Tracheostomy Module Quiz
The function of the obturator of a tracheostomy tube is to:
Facilitate insertion of the tracheostomy tube into the tracheal stoma
Reduce mucous plugging of the tracheostomy tube
Anchor the tracheostomy tube in place and provide maximum airway sealing
Occlude the opening of the tracheostomy tube
Which tube is most appropriate to use in a patient requiring mechanical ventilation?
Cuffless tube with reusable inner cannula
Fenestrated cuffed tube with disposable inner cannula
Cuffed tube with reusable inner cannula
Cuffless tube with disposable inner cannula
Which patient DOES NOT have an indication for a surgical tracheotomy?
55 year old obese male with severe, refractory obstructive sleep apnea who has not tolerated CPAP trials
23 year old non-responsive male trauma patient with stab wound to right upper chest
72 year old female intubated and maintained on a respirator for 8 days with continued ventilator dependence
64 year old male smoker with obstructive upper airway mass and prominent stridor
A surgically placed tracheostomy tube is usually inserted:
Through the cricothyroid membrane
Between the 2nd and 3rd tracheal rings
Through the thyrohyoid membrane
Between the 3rd and 4th tracheal rings
On post-operative day one from tracheotomy, it is appropriate to examine the patient and check which of the following?
Chest xray
Tracheostomy ties are secure
Oxygen saturation
All of the above
In a normal adult, the tracheostomy cuff SHOULD NEVER be:
Inflated to a pressure greater than 20 cm H20 because of risk of pressure necrosis of the trachea
Inflated to a pressure greater than 20 cm H20 because of risk of airway and esophageal obstruction
Inflated to a pressure greater than 30 cm H20 because of risk of pressure necrosis of the trachea
Fully deflated because there is a risk the tube will become dislodged
Which patient is the most appropriate candidate for speaking valve trials?
60 year old female with 6-0 Shiley tracheostomy tube with the cuff deflated who is able to maintain an oxygen saturation of 98
71 year old female with tracheostomy tube placement due to multiple hospitalizations for aspiration pneumonia
55 year old male with severe COPD and frequent desaturations
63 year old male previously using speaking valve at home who is hospitalized for pneumonia with copious, thick secretions
Tracheoinominate fistula commonly presents with:
Shortness of breath
Painful neck and difficultly with range of motion
Crepitus of the neck
Bleeding from tracheostomy tube
An example of a LATE complication of tracheostomy tube placement is:
Mucus plugging
Tracheal stenosis
Hemorrhage
Infection
Which specialists may play a role in the care of a tracheostomy patient?
Dietician
Respiratory therapist
Speech language therapist
All of the above
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