Chapter 36 Airway Management Copyright 2009 Wolters Kluwer

Chapter 36 Airway Management Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins

Natural Airway Management • Liquefying secretions – Inhalation therapy • Mobilizing secretions – Postural drainage – Percussion – Vibration Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins

• Suctioning secretions – Nasopharyngeal suctioning – Nasotracheal suctioning – Oropharyngeal suctioning – Oral suctioning Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins

Aerosol Therapy Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins

Collecting a Sputum Specimen Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins

Lung Segments and Corresponding Postural Drainage Positions Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins

Performing Postural Drainage Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins

Performing Percussion Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins

Variations in Suction Pressure Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins

Suctioning the Airway (Refer to Skill 36 -1 in the textbook. ) Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins

Placement of a Nasopharyngeal Tube Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins

Yankeur-Tip Suction Device for Oral Suctioning Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins

Artificial Airway Management • Oral airway • Tracheostomy – Tracheostomy tube – Tracheostomy suctioning – Tracheostomy care Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins

A Cuffed Tracheostomy Tube Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins

Inserting an Oral Airway Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins

Suctioning Through a Tracheostomy Tube (Refer to Figure 36 -10 in the textbook. ) Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins

Providing Tracheostomy Care (Refer to Skill 36 -2 in the textbook. ) Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins

General Gerontologic Considerations • Pathologic pulmonary changes in older adults • Age-related changes affecting the older adult’s respiratory system • Pneumonia in older adults • Cough in older adults Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins

General Gerontologic Considerations (cont’d) • Respiratory secretions in older adults • Dysphagia in older adults • Cardiac dysrhythmias in older adults Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins

Nursing Implications • Nursing diagnoses Ineffective Airway Clearance Impaired Gas Exchange Risk for Infection Impaired Spontaneous Ventilation Anxiety Deficient Knowledge Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins

Ineffective Airway Clearance Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins