Key Terms
What does FiO2 stand for?
Fraction of inspired oxygen.
Bonus: What does that mean?
True of False:
Transtracheal tube requires more oxygen than a nasal cannula.
False
Name a cardiac complication of hypoxia
Cardiac dysrhythmias
Elevated Blood Pressure
Tachycardia
True of False:
Oxygen is flammable
False:
Oxygen is combustible
Provides consistent concentration of Oxygen
Venturi Mask
When a nurse is checking the "openness" of a hole, the nurse is checking its ______.
Patency
Name an indication for a patient to receive a tracheostomy
Apnea
Respiratory obstruction
What is the term for skin turning a blue tinged color
Cyanosis / Cyanotic
CO2
1-6 L/min
Define arterial partial pressure oxygen (PaO2) levels
Amount of O2 found in arterial circulation.
The maximum amount of time that a nurse should suction a trach for
10 seconds
What kind of clubbing do hypoxic patients participate in?
Digital
A patient experiences productive coughs. Secretions are very thick and difficult for the patient to expel. Name a nonpharmacological nursing intervention appropriate for this patient.
Increase fluids
Ambulate or change positions frequently
Use IS (or deep breathing)
TCDB (turn, cough, deep breath)
A _____ provides moisture to the patient when using an oxygen delivery device
Humidifier
This oxygen delivery device allows for 5-8 L/min flowrate or 35-55% FiO2
Simple face mask
This type of tracheostomy tube allows patients to speak
Fenestrated
Define Pallor and Vertigo
Pallor: An unhealthy pale appearance
Vertigo: A sensation of whirling and loss of balance
What is the rationale for teaching a patient about risk for falls when being discharged home with oxygen?
Oxygen tubing can be long and tripping hazard. Tethered to oxygen device.
Apply Oxygen
Bonus: What device and at what rate should the nurse start at?
What is the difference between an endotracheal tube and a tracheostomy?
Trach = opening in trachea, surgically placed tube.
Name 3 out of 5 primary nursing responsibilities for trach care
-Maintain sterility
-Keep airway clear
-Keep the inner cannula clean
-Prevent impairment of surrounding tissue
-Provide the patient with a means of communication
A patient is experiencing dyspnea and Sp02 is steadily dropping. The patient starts to get drowsy and lethargic. This can be described as the patient experiencing a decrease in ____ __ ______ (3 words).
level of consciousness
What are the 3 E's that the nurse should teach the patient to inspect for in regards to the tracheostomy
Erythema
Edema
Exudates
1. Nurse
2. Respiratory Therapist
3. EMT