Tracheostomy

Question 1

tracheostomy

Answer 1

artificial opening made into the trachea, mainly at second or third cartilage ring

Question 2

What is the purpose of a tracheostomy?

Answer 2

help patients ventilate, bypass an upper airway obstruction, remove secretions

Question 3

What is the main priority in any tracheostomy emergency?

Answer 3

maintain the airway

Question 4

Kinds of trachs

Answer 4

cuffed and uncuffed

Question 5

What are the parts of a trach?

Answer 5

outer cannula, inner cannula, faceplate

Question 6

obturator

Answer 6

inserted into the trach tube to help guide the trach into the airway, it has to be taken out after the trach tube to allow air to flow

Question 7

What would happen if the string of the inflation tube was cut?

Answer 7

the balloon of the cuffed trach can’t be deflated and can be stuck inside the patients throat

Question 8

Why can’t patient’s eat w/ an inflated cuff trach?

Answer 8

the cuff is pushing against the esophagus and making the airway narrow and can cause them to aspirate

Question 9

passy muir vav=lve

Answer 9

placed on trach to allow patient to speak

Question 10

suctioning

Answer 10

aspiration secretion through a catheter

Question 11

What are the different suctioning sites?

Answer 11

nasopharyngeal, oropharyngeal, endotracheal, and tracheostomy

Question 12

What size catheter do adults need?

Answer 12

12-18, 12-14 is the typical size

Question 13

What pressure do adults need?

Answer 13

80-150

Question 14

What size catheter do children need?

Answer 14

8-10

Question 15

What pressure do children need?

Answer 15

80-125

Question 16

What size catheter do infants need?

Answer 16

5-8

Question 17

What pressure do infants need?

Answer 17

60-8

Question 18

When do you start suctioning?

Answer 18

when they start coughing or if you feel resistance w/ the catheter

Question 19

How often can you suction?

Answer 19

3x in one session

Question 20

What are the risks of using the wrong suction pressure?

Answer 20

too little won’t clear the airway and too much can cause hypoxia, atelectasis

Question 21

How often should trach care be performed?

Answer 21

Q8H

Question 22

What position is used for tracheal suctioning?

Answer 22

for conscious patients, semi fowlers
for unconscious patients, lateral facing you

Question 23

cuffed trachs

Answer 23

help create a seal so the secretions coming from their nasal cavity won’t get in their lungs and cause aspiration