trach care/suction

Question 1

Endotracheal tube how often to reposition

Answer 1

every 8 hours

Question 2

What kind of air?

Answer 2

humidified air

Question 3

Nasopharyngeal and nasotracheal are considered what kind of technique

Answer 3

sterile

Question 4

Oral and oropharyngeal are considered what kind of technique

Answer 4

clean

Question 5

What is oral suction performed with

Answer 5

yankeur device

Question 6

What is nasopharyngeal, oropharyngeal and nasotracheal suction performed with

Answer 6

suction catheter

Question 7

how do you position for suctioning

Answer 7

semi fowlers

Question 8

what is the suction set at for an adult

Answer 8

80-120

Question 9

insert the catheter____ applying suction

Answer 9

without

Question 10

____ the catheter as you withdraw applying suction

Answer 10

Rotate

Question 11

How long do you suction

Answer 11

5-10 seconds

Question 12

How long should entire suction procedure last

Answer 12

10-15 seconds

Question 13

rinse with ____or____and repeat as necessary

Answer 13

NS or sterile water

Question 14

suctioning document

Answer 14

amount, consistency, color, odor

Question 15

insert catheter until

Answer 15

patient coughs or you feel resistance then pull back 1-2 cm

Question 16

hyperventilate or

Answer 16

hyperoxygenate before suctioning again, may need to allow 2-3 minutes

Question 17

What should every trach pt have at bedside

Answer 17

spare trach tubes (same size and one smaller)
obturator in clear plastic bag at HOB
Ambu bag and mask
suction equiptment

Question 18

Tube blockage what to do

Answer 18

suction, remove & clean inner cannula

Question 19

Tube dislodgement

Answer 19

replace trach
if unable to replace, place an occlusive dressing over the stoma and ventilate with ambu bag via mouth/nose
ventilate via stoma (pediatric mask)

Question 20

what does the cuff do?

Answer 20

when inflated, seals the airway

Question 21

where is the surgical opening for a tracheostomy

Answer 21

between 2nd and 3rd tracheal rings

Question 22

What is the cuff

Answer 22

An inflatable attachment to the tracheostomy tube that is designed to occlude the space between the tracheal walls and the tube to permit effective ventilation and to minimize the risk of aspiration