Emergency Surgeries Flashcards
When would you use a Temporary Tracheostomy?
For treatment of upper airway obstruction that is expected to resolve with appropriate treatment
For use with patients undergoing mechanical ventilation
What diseases would you place a Temporary Tracheostomy?
Brachycephalic Airway Disease
Laryngeal Paralysis
Mass causing obstruction of the upper airway
Oropharyngeal or laryngeal foreign body
What suture would you use for a stay suture in a temporary tracheostomy?
2-0 or 3-0 monofilament absorbable suture
What is the nursing care involved with a Temporary Tracheostomy?
Nebulize Pre-oxygenate Suction trachea with sterile suction tip to level of carina Administer oxygen Replace cleaned inner canula Replace tube every 24 hours
Why should you not place a tracheostomy in a cat?
A lot of mucus production in cats and they never stop producing mucus
What are the complications of a Temporary Tracheostomy?
Tube occlusion Pneumomediastinum Surgical site infection Coughing Gagging Vomiting Aspiration pneumonia Nosocomial infection Vagally mediated bradycardia and collapse
What do you use Thoracotomy tubes to treat?
treatment of pleural space disease and for continued post-operative drainage
What diseases would you place a Thoracostomy tube?
Pneumothorax
Pyothorax
Hemothorax
Pleural effusions
Where do you measure the Thoracostomy tube?
Dorsal 1/3rd of thoracic wall at the 7-9 IC space and the point of the elbow
How do you confirm the placement of the Thoracostomy tube?
Radiographs
What are some common causes of Pericardial effusion?
Neoplasia Idiopathic Infectious pericarditis Coagulation disorders Trauma Congestive Heart Failure
When would you perform a Pericardiocentesis?
when volume of pericardial effusion is high enough to cause cardiac tamponade
Cardiac Tamponade
Intrapericardial pressure is higher than end diastolic pressure
Pulsus Paradoxus
Exaggerated fall in arterial pressure with inspiration due to decreased left sided heart filling
When would you use an Enterostomy/Jejunostomy tube?
vomiting patient
