NRSG 3323 Lecture Notes - Lecture 4: Nasopharyngeal Airway, Tracheotomy, Chest Tube
1 Dec 2017
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Respiratory skills: lab skills, practice obtaining a respiratory assessment health history, suctioning the nasopharyngeal and oropharyngeal airways, suctioning the tracheostomy: open system, providing tracheostomy care, proving care of a chest drainage system. Used to establish an airway via a tracheotomy: indications: Allows to gradially get off the ettube. Parts: outer cannula (1, obturator (2, inner cannula (3, flange (4, port (5, twill tape or velcro strip (6) Types of tracheostomy tubes: single outer cannula, double cannula, permanent inner, disposable inner. Cuffed: decreases risk of aspiration, seal between upper and lower airway, necessary for ventilated patients. Uncuffed (no balloon on the end of this more long term) Which patient would have uncuffed tracheostomy: ventilated, copious secretions, long term care needs. Cuff considerations: newer cuffs are low pressure, cuff de ation. Slowly de ate the cuff during peak inspiration. De ate before oral feeding unless high aspiration risk.
