LARYNGEAL OBSTRUCTION
A nurse's interpretation of a client with laryngeal obstruction that has a normal SpO2 reading.
What is a normal SpO2 does not rule out severe obstruction?
Rationale :
Oxygen saturation may remain normal early in obstruction. Airway compromise can deteriorate rapidly. Always assess clinical signs.
This activity increases risk for laryngeal cancer.
What is smoking (and drinking)?
After total laryngectomy, the client breathes through this.
What is a stoma?
Rationale: Airway permanently separated.
This is the safe cuff pressure range in mmHg to prevent aspiration while avoiding tracheal injury.
What is 20–25mmHg?
After placing an artificial airway, this is done to best confirm placement.
What is X-ray confirmation
This finding indicates increased work of breathing.
What are retractions? (What is use of accessory muscles)?
Rationale: Retractions show increased negative pressure effort due to obstruction.
This is the most common site of laryngeal cancer.
What is glottic?
If the client arrests, this is how ventilation is delivered
What is mouth-to-stoma?
High cuff pressure can cause this complication
What is rracheal necrosis?
This type of suction system is preferred for ventilated patients to reduce hypoxemia.
What is a closed in-line suction system?
This late sign of airway obstruction ccurs after significant hypoxia.
What is cyanosis?
This is the most common early symptom of glottic cancer.
What is hoarseness/voice change?
Rationale: Vocal cord vibration is disrupted early.
This is a life-threatening complication of this surgery
What is carotid blowout?
Rationale : carotid rupture is a fatal hemorrhage risk
VAP develops after this time frame
What is 48 hours?
This technique limits catheter insertion to the tip of the ETT to reduce trauma.
What is minimally invasive suctioning?
This contagious bacterial illness caused by Group A Streptococcus conditions can cause laryngeal edema.
What is Scarlet fever?
recurrence is most common within this time frame
What is 2–3 years?
This is the most natural sounding speech method and requires surgical creation of a puncture.
What is tracheoesophageal puncture (TEP)?
Before inserting a Passy-Muir valve a nurse must to this.
What is deflate cuff?
Deep suctioning may cause this body response
What is vagal stimulation?
Stridor is best described as this.
What is inspiratory crowing sound?
This anatomical feature of the true vocal cords helps explain why early-stage glottic cancers metastasize slowly.
What is no/limited lymphatic drainage?
This is the reason humidification is necessary
What is to reduce mucus production?
Right mainstem intubation causes this
What is breath sounds only on right?
The most important discharge teaching after total laryngectomy to keep patient safe in public
What is wear medical alert ID?