Trach Flashcards
Material Trach is made out of?
consideration for material?
plastic or metal
*temp sensitive: protect from heat/cold
what part of trach is removed during cleaning?
- inner canula
trachs are the only airway device that require
surgical placement
Post op nursing priority for trach?
-maintain patient airway**
What do you need to keep at trach patient bedside?
- manual resuscitation bag
- same size trach tube
- one size smaller trach tube
- trach insertion tray
- obturator
what is an obturator?
device that is used to guide outer portion of trach tube during insertion
-removed once tube is inserted
what do you do if trach becomes dislodged?
- exert minimal pressure to ease back in
- resecure by adjusting ties
complications of trach
pneumothorax, subcutaneous emphysema, hemorrhage, infection
what position do you want patient in for trach suctioning?
semi to high fowlers
*laying trach patient flat increases respiratory distress
what is suction to set for trach suction?
80-100
Insert suction tube until you meet resistance against the ________. Then …..
CARINA
- withdraw 1/2 inch
- 10-15 seconds suction while withdrawing
When cleaning trach use _____ free materials
lint free
cleaning solution for difficult secretions to remove?
1/2 H20 and 1/2 H peroxide
**do not use if stoma is red or irritated
How do you change trach ties?
leave old ones in place until you have the new ones on
- 2 fingers under ties
- ties with double/square not
when do you insert catheter for suctioning in line?
on the inhalation
do you rotate when pulling in line suction out?
no! do not rotate
How do you know you got the catheter out all the way?
black mark indicates full withdrawal
first and last steps of inline suctioning
turn off the safety and turn the safety back on
2 advantages of inline suctioning
- decrease infection
2. decrease desaturation
how do you clean catheter b/w suctioning with inline?
- attach saline syringe
- no not insstill NaCl H2O prior to suctioning in airway
how do you clean catheter b/w suctioning with inline?
- attach saline syringe
- no not insstill NaCl H2O prior to suctioning in airway
- —> increase inffection risk
what do you document with trach care?
date/time of care
- resp assessment findings before and after care
- appearance of trach and surrounding skin
- type and size of trach tube
- amount, color, consistency and odor of secretions
what is a fenestrated trach?
holes allows speaking when trach is covered
benefits of cuffed trach?
prevent aspiration, decrease air leakage
