Brainscape's Knowledge GenomeTM

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


See full index

Fundamentals 2 Exam 3 Flashcards > Skills Flashcards (Suctioning & Trach Care) > Flashcards

Skills Flashcards (Suctioning & Trach Care)

1
Q

On average, how many trachs are placed per year across the US?

A

~100,000

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

Trachs are especially used in -

A

Critical Care Units + Long-Term Care Facilities

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

What types of people is Suctioning for?

A

It is for people who can’t clear or manage their own respiratory secretions

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

What are the 3 different types of Suctioning?

A

Oropharyngeal & Nasopharyngeal Suctioning.

Orotracheal & Nasotracheal Suctioning.

Tracheal Suctioning.

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

Each type of Suctioning uses what kind’ve catheter?

A

A round-tip, flexible catheter (They all have holes in the sides for the suctioning)

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

Whenever you Suction an adult client, you’d want to keep the pressure at around-

A

100 to 150

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

Whenever you Suction elderly clients, babies, and young kids you may want to -

Why?

A

Reduce the pressure compared to what you’d give to a regular adult.

Because you don’t want to damage tissues.

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

Whenever you suction, when you insert the catheter, when do you apply the suctioning?

A

You only do it whenever you take it out, you do not do it as you are inserting it

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

Are pt’s typically scheduled to have Suctioning?

A

No, it’s usually just given as needed

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

What are the indications to start Suctioning your pt?

A

If they have respiratory distress, visible secretions, diminished breath sounds, or if they’re having trouble coughing up secretions on their own

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

If you ever Suction too much, then it can cause complications such as-

A

Hypoxia
Hypotension
Arrhythmias
Trauma to the Mucosa of the Lungs and Trachea

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

When is your Oropharyngeal and Nasopharyngeal Suctioning used?

A

Whenever your pt is able to cough but is unable to clear their secretions by doing so

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

When is Orotracheal and Nasotracheal Suctioning used?

A

Whenever your pt is unable to manage their secretions by coughing + Doesn’t have an Artificial Airway

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

Whenever you have to give Suctioning, what is the preferred route?

A

Nasally is better than Orally because of the Gag Reflex

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

Is the procedure of Suctioning usually done quickly or slowly? How long?

A

It’s done very quickly. No more than 10 Seconds.

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

Tracheal Suctioning is usually done via what route?

A

An Artificial Airway

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

Give examples of Artificial Airways:

A

ET Tubes.

Tracheostomy Tubes.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

As you are pulling your catheter out while suctioning, what else should you be doing? Why?

A

Rotating it.

To make sure that you’re getting all of the secretions stuck in the side of the pt’s airway.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What are the 2 methods used for Suctioning?

A

Open Method

Closed Method

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What is Open Suctioning?

A

You’d get a new sterile catheter for each time that you Suction the pt
(Always where sterile gloves with this method)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What is Closed Suctioning?

A

You’d get a catheter but it’s in a Plastic Sheathe.
You don’t have to be sterile for this because the sheathe keeps it sterile.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Where would you commonly find the Closed Suctioning method?

A

You’ll find it a lot in your units and other places where pt’s have to be sanctioned frequently

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

How is a Tracheostomy placed?

A

Surgically, in the Anterior part of the Trachea

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Why would you need a Tracheostomy?

A

To establish an airway, bypass some type of upper airway obstruction, to more effectively remove secretions, to assist with pt’s who are on long-term ventilation.

May want to have one in order to assist with trying to take a patient off of a ventilator.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Tracheostomies come in a variety of different-

A

Types, Sizes, and Cannula Sizes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

The neck plate is also called the-

(Typically, most tracheostomies will have this part)

A

Flange

27
Q

This is a device used whenever you first insert a Tracheostomy in surgery =

A

The Obturator

28
Q

What is the Obturator used to do?

A

To guide surgeons where to place the tracheostomy. They insert the Obturator and then they place the Tracheostomy Tube on top of it.

29
Q

If a pt has a Trach, you’d always want to keep this device at their bedside in case the Trach somehow comes out =

A

A new and clean Obturator

30
Q

Are Trachs cuffed or uncuffed?

A

They can be either

31
Q

A Trach with an inflated cuff are primarily used for-

A

Ventilative Pt’s

32
Q

A pt with a non-cuff Trach are primarily used for-

A

Long-Term Trachs

33
Q

The Outer or Inner Cannula of a Trach can be-

A

Fenestrated or Non-Fenestrated

34
Q

If a pt has a Trach with a Fenestrated Cuff, then what does that mean?

A

It should have an opening of the dorsal surface of the tube to help promote spontaneous breathing

35
Q

What’s inside a Tracheostomy Care Kit?

A

Gauze, Split Gauze, Sterile Gloves, Pipe Cleaners, A Brush, Qtips, and Trach Ties

36
Q

Trach Care is a -

A

Sterile Procedure

37
Q

Typically you will preform Trach care how frequently?

