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Airway Management/Oxygen Therapy (ATI)

What is an oropharyngeal airway used for?
Used to keep the upper airway patent when it is at risk for becoming obstructed by the tongue or by secretions.
What patient population should oropharyngeal airways be used on?
Patients who LOC is altered because if gag reflex
What is a nasopharyngeal airway used for?
Used to keep the upper airway patent. They are inserted through the nares and extend into the oropharynx
Endotracheal tube are used for what?
Used for patients undergoing a procedure that requires general anesthesia and/or mechanial ventilation.
ET tubes are not usually left in place for more than 14 days. Why?
Risk of infection and airway injury
Tracheostomy tubes are used for what?
Used for patients who need long-term airway support.
Suctioning clears secretions from the airway of patients who cannot ______ and ________ them without assistance.
Mobilize; expectorate
What are some complications of suctioning?
Hypoxia, injury to the airway, nosocomial infections, and cardiac dysrhythmias.
What are the most common types of suctioning?
Oropharyngeal, nasopharyngeal, nasotracheal. and artificial airway
Nasotrachial suctioning is considered sterile or nonsterile?
Sterile
Yankauer suction cath. can help clear secretions from the ____.
Mouth
Can you use a Yankauer suction cath. more than once on the same patient?
Yes!
Nasopharyngeal and nasotrachel suctioning helps remove secretion from where?
Lower airway of patients who cannot cough and do not have an artificial airway
What is the goal of chest physiotherapy?
To loosen respiratory secretions and move them into the central airways where they can be removed by coughing or suctioning.
What is postural drainage?
Performed to remove secretions by gravity from different areas of the lungs.
How often is postural drainage performed?
Two to three times a day, often before meals and at bedtime
What are the most common hazards of oxygen therapy?
Fire, equipment malfunction, and pressure hazards
Oxygen therapy is indicated for patients who are at risk for developing?
Hypoxia
Who is at risk for hypoxia?
Patients who are recovering from surgery and may be in pain or still sedated, respiratory illness that causes excessive secretions to accumulate in the lungs or conditions that reduce the circulation of blood through the lungs.
What are the signs and symptoms of early stage hypoxia?
Patient often feels restless and confused and might report feeling anxious. Vitals might also vary from baseline
What are the signs and symptoms of late stage hypoxia?
The patient is likely to develop hypotension, bradycardia, and metabolic acidosis, and develop cyanosis.
Chronic hypoxia signs and symptoms are?
Clubbing of fingers and toes, peripheral edema, right-sided heart failure, and oxygen saturation below 87%

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