Tracheostomy

What are the primary indications for performing a tracheostomy?

• Treatment for asthma

• Management of pneumonia

• Routine surgical procedure

• Upper airway obstruction, long-term mechanical ventilation, respiratory failure.

List three common complications associated with tracheostomy.

• Pneumonia, heart failure, stroke

• Bleeding, dehydration, hypotension

• Bleeding, tube dislodgement, tube obstruction

• Bleeding, respiratory distress, lung cancer

What is the purpose of tracheostomy care procedures?

• To maintain patent airway

• To assist with physical therapy

• To provide nutritional support

• To enhance vocal cord function

Pick the right answer about tracheostomy tubes and it's purpose

• Fenestrated tracheostomy tube (for humidification)

• Cuffed tracheostomy tube (for spontaneous breathing)

• Cuffed tracheostomy tube (for ventilation) and uncuffed tracheostomy tube (for spontaneous breathing).

• Uncuffed tracheostomy tube (for ventilation)

What key information should be included in patient education for tracheostomy care?

• Dietary restrictions for tracheostomy patients

• Tube care and tube blocks

• Daily exercise routines

• Medication management for respiratory issues

What are the signs of a potential tracheostomy tube obstruction?

• Audible wheezing or stridor and decreased oxygen saturation

• Increased heart rate

• Fever and chills

• Dry cough

What is the role of humidification in tracheostomy care?

• Humidification prevents airway dryness and thins secretions

• Humidification increases airway resistance.

• Humidification is only necessary for patients with infections.

• Humidification is used to cool the air before it enters the lungs.

Identify the emergency procedures to follow if a tracheostomy tube is accidentally dislodged.

• Perform a tracheotomy immediately

• Reinsertion of the tube

• Assess airway, call for help and administer oxygen

• Leave the patient unattended

What is the significance of monitoring oxygen saturation in tracheostomy patients?

• It ensures adequate oxygenation and timely intervention for potential hypoxia.

• It helps in assessing the patient's pain levels.

• It is used to monitor heart rate fluctuations.

• It determines the patient's ability to speak clearly.

What is the pressure used for tracheal suctioning in adults?

• < 100 mm of Hg

• < 120 mm of Hg

• < 140 mm of Hg

• < 150 mm of Hg