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1. What are the nursing interventions for Tracheostomy?: Provide oxygen following trach suctioning.
2. In what order do you suction a tracheostomy?: 1. Wash hands, wear a face shield, use sterile technique.
2. Use lubricant.
3. Oxygenate patient before suctioning.
4. Apply suction intermittently while rotating catheter back & forth as it is withdrawn.
5. Suction should be no more than 10-15 seconds.
6. Rinse the catheter by suctioning normal saline through it
7. Oxygenate patient again after suctioning.
3. How do you care for a tracheostomy?: 1. Use Standard Precautions
2. Suction the tracheostomy before removing the old dressings.
3. Don sterile gloves to remove and clean the inner cannula. (Note that the nurse does not remove the outer
cannula.) 4 Use a sterile solution of normal saline or other solution per agency procedure to clean the inner cannula.
5. Reinsert inner cannula in outer cannula.
6. Change tracheostomy ties & dressings
4. What are the nursing interventions for a ventilator?: 1. Provide the patient with a communication board.
2. Provide suctioning PRN to prevent airway obstruction.
, 3. Provide alternative means of nutrition via TPN or G-tube feeds per orders to meet patients' nutritional needs.
4. Provide IV antibiotics to prevent ventilator associated pneumonia (VAP).
5. Check patient's ventilator settings against orders.
5. Timed-Cycled Ventilators: Terminate or Control Inspriation after a present time---Volume of air regulated by length of
inspiration and flow rate of air---Pure time cycled rarely used in adults, mostly in Newborns or Infants 6. Volume cycled
ventilator: ventilator forces air into the lungs until a preset volume is delivered (Tidal volume is delivered regardless of
compliance).
7. Pressure cycled ventilators: Pushes air into the lungs until a preset pressure is reached
8. Oral Airway: Inserted into the MOUTH ONLY
9. Nasal Airway: Inserted into the MOUTH, extend to the base of the TONGUE.
10. Endotracheal: Inserted through MOUTH or NOSE into the TRACHEA
11 Tracheostomy Tube: A tracheostomy tube is a surgically created opening through the neck into the trachea.
12. CPAP (continuous positive airway pressure): Requires a mask during sleep. Maintains airway during & prevent
apnea during sleep.
13. Ventilator: A Machine that delivers predetermine parentage of oxygen to assist for breathing. 14. Chest Tube:
Drain inserted into chest cavity to re-expand the lung or for draining.
15. Non-Rebreather Mask: Delivers 100% oxygen to the patient. Set oxygen between 10-15 liters.
16. What is the purpose of a chest tube?: Used to drain air or fluid from the pleural spaces of the lungs.
17. What are the nursing interventions for a chest tube?: - Auscultate lung sounds.
, - Keep drainage system upright on the floor.
- Mark drainage level on the chamber after each shift & chart output.
18. What are the side effects for Theophylline: Decreased perfusion Hypotension
Dizziness
19. What is Mucomyst (acetylcysteine) used for?: Prevention of hepatotoxicity due to acetaminophen overdose.
20. Prednisone: Is a Steroid to help decrease inflammation. ( used to treat COPD & respiratory conditions) 21.
Mucomyst (acetylcysteine): Aerosol treatment that liquifies secretions. Smells like rotten egg. (Antedote for Tylenol OD
and is given PO)
22. Midazolam: Used as a sedative and it is used for anxiety.
23. Duo-Neb (Bromide/Albuterol): Combination aerosol medication that causes tremors & dry mouth.
24. The thyroid gland does not produce enough hormone in patients with: hypothyroidism
25. What are signs and symptoms of hypothyroidism?: - Cold Intolerance
- Constipation
- Fatigue
- Depression
- Weight Gain
- Thinning Hair
- Dry Skin