upon exhalation, but does not new air to enter (you will see movement of water up n down in the chamber
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CHEST TUBES
SUCTION CHAMBER |
uses water in the chamber to create a draw with negative pressure.
speeds drainage of fluid from pleural space |
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CHEST TUBES
DRAINAGE CHAMBER |
measure level every shift
if turns bloody or increase in quantity suddenly notify RN/MD |
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CHEST TUBES
NURSING ASSESSMENT |
Observ resp. rate effort and symetry
SOB auscultate monitor sressing reinforce dont change assess amount of drainage |
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NG TUBES (NASO GRASTRIC TUBES)
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RATIONALES:excesive vomiting , stomach compression, unsafe swallow
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NG TUBE RISK
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Aspiration
tube migration dumping infection acid leaking |
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GTUBE PLACEMENT
RATIONALES |
dysphagia,
fatigue loss of reconigtion or ability to feed self surgical loss of stomach |
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G-TUBE SAFETY
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check placement
check residual clean site client upright |
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MEDICTIONS VIA NG OR G-TUBE
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ONE med at time
flush between be sure crush troughly and disolve in water |
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GI CARE ACUTE OR POST OP
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t-drains
dehiscence / eviseration new ostomies |
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DRUGS AFFECTING THE G SYSTEM
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antidiarrheals and lexatives
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WHICH METODO WILL DETERMINE THE CORRECT DISTANCE TO INSERT A NASOGASTRIC TUBE?
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measure from tip of nose to tip of earlobe to end of sternum
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AFTER INSERTING A NG-TUBE IT IS POSSIBLE TO BE CERTAIN IT'S IN THE PROPER PLACE IF
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gastric contents are aspirate with cone tipped syringe
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A PT WITH TROATH CNCER IS 2 DAYS POST OP HAS TRACHEOSTOMY. WICH PART OF THE TRACH IS REMOVED FOR CLEANNIG?
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inner canula
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WHAT SFETY PRECAUCION MUST BE TAKEN FOR A PT WHO HAS A TRACHEOSTOMY TUBE?
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keep curve hemostat at the bedside
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