Study your flashcards anywhere!

Download the official Cram app for free >

  • Shuffle
    Toggle On
    Toggle Off
  • Alphabetize
    Toggle On
    Toggle Off
  • Front First
    Toggle On
    Toggle Off
  • Both Sides
    Toggle On
    Toggle Off
  • Read
    Toggle On
    Toggle Off

How to study your flashcards.

Right/Left arrow keys: Navigate between flashcards.right arrow keyleft arrow key

Up/Down arrow keys: Flip the card between the front and back.down keyup key

H key: Show hint (3rd side).h key

A key: Read text to speech.a key


Play button


Play button




Click to flip

18 Cards in this Set

  • Front
  • Back

Assignment 6

white clinical lab competencies

Chapter 18 page 380 to 392, questions

Nasotracheal intubation

More difficult than orotracheal intubation

Performed either blindly or with visualization

(can use magill forcepts and laryngoscope)

:direct visualization requires either standard or fiberoptic laryngoscope

Steps for nasotracheal intubation are similar to those of orotracheal intubation

Extubation decannulation

Extubation: process of removing oral or nasal endotracheal airway

Decannulation: process of removing trachesotomy tube

Assess patients readiness for extubation or decannulation

:original problem is no longer present

:quantity and thickness of secretions

:upper airway patency

:presence of intact gag reflex

:Ability to clear airway secretions

Extubation Procedure

Assemble equipment

Towel, scissors, gloves, suction, O2 device, syringe

explain procedure to patient

Pre oxygenate patient, remove ETT tape

Suction oropharynx

Extubation procedure

Insert catheter

:instruct patient to "take a deep breath" when instructed (count to 3 etc)

Deflate the cuff and remove the tube swiftly

:applying suction throughout withdrawal

Apply O2 auscultate lungs and neck for stridor

Check SpO2, instruct patient to deep breath and cough

Steps of extubation

Step 1 assemble needed equipment

Step 2 suction endotracheal tube and pharynx above cuff

Step 3 oxygenate patient

Step 4 deflate cuff

Step 5 remove tube while applying suction as you withdrawl

Step 6 apply appropriate oxygen and humidity therapy

:O2 with cool mist which is usually about 2 to 10 micros coming out of LVN

Step 7: assess/reassess patient

:Check for good air movement by auscultation

Laryngectomy tube

If larynx removed due to cancer, this tube can be inserted into the permanent stoma


Procedure of establishing access to trachea via neck incision

:either traditional surgical tracheotomy or percutaneous dilatational tracheotomy can be performed

Opening in neck is called "tracheostomy"

Tracheotomy Procedure is best performed by physician or surgeon after patients airway is stabilized(which means patent and secured by an endotracheal tube)

Selection of trachesotomy tubes depend on

:patients age



:airway anatomy


If patient is doing fine on ETT tube and will be able to be extubated within 14 days, continue with ETT tube and extubate after. If patient needs more than that, then tracheotomy is suggested

the primary indications for an artificial tracheal airway include all the following, except

Provide negative pressure ventilation

Types of trach tubes

Cuffed trach tubes

Double cannula trach tubes

Single cannula trach tues

Fenestrated trach tubes

Cuffed trach tube


:provide seal between upper and lower airway to prevent aspiration of food or secretions

:Maintain a seal during mechanical ventilation

Double cannula trach tube

Outer cannula

Inner cannula

Obturator aids insertion of the outter cannula


Pilot balloon

Single Cannula trach tube

Single cannula

:appropriate for permanent trach

:patients with minimal secretions

Pediatric patients

Airway maintenance

Role of RTs

:secure tube and maintain placement

:provide for patient communication

:for the patient to be able to speak, the cuff must be deflated when using a trachestomy tube

:ensure adequate humidification

:minimize possibility of infection (sterile and asepsis)

:Aide in secretion clearance

:Provide appropriate cuff care

:Troubleshoot airway related problems

Airway maintenance

Tracheostomy care

:Step 1: assemble and check equipment

:Step 2 explain procedure to patient

:Step 3 suction patient

:Step 4 remove and replace inner cannula(not clean its disposable)

:Step 5 clean and examine the stoma site (saline or hydrogen peroxide)

Fenestrated tracheostomy tube

Has holes prior to the cuff then the tip(end of the tube)

Parts of the tracheostomy tube

1. Out cannula: keeps stoma open

2. Inner cannula: can be removed for cleaning

3. obturator: used to insert outer cannula

4. Cuff seals airway

5. Plug (button) keeps air from OC(outter cannula) when fenestration is used