trach care/suction Flashcards
Endotracheal tube how often to reposition
every 8 hours
What kind of air?
humidified air
Nasopharyngeal and nasotracheal are considered what kind of technique
sterile
Oral and oropharyngeal are considered what kind of technique
clean
What is oral suction performed with
yankeur device
What is nasopharyngeal, oropharyngeal and nasotracheal suction performed with
suction catheter
how do you position for suctioning
semi fowlers
what is the suction set at for an adult
80-120
insert the catheter____ applying suction
without
____ the catheter as you withdraw applying suction
Rotate
How long do you suction
5-10 seconds
How long should entire suction procedure last
10-15 seconds
rinse with ____or____and repeat as necessary
NS or sterile water
suctioning document
amount, consistency, color, odor
insert catheter until
patient coughs or you feel resistance then pull back 1-2 cm
hyperventilate or
hyperoxygenate before suctioning again, may need to allow 2-3 minutes
What should every trach pt have at bedside
spare trach tubes (same size and one smaller)
obturator in clear plastic bag at HOB
Ambu bag and mask
suction equiptment
Tube blockage what to do
suction, remove & clean inner cannula
Tube dislodgement
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)
what does the cuff do?
when inflated, seals the airway
where is the surgical opening for a tracheostomy
between 2nd and 3rd tracheal rings
What is the cuff
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
