Airway Management

Question 1

Compilations of Suctioning

Answer 1

• Hypoxia
• Nosocomial infections
• Cardiac Dysrhythmias

Question 2

Suctioning

Answer 2

• Hyperoxygenate client 100% prior
• When using nadotracheal suctioning it is important to use surgical asepsis because the trachea is considered sterile
• Suction the mouth less since it’s considered not sterile but clean

Question 3

Yankauer Suction

Answer 3

• Helps clear secretions from the mouth

- Used for patients who cannot swallow = Dysphagia

Question 4

Open or closed in-line suction

Answer 4

• Critically ill clients who have endotracheal or trach tube
• insert catheter without applying suction

Question 5

Closed suctioning

Answer 5

• Wear clean gloves
• (Advantage) You do not have to disconnect the patient from the mechanical ventilator
• Advance catheter with your dominant hand until you meet resistance or the patient coughs then suction for 10-15secs
• not usually rotated due to protective catheter sheath
• A black mark on a catheter indicates full with drawl
• Wait at least 1 min between suction
• Place the suction control mechanism in the lock position before leaving the bedside

Question 6

Oropharyngeal Airway & Nasopharyngeal Airway

Answer 6

Oropharyngeal Airway
-Use only for patients who’s LOC is altered

Nasopharyngeal Airway
-Use for clients who are alert

Question 7

Endotracheal Tube

Answer 7

• Used for patients undergoing procedure that require general anesthesia and mechanical ventilation
• Are not left in place for more than 14days
• oral care & reposition ET in the clients mouth q12hr
• cuff pressure= 20-25
• pull ET back half inch to an inch when resistance is met
• Apply Benzoin to clients face to protect the skin
• Only tube whose placement requires a surgical procedure
• Tube obstruction is a major complication during the first 72hrs post op
• At bedside, keep a resuscitation bag , a trach tube, a trach tray, and obturator .
• Other complications include pneumothorax, subcutaneous emphysema, hemorrhages, and infection.

Question 8

Chest Physiotherapy

Answer 8

Includes percussion, vibration, and postural drainage

Question 9

Percussion-Chest Physiotherapy

Answer 9

• Striking skin over congested lung fields to dislodge secretions from the bronchial walls
• Avoid percussion over the breast, sternum, spinal column & kidneys

Question 10

Vibration-Chest Physiotherapy

Answer 10

• Used after percussion to increase the turbulence of exhaled air
• After each vibration, instruct the client to cough

Question 11

Postural drainage- Chest Physiotherapy

Answer 11

• Remove secretions by gravity

- often schedule before meals