Shared Flashcard Set

Details

resp. 2
surgerical
8
Nursing
Not Applicable
02/08/2011

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Cards

Term
total laryngectomy is
Definition
complet removal of the larynx
Term
total laryngectomy is performed
Definition
in most advanced stage IV laryngeal Ca, when tumor goes beyond vocal cords
Term
what is removed in a laryngectomy list all
Definition
1. Hyoid bone
2. Epiglottis
3. Cricoid cartilage and 2-3 rings of trachea
4. Tongue, pharyngeal walls, and trachea are preserved
5. Result in permanent loss of voice and change in airway
Term
emotional impact of laryngectomy
Definition
1. This surgery is a serious threat to a person’s body imange and self-esteem
2. Disfiguring
3. Alters communication
4. Reaction of family and friend is a concern
a. Be a good listener
b. Provide positive approach
c. Refer to support groups (local or national)
5. Through teaching on dressing, tubes, and drains empowers pt and family
Term
Pre op for laryngectomy is
Definition
1. Depends on specific surgery being performed
2. If communication is lost, pt mush know that a system of communication will be established
a. Call light
b. Communication board and writing
3. Education about nature of surgery and reinforce surgeon’s explanation voice will be lost, rehab for retraining
4. Review equipment and tx post-op, esp. deep-breathing exercises.
Term
Observe for what in a laryngectomy
Definition
a. Restlessness,
b. Labored breathing
c. Apprehension
d. Increased pulse
e. TCDB
f. Suctioning prn
g. Ambulation
h. Care of tube placed
i. Clean stoma daily
j. Observe, measure, and record drainage from any drains in place
k. Reassurance, esp with coughing
l. Cleansing area after coughing up secretions
m. Provide humidification
n. Tube will be removed when stoma is well-healed, usually within 3-6wks post-op
Term
Tracheostomy
Definition
an indwelling tube inserted into the trachea, mat be temporary or permanent
Term
Tracheostomy used to
Definition
i. Bypass an upper airway obstruction
ii. Allow removal of tracheobrachial secretions
iii. Permit long-term use of mechanical ventilation
iv. Prevent aspiration of oral or gastric secretions
v. Replace an endotracheal tub
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