Ch 30 Care of Oxygen therapy and Tracheostomy Flashcards Preview

Nursing 281 > Ch 30 Care of Oxygen therapy and Tracheostomy > Flashcards

Flashcards in Ch 30 Care of Oxygen therapy and Tracheostomy Deck (15):
1

Best measure to evaluate O2 need/therapy effectiveness

ABG's

2

Oxygen toxicity Sx

nonproductive cough, substernal chest pain, GI upset, dyspnea

3

Absorption atelectasis

O2 levels are high and nitrogen is diluted, nitrogen prevents alveolar collapse

4

Candidates for a CPAP

sleep apnea, atelytesis after surgery, cardiac induced pulmonary edema

5

Subcutaneous emphysema

Complication of tracheotomy
Can occur after a tear in the trachea
Skin may feel puffy and crackling
Notify MD!

6

Tracheomalacia

constant pressure exerted by the cuff causes tracheal dilation and erosion of cartilage

7

Tracheomalacia manifestations

Increased amount of air required in the cuff to maintain the seal
Larger tracheostomy tube is required to prevent air leak
Food particles seen in tracheal secretions
Pt does not receive the set tidal volume on the vent

8

Tracheal stenosis Sx

coughing with inability to expel secretions
SOB

9

Tracheoesophageal fistula

excessive cuff pressure erodes posterior wall of the trachea. A hole is created between the trachea and the anterior esophagus.

10

Tracheoesophageal fistula Sx

Food in secretions
Coughing while eating
More air required to seal trach

11

Tracheoesophageal fistula management

Administer O2
Soft tube feeding instead of NG tube

12

Trachea-innominate artery fistula

Medical emergency!
Incorrect tube position causes necrosis of innominate artery

13

Trachea-innominate artery fistula manifestations

Pulsating tracheostomy
Bleeding from the stoma

14

Trachea-innominate artery fistula management

remove trach tube and apply pressure
prep for surgery

15

Tracheostomy and eating

Deflate cuff if possible
thicken all liquids
Have suction equipment
HOB elevated 30 min after eating