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Airway Care 2
Airway Care Review
| Question | Answer |
|---|---|
| Tracheostomy is preferred over endotracheal tube intubation in what instance? | Preferred method of providing an airway for patients who require long-term ventilation |
| List two possible IMMEDIATE complications of the tracheostomy procedure? | Bleeding- major hazard Pneumothorax |
| List two possible LATE complications of the tracheostomy procedure? | Infection Hemorrhage |
| Under what circumstances should the tracheostomy tube cuff be INFLATED? | The PT is eating PT is on positive pressure ventilation |
| What does it mean if the therapist recommend a fenestrated tracheostomy tube? | Used for weaning and temporary mechanical ventilation with inner cannula |
| Briefly describe the features of a standard tracheostomy tube. | White plastic trach tube May have an inner cannula for easy cleaning Has a soft cuff |
| What is the purpose of the TRACHEAL BUTTON? | Used to maintain stoma, Use in some PT with sleep apnea, Allows tracheal suction and phonation with least amount of airway resistance, |
| When using tracheal speaking valve, the tracheostomy tube cuff must be? | Cuff must be deflated |
| Describe the steps necessary for performing tracheostomy care? | Suction the PT to ensure airway is patent, Clean the inner cannula, clean the stoma site, change trach ties, replace inner cannula, reassess PT & record the procdure |
| In what circumstances is an extended tracheostomy tube indicated? | for PT who are obese or use cervical |
| After a Laryngectomy procedure the PT will no longer have a connection between? | No longer any connection between the PT UPPER and LOWER respiratory tract |
| List three purposes/goals of postural drainage | Improve mobiliization of secretions Prevent accumulation of secretions Improve ventilation |
| What are three indications for performing postural drainage? | Accumulated or retained secretions Ineffective cough Ciliary dysfunction/ ciliary dyskinesia |
| List five examples of pulmonary disorders that disrupt the normal bronchial hygiene mechanism and could benefit postural drainage | Bronchiectasis, Cystic Fibrosis COPD, Acute atelectasis, Lung abscess |
| The contraindications/hazards of postural drainage are; | Unstable Cardiovascular System Unstable Pulmonary System Unstable post-operative status Untreated Tuberculosis |
| Prone | PT lying face down |
| Supine | PT lying on spine (best for post-craniotomy PT) |
| Fowlers, Semi Fowlers or Reverse Trendelenburg; | best position for hypoxic PT, obese PT with dyspnea, post-op adominal PT and PT with pulmonary edema |
| Lateral Fowlers | very obese PT with air hunger |
| Lateral Flat | best position to pervent aspiration |
| For post-craniotomy PT | Supine |
| PT with Unliteral Consolidation | Place the affected lung up to allow it to drain and to increase perfusion to the unaffected lung |
| Describe how the therapist should position the PT in order to drain each of the following lung segments. UPPER LOBE APICAL SEGMENT | |
| Describe how the therapist should position the PT in order to drain each of the following lung segments. UPPER LOBE ANTERIOR SEGMENT | |
| Describe how the therapist should position the PT in order to drain each of the following lung segments. UPPER LOBE POSTERIOR SEGMENT | |
| Describe how the therapist should position the PT in order to drain each of the following lung segments. MIDDLE LOBE LATERAL SEGMENT | |
| Describe how the therapist should position the PT in order to drain each of the following lung segments. MIDDLE LOBE MEDIAL SEGMENT | |
| Describe how the therapist should position the PT in order to drain each of the following lung segments. MIDDLE LOBE | |
| Describe how the therapist should position the PT in order to drain each of the following lung segments. | |
| Describe how the therapist should position the PT in order to drain each of the following lung segments. MIDDLE LOBE | |
| Describe how the therapist should position the PT in order to drain each of the following lung segments. MIDDLE LOBE | |
| Describe how the therapist should position the PT in order to drain each of the following lung segments. MIDDLE LOBE | |
| Describe how the therapist should position the PT in order to drain each of the following lung segments. MIDDLE LOBE | |
| Describe how the therapist should position the PT in order to drain each of the following lung segments. MIDDLE LOBE | |
| Describe how the therapist should position the PT in order to drain each of the following lung segments. MIDDLE LOBE | |
| Describe how the therapist should position the PT in order to drain each of the following lung segments. MIDDLE LOBE | |
| Describe how the therapist should position the PT in order to drain each of the following lung segments. MIDDLE LOBE | |
| Describe how the therapist should position the PT in order to drain each of the following lung segments. MIDDLE LOBE | |
| Describe how the therapist should position the PT in order to drain each of the following lung segments. MIDDLE LOBE | |
| Describe how the therapist should position the PT in order to drain each of the following lung segments. MIDDLE LOBE | |
| Describe how the therapist should position the PT in order to drain each of the following lung segments. MIDDLE LOBE | |
| Describe how the therapist should position the PT in order to drain each of the following lung segments. MIDDLE LOBE | |
| Describe how the therapist should position the PT in order to drain each of the following lung segments. MIDDLE LOBE | |
| What is the purpose of percussion? | Mechanically dislodge secretions |
| Describe the indications for percussion? | In combination with postural drainage Secrections difficult to dislodge |
| List four contraindications/hazards of percussion | Soft tissue trauma Rib cage trauma/fractured ribs Hemoptysis/pulmonary hemorrhage Metastic Conditions |
| Briefly describe the technique for performing percussion therapy? | Cupped hand position -thumb next to finger, wrist relaxed Rhythmic percussion over area to be drained |
Created by:
Cam1228
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