TRACHEOSTOMY CARE

Sites tracheostomy usually between

• 2^nd to 3^rdtracheal ring

• 3^rd to 4^th tracheal ring

• 4^th to 5^th tracheal ring

There are indication of tracheostomy EXCEPT

• Prolonged intubation

• Seizure

• Upper airway obstruction

• Neuromuscular disorders

What is the earlier complication post tracheostomy?

• Surgical emphysema

• Tracheal stenosis

• Tracheal fistula

• Infection

Which technique is BEST for the nurse to use when suctioning the patient with a tracheostomy tube?

• Apply suction during insertion of the tube

• Suction for 30 seconds

• Repeat suctioning until the tube is clear

• Hyperoxygenate before and after suctioning

The nurse should plan to LIMIT the suctioning time to a MAXIMUM of which time period?

• 5 – 10 seconds

• 10 – 15 seconds

• 30 – 45 seconds

• 60 seconds

The appropriate pressure for suctioning an ADULT patient is

• 60-80 mm Hg

• 80-100 mm Hg

• 100-150 mm Hg

How the nurse determines the size of a suction catheter?

• (size trachy tube x 2) – 2

• (size trachy tube + 2) – 2

• (size trachy tube/ 2) – 2

The nurse should tie the tracheostomy tube with TWO FINGER BREADTH together using a SQUARE KNOT!

• TRUE

• FALSE

Frequency of suction will vary and must be individually assessed & not done on a schedule!

• TRUE

• FALSE

Dressing should be changed at least once daily and more frequently if it becomes wet with secretions

• TRUE

• FALSE