Shared Flashcard Set

Details

Airway Mgmt
Nursing Care
7
Nursing
Undergraduate 4
06/12/2012

Additional Nursing Flashcards

 


 

Cards

Term
Causes of Airway Obstruction
Definition
  • Internal - food, vomitus, blood clots, foreign object; do heimlich on conscious pt, abdominal thrusts on unconscious
  • External - goiter, lymph nodes, hematoma, tumor
  • Enlargement/edema of airway tissue
  • Altered LOC - should be SIDE LYING
Term
Types of Artificial Airways
Definition
  • Oral airway - used only on unconscious; require freq mouthcare; inserted upside down, then inverted
  • Nasal airway - "trumpet;" Protects nasal mucosa fm suctioning; conscious or unconscious; monitor nare for necrosis
  • ET tube - oral or nasal
  • Tracheostomy
Term
ET tube
Definition

For:

  • A/W obstruction
  • Pt inability to clear secretions
  • Delivery of accurate O2 level
  • Mechanical ventilation
Term
FYI on ET tube
Definition
  • Various sizes in diameter - 7 1/2-8 for adult
  • Inserted into trachea via mouth or nose
  • Positioned above carina
  • Radiopaque - visible on x-ray
  • Depth markings - norm = 22 @ teeth; record routinely, note displacement
  • Cuff
  • Pilot balloon - should be inflated
  • Universal adaptor - fits any ambu bag
Term
To verify ET tube placement...
Definition
  • End-tidal carbon dioxide detector - yellow to purple is good!
  • Breath sounds- should be heard bilaterally
  • Auscultate stomach (will be distended if ET tube is inserted there)
  • CXR

 

Term
Nursing Care of ET Tube (assess)
Definition

Assess:

  • Tube placement
  • Cuff patency - if not fully inflated, you will hear audible air mvmt or speech
  • Breath sounds - assess for rhonchi (gurgling), heard when there's an obstruction
  • Chest wall mvmt
Term
Nursing Care of ET Tube
Definition

Restraints

Sedation/paralytics - only used when pt unable to breathe on ventilator; if paralytics used, you must use sedation

Suctioning - sterile

Freq oral hygiene - prevents infection

Repositioning of ET tube

Position changes q 2 hrs to prevent pulmonary stasis

Communication - priority bc you take their speech away

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