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Airway Care 2

Airway Care Review

QuestionAnswer
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