MED SURG Exam 1: Tracheostomy Latest Updated

surgical procedure in which an opening is made into the trachea and an indwelling tube is inserted called a trachea (hole or stoma is made on the anterior part of the trachea) - ANSWER-Tracheostomy a trach is shorter in length and wider in diameter than a _______________ tube -easier to keep clean and facilitates better oral and bronchial hygiene -may increase patient comfort compared (tube isn't in mouth) -less risk for long-term damage to vocal cords - ANSWER-endotracheal tube may be either temporary of permanent dependent on what it is placed for - ANSWER-tracheostomy Why do we insert a trach? - ANSWER--establish patient airway (airway edema, anaphylactic action, angioedema) -bypass and airway obstruction (tumor, vocal cord paralysis) -facilitate removal of secretions) -long-term mechanical ventilation rests against the patient's neck - ANSWER-face plate (flange) used to help insert the tube - ANSWER-obturator keeps the airway patent- may or may not have a cuff- if it has a cuff it has a ballon that puts air into the cuff - ANSWER-outer cannula inserted into the outer cannula (either disposable or non-disposable- removed for cleaning) **all dependent on manufacturer and what they put in- know ahead of time - ANSWER-inner cannula may of may not be apart of a trach. that permits effective ventilation and minimizes risk of aspiration - ANSWER-cuff most important is knowing the tracheostomy size (letter follow for each type) *DCT= disposable inner cannula (important to know for trach care) - ANSWER-face plate most common type of tubing for a trach. (patient cannot talk with this in) -needed if patient requires mechanical ventilation -inflated via balloon port on the trach. tube (typically done by a respiratory therapist) -reduces the risk of aspiration - ANSWER-cuffed tube