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Nursing Test 3 > Artificial Airways And Suctioning > Flashcards

Artificial Airways And Suctioning Flashcards

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0
Q

Endotracheal airways

A

Inserted by mouth (ot) or nose (nt)
Goes through epiglottis and vocal cords
ONLY USED SHORT TERM 10-14 days

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1
Q

Why use an artificial airway?

A

Prevent or reverse upper airway obstruction

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2
Q

Orotracheal tube (ot) advantages

A

Easy to insert

Large diameter decreases work of breathing

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3
Q

Orotracheal tube (ot) disadvantages

A

Uncomfortable and difficult to secure

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4
Q

Nasotracheal tube (nt) advantages

A

Easy to stabilize

More comfortable/better tolerated

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5
Q

Nasotracheal tube (nt) disadvantages

A

Difficult procedure
Limited tube size
Can irritate nasal mucosa

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6
Q

How is a tracheal tube/ tracheostomy inserted

A

Surgical procedure of tube through the neck directly into the trachea

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7
Q

Advantages of tracheal tube

A

Direct
Below epiglottis
Easily tolerated

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8
Q

Disadvantages of tracheal tube

A

Surgical procedure

Potential for infection and hemorrhage

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9
Q

Cuffed tubes

A

Most common
Filled with air
Balloon seals space between outside of tube and tracheal wall
Allows precise delivery of oxygen

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10
Q

Uncuffed tubes

A

Used when seal is not needed

Example is pediatrics

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11
Q

Is a trach tube sutured in place?

A

No, Velcro ties hold it in place

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12
Q

Where is the level of placement of endotrach tubes measured at

A

Lip line

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13
Q

If tube moves where does it slip into

A

Right main stem

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14
Q

How long do you have to wait before changing ties of a trach tube

A

96 hours

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15
Q

How do you change the Velcro if two people are helping

A

One holds trach in place and one changes the tie

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16
Q

If one person is changing the Velcro on a trach tube how do you do it

A

Put on the new one completely and then take off the old one

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17
Q

What do you do if the trach comes out?

A

Assess breathing first

Call for help and open hole

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18
Q

Signs and symptoms of an obstruction with the trach tube

A

Acute respiratory distress

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19
Q

Cause of infections with a trach

A

Decreased filtration

Humidification and warming of inspired air

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20
Q

How often should you empty tubing of water and change fluids and tubing

A

24 hours

21
Q

What will happen if the trach tubes cuff is over inflated

A

Tissue necrosis

22
Q

How can you limit tracheal damage

A

Place stethoscope over trachea; inflate cuff until no air passes around cuff; slightly deflate until minimal air leak

23
Q

What causes vocal cord damage

A

Et tubes left in place more than 10-14 days

24
Q

Signs and symptoms of a sinus infection with nt tubes

A

Increased nasal drainage (yellow) fever and headache

25
Q

Tubes passing through vocal cords prevent

A

Audible speech

26
Q

Since they cannot talk with trach tube what should you do for patient

A

Place close to nursing station and ALWAYS make sure they have a call light available

27
Q

What indicates suctioning with a trach pt

A

Unable to clear secretions

28
Q

What does assessment before suctioning determine

A

The need and depth

29
Q

Is suctioning before or after areoles and CPT

A

After

30
Q

Why would you do oral suctioning?

A

Can cough but need mucus removed from mouth

31
Q

Is oral suctioning sterile

A

No

32
Q

Disadvantages of oral suctioning

A

Causes gagging

33
Q

How do you auction pharyngeal area

A

Through mouth or nose

Causes gagging

34
Q

How do you measure the depth of suctioning

A

Tip of nose to ear

35
Q

What do you lubricate suctioning with

A

Sterile saline

36
Q

Is orotracheal and nasotracheal suctioning sterile

A

Yes

37
Q

How do you measure how far to suction in trach patients

A

Go until you feel resistance and then pull back 1 cm

38
Q

What is the resistance you feel in suctioning trach patients

A

Corina

Biforcation of lungs

39
Q

All routes for suctioning are treated as sterile except

A

Oral

40
Q

Suctioning pressure for adults

A

110-150

41
Q

Suctioning pressure for children

A

95-110 mmHg

42
Q

Suctioning pressure for infants

A

50-95 mmHg

43
Q

Hoe often do you change sterile saline

A

24 hours

44
Q

Catheter size

A

Smallest effective diameter

45
Q

When do you apply suctioning

A

On the way out

46
Q

Suctioning stimulates what

A

Mucus

47
Q

When do you oxygenate while suctioning

A

Before and after

48
Q

How long can you suction an adult for

A

10-15 seconds

49
Q

How long can you suction a child/infant for

A

5-10 seconds

Nursing Test 3 (10 decks)

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