Trach

Question 1

Material Trach is made out of?

consideration for material?

Answer 1

plastic or metal

*temp sensitive: protect from heat/cold

Question 2

what part of trach is removed during cleaning?

Answer 2

• inner canula

Question 3

trachs are the only airway device that require

Answer 3

surgical placement

Question 4

Post op nursing priority for trach?

Answer 4

-maintain patient airway**

Question 5

What do you need to keep at trach patient bedside?

Answer 5

• manual resuscitation bag
• same size trach tube
• one size smaller trach tube
• trach insertion tray
• obturator

Question 6

what is an obturator?

Answer 6

device that is used to guide outer portion of trach tube during insertion
-removed once tube is inserted

Question 7

what do you do if trach becomes dislodged?

Answer 7

• exert minimal pressure to ease back in

- resecure by adjusting ties

Question 8

complications of trach

Answer 8

pneumothorax, subcutaneous emphysema, hemorrhage, infection

Question 9

what position do you want patient in for trach suctioning?

Answer 9

semi to high fowlers

*laying trach patient flat increases respiratory distress

Question 10

what is suction to set for trach suction?

Answer 10

80-100

Question 11

Insert suction tube until you meet resistance against the ________. Then …..

Answer 11

CARINA

• withdraw 1/2 inch
• 10-15 seconds suction while withdrawing

Question 12

When cleaning trach use _____ free materials

Answer 12

lint free

Question 13

cleaning solution for difficult secretions to remove?

Answer 13

1/2 H20 and 1/2 H peroxide

**do not use if stoma is red or irritated

Question 14

How do you change trach ties?

Answer 14

leave old ones in place until you have the new ones on

• 2 fingers under ties
• ties with double/square not

Question 15

when do you insert catheter for suctioning in line?

Answer 15

on the inhalation

Question 16

do you rotate when pulling in line suction out?

Answer 16

no! do not rotate

Question 17

How do you know you got the catheter out all the way?

Answer 17

black mark indicates full withdrawal

Question 18

first and last steps of inline suctioning

Answer 18

turn off the safety and turn the safety back on

Question 19

2 advantages of inline suctioning

Answer 19

1. decrease infection

2. decrease desaturation

Question 20

how do you clean catheter b/w suctioning with inline?

Answer 20

• attach saline syringe

- no not insstill NaCl H2O prior to suctioning in airway

Question 21

how do you clean catheter b/w suctioning with inline?

Answer 21

• attach saline syringe
• no not insstill NaCl H2O prior to suctioning in airway
• —> increase inffection risk

Question 22

what do you document with trach care?

Answer 22

date/time of care

• resp assessment findings before and after care
• appearance of trach and surrounding skin
• type and size of trach tube
• amount, color, consistency and odor of secretions

Question 23

what is a fenestrated trach?

Answer 23

holes allows speaking when trach is covered

Question 24

benefits of cuffed trach?

Answer 24

prevent aspiration, decrease air leakage