Lab 3 - Advance Airways

Question 1

[Trach Suctioning Complications]
Hypoxia
S/s
Prevention

Answer 1

S/s: SpO2, cyanosis, cardiac dys, PVC, cardioresp arrest

P: limit pressure/duration, <1/2 diameter, manual vent, hyperoxygenation, no routine, limit catheter passes

Question 2

[Trach Suctioning Complications]
Cardiac Dys/Arrest/Death
S/s
Prevention

Answer 2

S/s: increased HR from decreased arterial O2; decreased HR from vagus response

P: assess hypoxia, stop suctioning, o2 supp, manual vent

Question 3

[Trach Suctioning Complications]
Trauma/Damage
S/s
Prevention

Answer 3

s/s: aspiration of blood and decreased air entry

P: lowest lvl of pressure, gentle, don’t go against resistance, withdraw before suction, lub suction, limit number of passes

Question 4

[Trach Suctioning Complications]
Infection
S/s
Prevention

Answer 4

s/s: increased abn secretion, colonization, increased HR/RR/temp

P: sterile/aseptic, gentle, hydration/nutritional/metabolic needs, no routine, oral care, PPE

Question 5

[Trach Suctioning Complications]
Hypotension/Hypertension
S/s
Prevention

Answer 5

s/s: change in BP

P: stop suction, supp O2/vent, calm, pain control

Question 6

[Trach Suctioning Complications]
Atelectasis
S/s
Prevention

Answer 6

S/s: decrease air entry, change in chest x-ray

P: limit - pressure, short duration, increase vent, appropriate size

Question 7

[Trach Suctioning Complications]
Vagal Stimulation
S/s
Prevention

Answer 7

s/s: cardiac dys, decrease HR

P: max O2 supp, be calm

Question 8

[Trach Suctioning Complications]
Bronch- constrict/spasm; Cough
S/s
Prevention

Answer 8

s/s: change in air entry, wheeze, same as hypoxia

P: bronchodilators, vent with resp effort, calm, if unable to vent - sedate

Question 9

[Trach Suctioning Complications]
Obstruction
S/s
Prevention

Answer 9

s/s: can’t ventilate, can’t suction

P: call for help stat, prepare to change artificial airway, attempt to vent til help arrives

Question 10

[Trach Suctioning Complications]
Increase ICP
S/s
Prevention

Answer 10

s/s: correspond with increased BP and coughing

P: Aerosolized lidocaine 15 mins before suction

Question 11

[Trach Suctioning Complications]
Distress/Pain
S/s
Prevention

Answer 11

s/s: visual signs, increased HR/BP

P: Explain, be calm, reassuring. Look for discomfort, SOB, role in coughing