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Week 10 PRNRS
Airway Management & Oxygenation Objectives
| Question | Answer |
|---|---|
| Define airway management. | Nursing skills that maintain natural or artificial airways for compromised clients. |
| Identify the structural components of the airway. | Structures of the airway are the nose, pharynx, trachea, bronchi, bronchioles, and alveoli. |
| Discuss four natural mechanisms that protect the airway. | Epiglottis- seals the airway when swallowing foods etc, Rings of tracheal cartilage- keeps the trachea from collapsing, Mucous membrane-traps particulate matter Cilla-beat debris upward in the airway so it can be coughed, expectorated or swallowed. |
| Explain the methods nurses use to help maintain a natural airway. | Liquefying secretions, Mobilizing secretions Expectoration with chest physiotherapy Mechanically suctioning mucus from the airway. |
| Name two techniques for liquefying respiratory secretions. | Hydration Inhalation therapy |
| Explain the three techniques of chest physiotherapy. | Postural drainage Percussion Vibration |
| Describe at least three suctioning techniques used to clear secretions from an airway. | Nasopharyngeal Nasotracheal Oropharyngeal |
| Discuss two examples of artificial airways. | Oral airway tracheostomy tube |
| Identify three components of tracheostomy care | Cleaning the skin around the stoma Changing the dressing Cleaning the inner cannula |
| Indications for inserting an artificial airway | Risk for airway obstruction Long-term-mechanical ventilation is necessary |
| Explain the difference between ventilation and respiration | Ventilation- movement of gas into and out of the lungs. Respiration-the exchange of oxygen and carbon dioxide |
| Differentiate between external and internal respiration | External respiration-most distal point in the airway between alveolar and capillary membrane Internal respiration-occurs at the cellular level by means of hemoglobin and body cells |
| Name two methods for assessing the oxygenation status of clients at the bedside | Physical assessment data Monitoring arterial blood gases(ABGs) Pulse oximetry |
| List at least five signs of inadequate oxygenations | decreased energy restlessness rapid,shallow breathing rapid heart rate sitting up to breathe nasal flaring hypertension sleepiness/confusion use of accessory muscles |
| Name two nursing interventions that can be used to improve ventilation and oxygenation | positioning teaching breathing techniques |
| Identify four items that may be needed when providing oxygen therapy | oxygen source flowmeter oxygen analyzer or humidifier oxygen delivery device |
| Name four sources for supplemental oxygen | wall outlet portable tank liquid oxygen unit oxygen concentrator |
| List five common oxygen delivery devices | nasal cannula masks a face tent a tracheostomy collar a T-piece |
| Discuss two hazards related to the administration of oxygen | Fire potential oxygen toxicity |
| Describe two additional therapeutic techniques that relate to oxygenation | Positive airway pressure machines Water seal chest tube drainage system Hyperbaric oxygen therapy |
| Discuss at least two facts concerning oxygenation that affect the care of older adults | Ineffective breathing pattern Impaired gas exchange Activity intolerance Anxiety Risk for injury related to oxygen hazards |
Created by:
Shepock
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