While visiting a patient who has been receiving transtracheal O2 ...

[Coya19@aol.com]

While visiting a patient who has been receiving transtracheal O2 therapy for 6 months, you note marked erythema and swelling at the stoma site. Which of the following actions would be appro-priate at this time?
 
  a. Question the patient and family about their cleaning methods.
  b. Promptly report your observations to the prescribing physician.
  c. Liberally apply tincture of benzoin to the stoma site.
  d. Flush the catheter and the tubing with H2O2.

Question 2

A home care patient using a reservoir cannula for long-term, low-flow O2 therapy objects to the cosmetic appearance of the device.
 
  Which of the following alternatives would you recommend to this patient's physician as capable of addressing the patient's concerns?
  1. Transtracheal catheter
  2. Entrainment mask
  3. Pendant reservoir
  a. 1 only
  b. 2 and 3 only
  c. 1 and 2 only
  d. 1, 2, and 3

[nickk12214]

Answer to Question 1

ANS: B
In particular, you should immediately report any evidence of tract tenderness, fever, excessive cough, increased dyspnea, or subcutaneous emphysema to the patient's physician.

Answer to Question 2

ANS: A
This delivery method offers advantages of improved cosmetic appearance and lower flows to achieve the same therapeutic effect.

[Coya19@aol.com]

TYSM

[nyrave]

Excellent