trach care

Question 1

cuff tube

Answer 1

patients on mechanical ventilation to prevent aspiration

high risk for aspiration
airway sealed when cuff is inflated

Question 2

cuffless double lumen

Answer 2

long term
not mechanical ventilation
inner cannula removed + suctioned/cleaned

Question 3

fenestrated w/ cuff

Answer 3

allows patient to speak, remove inner cannula, cap

Question 4

trach interventions

Answer 4

elevate HOB
deep breathe/cough
oral hygiene
trach collar, O2, cuff pressure

Question 5

what do you need at the bedside?

Answer 5

obturator
suction
vent bag, trach tray, same + smaller trach size
method of communication

Question 6

what do you do before suctioning?

Answer 6

listen to lung sounds
O2 sat
pain level
respiratory status
any dyspnea?
hyperoxygenate
any secretions? (amount, color, consistency)

Question 7

suction pressure

Answer 7

120-160 mmHg

Question 8

what do you do during suction?

Answer 8

10 second pass

20-30 seconds between each pass

3 passes total

Question 9

when do you suction?

Answer 9

audible/ visible mucus
respiratory status change
distress
crackles + rhonchi
decreased O2 saturation

Question 10

what can go wrong during suctions?

Answer 10

hypoxia (prolonged suction)
infection
hemorrhage
dislodgment
tracheoesophageal fistula
tracheal stenosis

Question 11

how to remove a trach

Answer 11

breathing ind.
capped days before removal
stoma covered w/ sterile dressing
close in 4-5 days

Question 12

fenestrated trach allows patient to

Answer 12

talk