NURS 371 Lecture Notes - Lecture 3: Laryngectomy, Laryngoscopy, Dysphonia
Document Summary
Risk factors- family history prolonged use of tobacco and alcohol, history of frequent episodes of laryngitis, chemical exposures. Manifestations- hoarseness or change in voice, unilateral ear or throat pain, weight loss, pain, lump in throat, mouth, or neck, dysphagia, foul breath, airway obstruction (late symptoms) Surgical measures e. g. , partial or total laryngectomy with radical neck dissection. Assess respiratory status and report changes to physician. Encourage coughing and deep breathing and suction to clear secretions. Elevate hob high fowlers to semi-fowlers to decrease tissue edema. Administer tube feedings as ordered; advance to clear liquids and assess for swallowing difficulties. Remember aspiration will be a risk for only partials. Provide emotional support to client and family members. Educate client and family members regarding home care. Ineffective airway clearance suction the client"s mouth, throat, and/or airway as needed. May have lots of secretions (risk for mucous plug) Impaired swallowing tube feeds immediately after due to swelling in neck, progress as tolerated.
