17 - Pediatrics - Tracheostomy

Question 1

Initial care of the pediatric tracheostomy patient in respiratory distress involves what three steps?

Answer 1

1. Administer 100% oxygen via tracheostomy collar
2. Suction the tracheostomy/stoma
3. Reassess the patency of the airway

Question 2

If the pediatric patient does not have adequate chest rise with ventilation of Trach following changing tube, what is the next step?

Answer 2

• Ventilate mask to MOUTH while covering the stoma

Question 3

What medication may be administered in the pediatric trach patient experiencing respiratory distress?

Answer 3

• 2.5 mg albuterol and 0.5 mg ipratropium nebulized

Question 4

ALS may insert what into the stoma to allow adequate ventilation of the pediatric trach patient?

Answer 4

• appropriately sized ET tube*

* how do we determine that?