trachs

Question 1

excoriation

Answer 1

secondary skin lesion

Question 2

passy-muir valve

Answer 2

used for speaking with a trach
one way
forces air around vocal cords
if pt has cuffed trach, defalate

Question 2

emergency equip

Answer 2

• obturator at HOB
• extra trach in smaller size
• suction catheters
• ambu bag

Question 3

if pt desats…

Answer 3

• check trach
• increase O2
• suction

Question 4

if pt coughs out outer cannula

Answer 4

• put new sterile trach in
• dire: put old trach back in
• dire dire: oxygen can be applied to stoma
• dire dire dire: occlude stoma and use ambu bag on mouth

Question 5

negative pressure ventilator

Answer 5

iron lung

Question 6

positive pressure ventilator

Answer 6

mechanical ventilator

Question 7

jackson trach

Answer 7

heavy duty
metal
least common
can cause airway trauma

Question 8

shiley trach

Answer 8

polyvinyl chloride

Question 9

bivona trach

Answer 9

silicone with internal metal wire coil

Question 10

three components of a trach

Answer 10

outer cannula
innter cannual
obturator

Question 11

outter cannula parts

Answer 11

flange
cuff (eliminates air leak and prevents aspiration)
pilot tube (only in cuffed trachs)

Question 12

how often to change inner cannula

Answer 12

q4h

Question 13

suction strength for trach

Answer 13

80-120mmHg