« previous next »

Author Question: A physician asks you to assess the upper airway function of a patient with a fenestrated ... (Read 24 times)

imanialler

  • Hero Member
  • *****
  • Posts: 539
on: Jul 16, 2018
A physician asks you to assess the upper airway function of a patient with a fenestrated trache-ostomy tube. How should this be accomplished?
 
  a. Replace the inner cannula, plug the proxi-mal opening, and inflate the cuff.
  b. Remove the inner cannula, plug the prox-imal opening, and deflate the cuff.
  c. Remove the inner cannula, plug the prox-imal opening, and inflate the cuff.
  d. Replace the inner cannula, plug the proxi-mal opening, and deflate the cuff.

Question 2

What is the most common problem with fenestrated tracheostomy tubes?
 
  a. Relative frequency of accidental extuba-tion
  b. Increased likelihood of tracheomalacia
  c. Poor positioning of the tube fenestration
  d. Inability to provide mechanical ventilation


ngr69

  • Sr. Member
  • ****
  • Posts: 318
Reply #1 on: Jul 16, 2018
Answer to Question 1

ANS: B
Removal of the inner cannula opens the fenestration allowing air to pass into the upper airway. Capping or placing a peaking valve on the proximal opening of the tube's outer cannula, accom-panied by deflation of the cuff, allows for assessment of upper airway function.

Answer to Question 2

ANS: C
One problem associated with this type of tracheostomy tube is malposition of the fenestration, such as between the skin and stoma, or against the posterior wall of the larynx.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
« previous next »
 

Did you know?

Illness; diuretics; laxative abuse; hot weather; exercise; sweating; caffeine; alcoholic beverages; starvation diets; inadequate carbohydrate consumption; and diets high in protein, salt, or fiber can cause people to become dehydrated.

Did you know?

Dogs have been used in studies to detect various cancers in human subjects. They have been trained to sniff breath samples from humans that were collected by having them breathe into special tubes. These people included 55 lung cancer patients, 31 breast cancer patients, and 83 cancer-free patients. The dogs detected 54 of the 55 lung cancer patients as having cancer, detected 28 of the 31 breast cancer patients, and gave only three false-positive results (detecting cancer in people who didn't have it).

Did you know?

About 80% of major fungal systemic infections are due to Candida albicans. Another form, Candida peritonitis, occurs most often in postoperative patients. A rare disease, Candida meningitis, may follow leukemia, kidney transplant, other immunosuppressed factors, or when suffering from Candida septicemia.

Did you know?

Thyroid conditions cause a higher risk of fibromyalgia and chronic fatigue syndrome.

Did you know?

More than 34,000 trademarked medication names and more than 10,000 generic medication names are in use in the United States.

The effects of aging can be seen in the decline in function of many physiological systems. The effects of aging can be seen in the decline in function of many physiological systems.
Pneumonia patient’s chest x-ray. Note the irregular areas of density. Pneumonia patient’s chest x-ray. Note the irregular areas of density.
This patient presented with a case of facial palsy caused by an infection by the bacterial ... This patient presented with a case of facial palsy caused by an infection by the bacterial ...
Exponential Function vs. Power Function Exponential Function vs. Power Function
Function, even or odd, solution Function, even or odd, solution
Video: Metabolic Rate, Heat and Thermoregulation - response to heat and cold stresses

For a complete list of videos, visit our video library