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Flashcards in Tracheostomy Deck (10)
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1

What is a tracheostomy?

A surgical procedure that creates an open airway in the trachea

2

What are the indications for a tracheostomy?

Upper airway obstructions (increased mucous)

3

What is the created opening called?

A stoma

4

What must the nurse always have at the bedside?

An obturator, a stiff plastic device used for inserting the inner cannula

5

Is suctioning a client with a trach a clean or sterile procedure

Sterile

6

What should the nurse always do before suctioning a client with a trach?

Hyperoxygenate with 100% 02

7

Should suction be applied during insertion of the catheter?

No, this can cause damage to the client

8

What should the nurse always do after suctioning a client with a trach?

Reoxygenate with 100% 02 2-3 times during inhalation

9

If a client coughs strongly and the trach becomes dislodged, what is the initial nursing action?

Keep airway open by reinserting obturator or grabbing retention sutures. Give 02 if airway lost!

10

If a client is NOT on a ventilator but has a trach, should the inner cuff be inflated?

No, it should be deflated so as not to block airway

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