Tracheostomy Flashcards

1
Q

Definition of Tracheostomy

A

surgical opening of the trachea

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2
Q

Purpose:

A

to provide long-term airway support

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3
Q

BASIC PARTS OF TRACHEOSTOMY DEVICES

A
  1. Outer Cannula
  2. Inner Cannula
  3. Obturator
  4. Flange
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4
Q

Outer Cannula

A
  • serves as an artificial airway

- directly inserted into the inner cannula

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5
Q

Inner Cannula

A
  • serves as an artificial airway

- directly inserted in the outer cannula

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6
Q

Obturator

A
  • serves as a guide wire
  • directly inserted into both cannulas in the respi tract
  • can correct dislodgement
  • MUST BE AT BEDSIDE ALWAYS!
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7
Q

Flange

A
  • located at distal portion of the cannula

- secured with tape & ties

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8
Q

Nsg Con: #1

A

Provide Privacy

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9
Q

Nsg. Con: #2

A

Position: SF - to promote lung expansion

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10
Q

Nsg Con #3

A

wear sterile gloves

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11
Q

4

A
  • open container kit
    Container #1: 1/2 strength hydrogen peroxide
    Container #2: PNSS
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12
Q

5

A
  • Remove only the inner cannula using obturator - MANUAL
  • Removed easily if cannula is automatic - COUNTER CLOCKWISE
  • Soak w/ 1/2 strength hydrogen peroxide & clean with PNSS
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13
Q

6

A

Remove soiled dressing located behind flange

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14
Q

7

A

Wear another pair of gloves

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15
Q

8

A

Suction the outer cannula

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16
Q

9

A

Insert inner cannula using obturator again in CLOCKWISE MOTION

17
Q

10

A

Clean flange & site using sterile gauze soak with PNSS

2 sterile gloves: 1 for flange & 1 for site

18
Q

11

A

Apply again sterile dressing: size 4x4 / V-shaped

19
Q

12

A

Chang the ties - apply/secure new ties and remove old ties

  • square knot
  • left over right
20
Q

FEEDING PT.

A

Unconscious: NGT
Conscious: By mouth

21
Q

Basic part of the device that divides the upper & lower respi tract?

A

TRACHEOSTOMY CAP

22
Q

If removed accidentally?

A

1) Open airway

2) straighten the neck; apply AMBU bag

23
Q

TRACHEOSTOMY CARE SHOULD BE DONE EVERYDAY!

A