STUVIA 2024/2025
Egan's chapter 33 test #3
-100 to -120mm Hg - ✔✔What is normal range of negative pressure when suctioning a pedi patient ?
-120 to -150 mm Hg - ✔✔what is the normal range of negative pressure to use when suctioning an
adult patient?
-80 to -100 mm Hg - ✔✔What is the normal range of negative pressure when suctioning an infant?
-aid in routine tube cleaning and tracheostomy care
-provide a patent airway should it become obstructed - ✔✔The removable inner cannula commonly
incorporated into modern tracheostomy tubes serves what purposes?
-airway compromise
-respiratory failure
-need to protect the airway - ✔✔What general condition requires airway management?
-bronchospasms
-mucosal trauma
-elevated intracranial pressure - ✔✔what are the complications of tracheal suctioning
%
-decrease in Raw due to less length and increase in I.d
-ease of suctioning
-patient may tolerate better
-patient may use a speaking valve
-stable
-used in patients who require long term ventilatory support
-used in patients who require protection on lower airway
-used un patients who require assistance with secretion removal - ✔✔What are some advantages of
a tracheostomy
-decreased breath sounds
-decreased air flow through the tube
-if pt is receiving volume-controls ventilation, peak inspiratory pressure will rise
-delivery of tidal volumes will fall - ✔✔A spontaneously breathing patient with partial airway
obstruction will exhibit
-epiglottis
-croup - ✔✔what is the Absolute contraindication for nasotracheal suctioning ?
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, STUVIA 2024/2025
-Facilitate suctioning
-protect the lower airway-provide
-longterm ventilators support
-maintain patent airway - ✔✔What are the 4 indications for artificial airways ?
-hypotension
-bradycardia
-cardiac arrhythmias
-laryngospasm - ✔✔What autonomic or protective neural responses represent potential hazards of
emergency airway management?
-hypoxemia
-vagal stimulation
-tracheitis
-mucosal damage(bleeding)
-occlusion on the tube with the catheter
-sudden death( cardiac arrythmias)
-Laryngeospasms (when suctioning without a endotracheal tube)
-atelectasis - ✔✔Some complications of suctioning are
%
-length markings on the curved body of the tube
-imbedded radiopaque indicator near the tube tip - ✔✔what features incorporated into most modern
endotracheal tubes assist in verifying proper tube placement?
-nasotracheal tubes
-orotracheal tubes - ✔✔what types of artificial airways are inserted through the larynx?
-patient's tolerance of the endotracheal tube
-relative risks of continued intubation versus tracheostomy
-patient's severity of illness and overall condition
-length of time that the patient will need an artificial airway
-patient's ability to tolerate a surgical procedure - ✔✔What factors should be considered when
deciding to change from an endotracheal tube to a tracheostomy tube?
-Rotate the catheter while withdrawing
-Limit the amount of negative pressure - ✔✔What can help to minimize the likelihood of mucosal
trauma during suctioning?
-severe distress
-no breath sounds
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