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Oral and Nasal Intub

Airway Care

Indications Treatments
Indications for Nasal Or Oral Intubation * Provide a patent airway * Access for suctioning * Means for mechanical ventilation * Protect the airway (aspiration, obstruction) * Direct instillation of medication
Direct instillation Of Medication can be put in ET tube (Cant Get an IV started) N.A.V.E.L *NARCAN *ATROPINE *VALIUM *VERSED/VALIUM *EPINEPHRINE *LIDOCAINE*
Procedure in how to medications down the ET tube Double the normal IV dose and flush with 10mL of saline
Physiological and Psychological Alternatives HME by pass filtration humidification provide adequate humidity
Physiological and Psychological Alternatives Cough less effective (suction prn)
Physiological and Psychological Alternatives Disrupt mucus transport (suction prn)
Physiological and Psychological Alternatives loss of personal dignity be supportive
Physiological and Psychological Alternatives unable to communicate provide method of communication
Complications of Intubations Infection, Cuff pressure, Laryngospasm, Right main stem bronchus intubation, Risk of ventilator acquired pneumonia
Infection fever, secretions
Cuff Pressure > 5mmHg Vessel = Lymphatic Results = Edema
Cuff Pressure > 10mmHg Vessel = Vein Results = Edema
Cuff Pressure > 20mmHg Vessel = artery Results = necrosis
Laryngospasm most serious complication
Right Main Stem Intubation Oral ET tube > 25mmHg
Created by: sukarieh