Trach

Question 1

what helps to reduce suction-induced hypoxemia?

Answer 1

pre-oxygenation and deep breathing

Question 2

do all patients need per oxygenation?

Answer 2

not unless hypoxemic before suctioning

Question 3

what are some tracheal suctioning risks?

Answer 3

hypoxemia often leading to cardiac dysrthmias, larygenal spasm, bradycardia (vagus nerve)

Question 4

are trachs temp or permanent?

Answer 4

either or

Question 5

tracks are placed in patients who require long-term airway mgmt bc?

Answer 5

airway obstr, airway clearance needs, and long-term intubation

Question 6

what is the purpose of a cuff on a tracheal tube?

Answer 6

prevent the escape of air between the rube and the walls of the trachea and reduces aspiratin when pt is receiving ventilation

Question 7

what are the goals of inflating the cuff on an artificial airway?

Answer 7

promote lung inflation for mech ventilation, prevent aspiration of gastric contents and also allow drainage of secretions that accumulate between the glottis and the cuff

Question 8

what do you want to maintain the cuff pressures at?

Answer 8

20-25mmHg or less

Question 9

what are some indications for cuff inflation?

Answer 9

o Mechanical ventilation:
• Continuous airway pressure
• Positive end expiratory pressure (PEEP)
• Inability to meet ventilator requirements with cuff down
• Inability to meet oxygen requirements with cuff down
o Risk of Aspirating Gastric Contents
• Feedin tube, especially large bore, in stomach
• GERD
• Hiatal hernia
• During and after meals
• Impaired gastric emptying
• Decreased gag reflex
• Impaired swallowing

Question 10

patients with an artificial airway require what to the airway?

Answer 10

thumdification bc it bypasses the normal filtering and humidification process o the nose and mouth

Question 11

what are the 2 devices that supply humidified air to artificial airway?

Answer 11

T tube and trach collar