oxygenation and tracheostomy care
most common types of oxygen delievery appliances
nasal cannula,simple mask,vinturi mask,open face tent,resevoir mask
why is the water used when oxygen is being administered
bc the water bubbles
describe the reason a venturi mask would be used
for a specific amount of oxygen,and so it doesnt dry out mucus membranes
what is the limit of oxygen flow rate for the patient with COPD?
how frequently should the patient with tracheostomy tube be suctioned
as needed and what the dr.s orders say
how long will the nurse do pharyngeal suctioning?
the nurse will wait a short time between each entry when suctioning a pt why?
so they can breathe
safest way to clear an airway
suctioning should not be attempted if the patient is capable of coughing up their sputum why?
bc they dont need it if they have a productive cough
why does the nurse apply suction only when withdrawing the catheter from the oropharynx?
so tissue damage doesnt occur
what is the purpose of percussion
to check the lungs
why must the nurse estavlish a way of communicating with the pt before the tracheostomy is performed?
bc he will not be able to talk post-op
after the tracheostomy has been performed the pt will not be able to smell why?
can't breathe threw nose
after the tracheostomy has been performed the pt will not be able to talk to produce sound why?
bc the trach blocks off the voice box
after the tracheostomy has been performed the pt will require humidification of air entering the lungs why?
bc they will dry out
why is oropharyngeal suctioning a sterile procedure requiring sterile gloves and sterile technique?
so bacteria doesnt cause infection
incision into the trachea with insertion of a tube.
what is the purpose of a obturator?
purpose of inner cannula
maintain airway patency
why does the pt with a new tracheostomy need to be in a room close to the nurses station
to communicate and so extubation doesnt occur
why should the pt and significant other be allowed to watch dressing changes for a new tracheostomy
so they can feel more comfortable and know how to take proper care once at home
what flow rate of o2 should a simple face mask be at to prevent Co2 poisoning
nothing under 6LPM
purpose of a ope face mask?
provides o2 and extra moisture
discuss why the conscious pt does not tolerate the oral airway
bc uncomfortable and interferes with talking and eatting
purpose of nasal trumpet
acts as a guide for suction cath
discuss the purpose of the endotracheal tube
problems with simple face mask
difficult to eat and drink
problems with endotracheal tube
no oral intake, no speaking
if the pt accidentally coughs out his tracheostomy tube what should the nurse do?
put it back in
what pressure should be used when performing or pharyngeal suctioning?
purpose of icentive spyrometer
to loosen up secreations
why does encourging fluid intake assist the pt in liquefying secretions to be coughed up?
so they dont get pheunmonia
when receiving oxygen thearpy, how is the oxygen humidified?
with sterile water
holds hole open
keeps airway patient
24 breathes per min
low o2 in blood
pattern of apnea-shallow-deeper-shallow-apnea
rapid and deep