Respiratory Care: Oxygenation and Tracheostomy
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Questions and Answers

Alcohol and narcotics affect oxygen needs because they:

  • Cause allergies
  • Cause a pneumothorax
  • Depress the breathing centre in the brain (correct)
  • Are pollutants

Hypoxia is:

  • The amount of hemoglobin that contains oxygen
  • Not enough oxygen in the cells (correct)
  • Not enough oxygen in the blood
  • The lack of oxygen

An early sign of hypoxia is:

  • Restlessness (correct)
  • Cyanosis
  • Dysphasia
  • Decreased pulse and respiratory rates

A client can breathe deeply and comfortably only while sitting. This state is called:

<p>Orthopnea (B)</p> Signup and view all the answers

Which of the following is a sign of altered respiratory function?

<p>Wheezing or crowing sounds (D)</p> Signup and view all the answers

A client's SpO2 is 98%. Which of the following is true?

<p>The measurement is within normal range. (D)</p> Signup and view all the answers

Which of the following is a common site for a pulse oximetry sensor?

<p>Index finger (C)</p> Signup and view all the answers

The best time to collect sputum is:

<p>On awakening (B)</p> Signup and view all the answers

A sputum specimen is needed. You should ask the client to:

<p>Rinse the mouth with clear water (C)</p> Signup and view all the answers

You are assisting a client with coughing and deep breathing. Which of the following is true?

<p>The client exhales through pursed lips. (A)</p> Signup and view all the answers

Which of the following is useful for deep breathing?

<p>Incentive spirometer (C)</p> Signup and view all the answers

You are assisting with oxygen therapy. You can:

<p>Keep the connecting tubing secure and free of kinks (D)</p> Signup and view all the answers

A client has a tracheostomy. Which of the following is true?

<p>The outer cannula must be secured in place. (A)</p> Signup and view all the answers

A client who has a tracheostomy can do the following:

<p>Shave (A)</p> Signup and view all the answers

A client has a tracheostomy. For the client's safety, the old ties are removed after:

<p>The outer cannula is held in place (B)</p> Signup and view all the answers

These statements are about suctioning. Which one is true?

<p>A suction cycle is no more than 10 to 15 seconds. (B)</p> Signup and view all the answers

Chest tubes:

<p>Remove trapped air from the chest cavity (B)</p> Signup and view all the answers

Which of the following is used to hyperventilate the lungs?

<p>Ambu bag (C)</p> Signup and view all the answers

Mr. Long requires mechanical ventilation. Which of the following is true?

<p>He has an endotracheal (ET) tube or a tracheostomy tube. (A)</p> Signup and view all the answers

An alarm sounds on Mr. Long's ventilator. What should you do first?

<p>Check to see if his airway is attached to the ventilator. (C)</p> Signup and view all the answers

A client has a pneumothorax, which is the collection of:

<p>Air in the pleural space (A)</p> Signup and view all the answers

Chest tubes are attached to a disposable water-seal drainage system. You should do the following:

<p>Keep the drainage system below the client's chest. (A)</p> Signup and view all the answers

Flashcards

Alcohol/Narcotics effect on Oxygen

They depress the breathing center in the brain, reducing respiratory drive.

Hypoxia

Not enough oxygen in the cells

Early sign of hypoxia

Restlessness can be an early sign of hypoxia

Orthopnea

Ability to breathe deeply and comfortably only while sitting.

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Sign of altered respiratory function

Wheezing or crowing sounds indicate airway obstruction or narrowing

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Normal SpO2

A normal SpO2 is within the range of 95-100%.

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Common Site for Pulse Oximetry Sensor

Index finger is a common and convenient site.

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Best time to collect sputum

On awakening, secretions have accumulated overnight.

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Sputum Specimen Collection

Rinsing the mouth removes food particles and reduces contamination.

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Coughing and Deep Breathing

Exhaling through pursed lips helps to keep airways open longer.

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Useful for Deep Breathing

Incentive spirometer encourages deep inhalation.

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Assisting with Oxygen Therapy

You can ensure the connecting tubing is secure and free of kinks to maintain oxygen flow.

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Tracheostomy

The outer cannula must be secured in place to prevent dislodgement.

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Tracheostomy client can do this

Shaving is okay.

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Tracheostomy Tie Change Safety

The outer cannula is held in place to prevent dislodgement during tie changes.

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Suctioning

A suction cycle should be no more than 10-15 seconds, to prevent hypoxia

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Chest tubes

Remove trapped air from the chest cavity

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Hyperventilate the lungs

Ambu bag is used to manually hyperventilate someone.

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Mechanical Ventilation

An endotracheal (ET) tube or a tracheostomy tube.

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Ventilator Alarm Sounds

Check to see if his airway is attached to the ventilator. If it is not connected oxygen is not being delivered.

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Pneumothorax

Air in the pleural space

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Chest Tube Drainage System

Keep the chest tube drainage system below the client’s chest to facilitate drainage.

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Alcohol and narcotics

Depress the breathing centre in the brain

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Hypoxia

Not enough oxygen in the cells

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Early sign of hypoxia is

Restlessness

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Orthopnea

Ability to breathe deeply and comfortably only while sitting

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Sign of altered respiratory function

Wheezing or crowing sounds

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SpO2 is 98%

The measurement is within normal range

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Common site for a pulse oximetry sensor

Index finger

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Best time to collect sputum

On awakening

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Study Notes

  • Alcohol and narcotics affect oxygen needs by depressing the breathing center in the brain.
  • Hypoxia is defined as not enough oxygen in the cells.
  • An early sign of hypoxia is restlessness.
  • Orthopnea is when a client can breathe deeply and comfortably only while sitting.
  • A sign of altered respiratory function is wheezing or crowing sounds.
  • If a client's SpO2 is 98%, the measurement is within the normal range.
  • A common site for a pulse oximetry sensor is the index finger.
  • The best time to collect sputum is on awakening.
  • If a sputum specimen is needed, instruct the client to rinse the mouth with clear water.
  • When assisting a client with coughing and deep breathing, the client exhales through pursed lips.
  • An incentive spirometer is useful for deep breathing.
  • When assisting with oxygen therapy, ensure the connecting tubing is secure and free of kinks.
  • If a client has a tracheostomy, the outer cannula must be secured in place.
  • A client who has a tracheostomy can shave.
  • If a client has a tracheostomy, for their safety, old ties are removed after the outer cannula is held in place.
  • When suctioning, a suction cycle should be no more than 10 to 15 seconds.
  • Chest tubes remove trapped air from the chest cavity.
  • An Ambu bag is used to hyperventilate the lungs.
  • If a client requires mechanical ventilation, they likely have an endotracheal (ET) tube or a tracheostomy tube.
  • If an alarm sounds on a ventilator, check to see if the airway is attached to the ventilator first.
  • A pneumothorax involves a collection of air in the pleural space.
  • When chest tubes are attached to a disposable water-seal drainage system, keep the drainage system below the client's chest.

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Description

This lesson covers oxygenation, hypoxia, and respiratory function. It also includes pulse oximetry, sputum collection, and assisting with coughing and deep breathing. Additionally, it emphasizes tracheostomy care and safety measures.

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