A

Every 12 Hrs

38
Q

How frequently would you want to look at your pt’s Trach site?

A

At a minimum of at least once every shift

39
Q

When inspecting a pt’s Trach site, you’re gonna look around the Trach tube for things like-

A

Redness, Edema, Signs of Infection, Skin Breakdown

40
Q

When inspecting a pt’s Trach site stoma, you’re gonna-

A

Clean it with Normal Saline + Apply a clean dressing

41
Q

If you have a Cuffed Trach tube, then you always want to use how much air to keep it in place?

A

The Minimum Amount Needed

42
Q

The Cuff from a Trach tube can do what if you over inflate it?

A

Put too much pressure on the mucosa, and cause damage to those tissues

43
Q

What happens if you set your pressure too high while Suctioning?

A

It can Occlude the Capillaries (This impairs blood flow and can cause Tracheal Necrosis)

44
Q

What are some tracheostomy complications? (All of these can be serious)

A

Airway Obstruction
Aspiration
Impaired Cough
Tube Displacement
Swallowing Dysfunction

45
Q

What is the most serious tracheostomy complication?

A

Tube Displacement

46
Q

If a Tracheostomy tube ever gets dislodged/displaced, what is the first thing that you’ll want to do?

A

Call for help

47
Q

You have pt with a tracheostomy tube. It has become dislodged. You’ve called for help. What are some things that you’d do while waiting for help to arrive?

A

Asses the pt for any signs of respiratory distress, bleeding, LOC

48
Q

You have pt with a tracheostomy tube. It has become dislodged. You’ve called for help and help arrives, what happens next?

A

It greatly depends on your state’s scope of nursing practice + facility policy

49
Q

You have pt with a tracheostomy tube. It has become dislodged. The tube can’t be immediately replaced, what should you do?

A

Place the pt in a Semi-Fowler’s Position to decrease respiratory distress.

Cover the Tracheal Stoma with a sterile Dressing.

Provide ventilation with a Bag Mask Device over the mouth and nose.

50
Q

What do you do if you have pt with a Trach tube and they have a Total Laryngectomy?

A

You can ventilate the pt through the Trach stoma

51
Q

What happens if you don’t properly provide support for a pt with a tracheal tube displacement?

A

They’ll progress towards Full Respiratory Arrest

52
Q

It is imperative to always assess a pt’s ability to-

A

Swallow (So that they don’t Aspirate)

53
Q

An inflated Trach cuff may interfere with-

A

Swallowing Ability (Because it can interfere with the muscles needed for swallowing)

54
Q

Whenever you get a Trach inserted, you should get a-

A

Speech Therapy Consult

55
Q

A pt just got their Trach put in, who will assess their swallowing ability?

A

The Speech Therapy Consult

56
Q

How does a Speech Therapy Consult assess a pt’s swallowing ability?

A

They’ll give the pt a variety of consistencies of thickened liquids to see what they can tolerate

57
Q

How can you communicate with a Trach pt if they’re having trouble with their speech?

A

You can provide them with a paper and pencil or with a marker and white board.

Communication boards that have pictures on them can also be used.

58
Q

Some pt’s will have a little valve on their Trach. Is it okay for them to use that to assist them in their speech if they can tolerate it?

On another note, what should we be sure to educate to the client about that valve?

A

Yup.

Never sleep with that valve on because it can cause problems with their airway.

59
Q

Removal of a Tracheostomy from the Trachea =

A

Decannulation

60
Q

What are the requirements that the patient needs to be able to meet in order for Decannulation to occur?

A

The pt needs to be Hemodynamic (Stable HR and BP), they need to be able to exchange air, they need to be able to manage and expectorate their own secretions

61
Q

What are all the things that you would do prior to Decannulation?

A

Explain what’s going to happen, get a baseline set of vitals, suction the pt.

Remove any Trach Ties or any other kind’ve Trach securing devices that they may be wearing (Same thing with any sutures that may be holding the Trach in place).

If the Trach has a Cuff Tube then deflate the Cuff prior to removal.

62
Q

Once a Trach is removed, what are some things that you would do?

A

Monitor Vitals + Respiratory Assessment + Cover the area that the Trach used to be in an occlusive dressing + Monitor for bleeding + Monitor the recovery and if the opening left by the Trach is closing like it’s supposed to

63
Q

How long does it take before Epithelial Tissue starts to form over where the Trach used to be after removal?

When should the opening be gone?

A

It should begin to form in 24-48 Hours.

The opening should be gone within 4-5 Days.

64
Q

After a Trach is removed, what should you teach the pt?

A

Teach them how to splint their stoma with their fingers and inform them to do it anytime that they cough, swallow, or speak

Fundamentals 2 Exam 3 Flashcards (10 decks)

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