ATI Airway Management – Flashcards
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Artificial airway
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any device inserted into the respiratory tract to facilitate breathing or secretion removal
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Alveolus
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a small, air-containing saclike dilation in the distal portions of the lungs where gases are exchanged with pulmonary capillary blood
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Atelectasis
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airlessness or collapse of a lung, usually as a result of hypoventilation or obstruction
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Bronchiole
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one of the subdivisions of the branched bronchial tree of the pulmonary system
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Bronchus
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one of the larger passageways conveying air to and within the pulmonary system
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Chest physiotherapy
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a method of mobilizing pulmonary secretions by positioning the patient's head downward to incline the trachea below the affected area and then applying percussion and vibration techniques; often used synonymously with postural drainage, although that term technically refers to drainage by gravity without percussion and vibration
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Cuff
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referring to a tracheostomy, a cuff is a soft, inflatable balloon encircling the distal end of a tracheostomy tube
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Endotracheal (ET) tube
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a hollow tube inserted in the trachea to establish and maintain a patent airway
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Hypercapnia
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an excess of carbon dioxide in the blood
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Hyperventilation
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excessively rapid or deep breathing
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Hypoxemia
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a diminished amount of oxygen in arterial blood
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Hypoxia
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a reduced supply of oxygen to tissues below physiological levels despite adequate perfusion of the tissue by blood
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Intubation
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the insertion of a tube into a body canal or cavity, as in endotracheal intubation
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Nasal trumpet
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a tube inserted through the nose and the pharynx to establish and maintain airway patency; also called a nasopharyngeal airway
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Nasopharyngeal airway
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a tube inserted through the nose and the pharynx to establish and maintain airway patency; also called a nasal trumpet
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Nasopharynx
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the portion of the pharynx that lies above the level of the soft palate
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Nasotracheal tube
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a hollow tube inserted through the nose into the trachea to establish and maintain a patent airway
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Obturator
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a device used to guide the outer portion of a tracheostomy tube during insertion and removed immediately after the outer tube is in place
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Oropharyngeal airway
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a tube inserted through the mouth and the pharynx to establish and maintain airway patency
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Oropharynx
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the part of the pharynx between the soft palate and the upper edge of the epiglottis
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Percussion
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a chest physiotherapy technique that involves rhythmic clapping of cupped hands over various segments of the lungs to mobilize secretions
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Pharynx
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the throat; the cavity between the nasal passages and the mouth
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Postural drainage
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a method of mobilizing pulmonary secretions by positioning the patient's head downward to incline the trachea below the affected area and facilitating removal of secretions by gravity; often used synonymously with chest physiotherapy, although that term technically refers to incorporating vibration and percussion techniques along with positioning
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Respiratory distress
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in general, difficulty breathing, which can include any aspect of respiration: ventilation, perfusion, or gas exchange, for example
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Suction
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negative force used to withdraw air, fluid, or secretions out of a body cavity or part
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Suction catheter
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a hollow, flexible tube passed into the airway to allow negative force to remove air, fluid, and secretions
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Trachea
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the cartilaginous and membranous tube that descends from the larynx and branches into the right and left main bronchi
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Tracheostomy
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an opening created by a surgical incision into the trachea for the purpose of establishing and maintaining a patent airway
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Vibration
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a chest physiotherapy technique that involves applying pressure and a shaking movement of the hand to various areas over the lungs to mobilize pulmonary secretions
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Yankauer suction catheter
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a plastic or metal tube with a curve at the distal end to facilitate the removal of thick secretions during suctioning; also called a tonsil tip suction catheter
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A nurse is caring for a patient who has a tracheostomy tube with an inner cannula in place. Which of the following supplies should the nurse use to dry the inner cannula of the patient's tracheostomy tube after cleaning it?
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folded pipe cleaners
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A nurse is caring for a patient who has a cuffed endotracheal (ET) tube in place. Which of the following is an appropriate component of ET tube care for this patient?
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Repositioning the ET tube in the patient's mouth every 12 hr
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A nurse is preparing to suction secretions from the mouth of a patient who has dysphagia. Which of the following is the appropriate suction device or method for the nurse to use?
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Yankauer catheter
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A nurse is suctioning a patient's airway using in-line suctioning. When using this method, it is appropriate for the nurse to
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reuse the catheter repeatedly
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A nurse is performing chest physiotherapy for a patient who needs help mobilizing and expectorating thick pulmonary secretions. To increase the turbulence of the air the patient exhales, the nurse should use which of the following techniques?
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vibration
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A nurse is preparing to perform endotracheal (ET) tube care and plans to use tape to secure the tube. Which of the following is an appropriate preparatory action for this procedure?
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Have tincture of benzoin ready to apply to the patient's face
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A nurse is caring for a patient who sustained trauma to his head and neck and will require long-term airway support. Which of the following devices will be required for home health care for this patient?
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Tracheostomy tube
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A nurse is caring for a patient who has a tracheostomy tube in place. During tracheostomy care, which of the following should the nurse place underneath the flanges of the outer cannula?
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Commercially prepared fenestrated dressing
