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Respiratory care Tracheostomy Care Questions with answers.
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Respiratory care Tracheostomy CareQuestions with answers.
Inner tube (Inner cannula) ANS --Fits snugly into outer tube
-Can be easily removed for cleaning
-Single lumen cannula
Single lumen cannula ANS --Long cannula
-Used for patients with long or thick neck
Double lumen cannula ANS --Has inner and outer cannula
-Allows inner cannula to be removed, cleaned and reused
-*Good for patient with excessive secretions*
Flange ANS --Flat plastic plate attached to outer tube
-Lies against the patient's neck
Cuff ANS --Inflatable air reservoir (High volume, low pressure)
-*Helps anchor trachestomy tube in place and provides maximum airway sealing with the least amount
of local compression*
-To inflate, air is injected
-Cuff pressure should be assessed to prevent trach tissue necrosis
-Good for mechanical ventilation
Air inlet valve ANS --One way valve that prevents spontaneous escape of the injected air
Air inlet line ANS --Route for air from air inlet valve to cuff
Pilot cuff ANS --Serves as an indicator of the amount of air in the cuff
, Fenestration ANS --Hole situated on the curve of the outer tube
-Used to enhance airflow in and out of the trachea
-Single or multiple fenestrations are available
Fenestrated tube with cuff ANS --A tube with multiple openings (fenestrations) in the posterior wall of
the outer cannula *with a balloon* around the outside distal segment of the tube and with inner
cannula
-*Good for mechanical ventilation*
-It is used to wean the patient from a trach. by ensuring that the patient can tolerate breathing through
his or her natural airway before the entire tube is removed.
-Allows the patient to speak
-Cuffed fenestrated tube is never used in weaning from a tracheostomy because the cuff, even fully
deflated may partially obstruct the airway
-It is often used for patients with spinal cord paralysis or neuromuscular disease who do not require
ventilation all the time
*tracheostomy tube can only function as such if both the outer and inner cannula contain a fenestration
(hole)*
-Allows secretions and air to pass up and down the patient's airway
Fenestrated tube without cuff ANS --A tube with multiple openings (fenestrations) in the posterior wall
of the outer cannula with *no balloon* around the outside distal segment of the tube and with inner
cannula.
-Used for weaning from the trach. and allows the patient to speak
Speaking valve / trachesotomy button or cap / passy-muir valve ANS --Used to occlude the tracheostomy
tube opening
(A) former - during expiration to facilitate speech and swallow
(B) latter - During both inspiration and expiration prior to decannulation
What does tracheostomy mean? ANS --Trachia arteria = rough artery
Stoma = opening
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