1) Emergency supplies needed in room for all trach patients include an ambu bag, extra trach tube (box) of the same size, and... a) Kelly clamps b) An extra trach tube (box) one size smaller c) An extra trach tube (box) one size larger d) An inner cannula one size smaller 2) You walk into your new trach patient's room and see this. Who do you call? a) Call Anesthesia STAT b) Call an RRT c) Call Trauma at x3333 and call an RRT d) Call Respiratory Therapist 3) While waiting for the emergency team to arrive, his lips turn blue and his SpO2 is 52%. What should you do? a) Cover stoma with a gloved finger or occlusive dressing and bag pt by mouth b) Bag patient's stoma while covering mouth with gloved hand c) Insert the obturator in the stoma to keep the stoma patent d) Reinsert old trach into stoma 4) Later, a Code Blue is called for another trach pt. His trach is in place but he's not breathing. What do you do first? a) Begin bagging patient by mouth b) Turn up the wall oxygen c) Begin bagging patient's trach d) Check the inner cannula for blockage; suction or remove inner cannula 5) You replace the inner cannula but it appears patent. You need to ventilate this patient as part of CPR. How? a) Place the mask on the ambu bag and bag patient by MOUTH b) Remove the mask from the ambu bag and bag patient by TRACH 6) T/F: You use the same emergency equipment and ventilation techniques for a laryngectomy (lary) pt as a typical trach pt a) True b) False 7) T/F: In the event of any lary airway emergency, you ALWAYS bag their NECK (stoma) a) True b) False 8) T/F: To ventilate a lary patient, attach a peds-sized mask to the ambu bag and ventilate the NECK (stoma) a) True b) False 9) Quick! You have to ventilate your patient who pulled out their trach tube. Now what? a) Bag the pt by MOUTH while covering the stoma b) Bag the patient by STOMA while covering the mouth 10) Quick! You need to give CPR to a trach patient with the trach in place and patent. Now what? a) Bag the patient's MOUTH b) Bag the patient's TRACH

Trach Emergencies

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