Tracheostomy Flashcards
What are the indications for a tracheotomy ?
Upper airway obstructions ( increased mucous)
What is the created opening called?
A stoma
What must the nurse always have at the bedside ?
An obturator , a stiff plastic device used for inserting the inner cannula
Is suctioning a client with a teach a clean or sterile procedure ?
Sterile
What should the nurse always do before suctioning a client with a trach ?
Hyperoxygenate with 100% 02
Should suction be applied during insertion of the catheter?
No, this can cause damage to the client
What should the nurse always do after suctioning a client with a trach?
Reoxygenate with 100% O2. 2-3 times during inhalation
If a client coughs strongly and the trach becomes dislodge , what is the initial nursing action?
Keep airway open by reinserting obturator or grabbing retention sutured. Give O2 if airway lost!
If a client is not on a ventilator but has a trach should the inner cuff be inflated ?
No, it should be deflated so as not to block airway
What is a tracheostomy ?
A surgical procedure that creates an open airway in the trachea
