RESP266 Module 4: Tracheostomy questions with correct answers
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Course
RN- Nursing
Institution
RN- Nursing
What are the different parts of a trach? Correct Answer-
How is a rapid sequence intubation/induction performed? Correct Answer-If a patient is at high risk of aspiration (full stomach, pregnancy post 20 weeks)
Patient preoxygenated, no BVM once RSI drugs (sedative and paralytic) given to avoid...
RESP266 Module 4: Tracheostomy questions with
correct answers
What are the different parts of a trach? Correct Answer-
How is a rapid sequence intubation/induction performed? Correct
Answer-If a patient is at high risk of aspiration (full stomach, pregnancy
post 20 weeks)
Patient preoxygenated, no BVM once RSI drugs (sedative and paralytic)
given to avoid gastric insufflation and regurgitation
Induction agent and paralytic given and ETT placed quickly
Cricoid pressure may be used
What is cricoid pressure? Correct Answer-Push cricoid straight back and
closing esophagus
Decreases chance of aspiration
Common with this procedure
There is evidence that it doesn't do anything though
How long should the patient be preoxygenated before RSI? Correct
Answer-3-5 minutes
When would the ties of a trach need to be changed? Correct Answer-
Only when they are needed
Soiled or gross
, How often is trach care performed? Correct Answer-Every 24 hours
Where would we find all the information about the trach in the patient?
Correct Answer-On the flange
Shows which brand
Tells if there is a cuff or not
If there is fenestration of not
What is fenestration? Correct Answer-A hole in and around the inner
cannula
Where do you hook up the bagger to a trach? Correct Answer-The
15mm adaptor of the inner cannula
Always switch the cannula right away to bag
Why would we use a trach? Correct Answer-Projected time the patient
will need an artificial airway (extended periods of time, >10 days)
Patient's tolerance of ETT
Overall condition (nutrition, CVS)
Ability to tolerate a surgical procedure
Relative risks of continued ETT vs trach
How is a trach inserted? Correct Answer-Remove obtruator once in and
put in inner cannula
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