Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

MedSurg > T1-Ch 25: Concepts of Care in Oxygen Therapy and Tracheostomy Care > Flashcards

T1-Ch 25: Concepts of Care in Oxygen Therapy and Tracheostomy Care Flashcards

1
Q

Most patients with hypoxia require an oxygen flow of _____L/min via nasal cannula or up to _____% via Venturi mask to achieve an oxygen saturation of at least 95%

A

2-4 L/min
40%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

For a patient who is hyperemic and has chronic hypercarbia the FiO2 delivered is adjusted to correct the hypoxemia and achieve generally acceptable oxygen saturation between ____-_____%

A

88-92%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Humidification should be used at rates of _____ L/min or higher

A

4L/min

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Patients on oxygen should be checked in these locations ever Q____ for skin break down (3)

A

Q4-8 hrs
-ears
-face
-back of neck

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Oral care for patients on oxygen is Q___hrs and as need

A

Q8 hrs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Clean cannula or mask Q ___ hrs

A

Q 4-8 hrs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Nasal canula
________ L/min
________ %

A

1-6 L/min
24-44%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Oxygen-conserving cannula
________ L/min
________ %

A

8 L/min
30-50%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Simple face mask
________ L/min
________ %

A

6-12 L/min
35-55%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Partial non-rebreather mask
________ L/min
________ %

A

10-15 L/min
60-90%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Venturi mask
________ %

A

24-50%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

High-flow nasal cannula
________ L/min

A

Up to 60 L/min

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

CPap/BiPap
________ %

A

21-100%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Oxygen delivery system:
Inexpensive, disposable, simple

A

nasal cannula

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Oxygen delivery system:
Long-term use at home

A

oxygen-conserving cannula

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Oxygen delivery system:
Short periods of use

A

Simple face mask

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Oxygen delivery system:
Short periods of use
humidified

A

partial no-rebreather mask

18
Q

Oxygen delivery system:
Provides a specific amount of oxygen

A

Venturi mask

19
Q

Oxygen delivery system:
Provides a wide range of FiO2

A

High-Flow nasal cannula

20
Q

Oxygen delivery system:
cannot use in artificial airway patients

A

CPap/BiPap

21
Q

Low-flow oxygen delivery devices (4)

A

-Nasal Canula
-Oxygen-conserving cannula
-Simple facemark
-Partial non-rebreather

22
Q

High-flow oxygen delivery device (2)

A

-Venturi mask
-High-flow nasal cannula

23
Q

Noninvasive ventilation device (2)

A

-CPap
-BiPap

24
Q

Pre-op care for tracheostomy

A

education regarding the procedure

25
Q

tracheostomy procedure (3)

A

-incisions are made through the neck and tracheal rings to enter the trachea
-tracheostomy tube is inserted and secured with sutures
-chest x-ray determines proper placement

26
Q

Post-op care for tracheostomy (3)

A

-ensure a patent airway
-confirm bilateral breath sounds
-hourly respiratory assessment

27
Q

Possible tracheostomy complications (6)

A

-tube obstruction
-tube dislodgment/ accidental decannulation
-tracheomalacia
-tracheal stenosis
-tracheosophageal fistula (TEF)
-trachea-innominate artery fistula

28
Q

Prevention of tracheal tube obstruction (4)

A

-cough/deep breath
-providing inner cannula care
-humidifying oxygen
-suctioning

29
Q

Tube dislodgment/
accidental decannulation prevention (1)

A

secure the tube in place

30
Q

Tube dislodgment in the first ____ hours after surgery is an emergency because:

A

72 hours
tracheostomy tract has not matured

31
Q

What to do if tracheal tube becomes dislodged:

A

-Extend patients’ neck and open the tissue of the stoma with a curved Kelly clamp to secure the airway
-with the obturator inserted int to he tracheostomy tube, quickly and gently replace the tube, and remove the obturator
-check the airflow through the tube and for bilateral breath sounds

32
Q

constant pressure exerted by the cuff causes tracheal dilation and erosion of cartilage, leading to loss of tissue integrity

A

tracheomalacia

33
Q

narrowed tracheal lumen is caused by scar formation from irritation of tracheal mucosa and impaired tissue integrity but he cuff

A

tracheal stenosis

34
Q

excessive cuff pressure causes erosion of the posterior wall of the trachea and loss of tissue integrity; causes a hole between the trachea and the anterior esophagus

A

tracheosophageal fistula (TEF)

35
Q

Patients with _______ and tracheas are at highest risk for TEF

A

NG tube

36
Q

poorly positioned tube causes its distal tip to push against the lateral wall of the trachea

A

trachea-innominate artery fistula

37
Q

trachea-innominate artery fistula: continuous pressure causes _______ and ______ in the innominate artery

A

necrosis and erosion

38
Q

trachea-innominate artery fistula is a:

A

medical emergency

39
Q

T/F: bleeding the first few days after trachea placement is a medical emergency

A

false; bleeding can be expected first few days

40
Q

To prevent infection _____ should be used while suctioning trachea

A

sterile technique

41
Q

To prevent infection, stoma should be assessed Q_____ for s/s of infection

A

Q8

MedSurg (14 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions